Earlier quoted context omitted.
> HIPAA my left foot. That was my experience as well - training documentation for fresh college grads (i.e. me) directed new engineers to just... send SQL queries to production to learn. There was a process for gaining permissions, there were audit logs, but the only sign-off you needed was your manager, permission lasted 12 months, and the managers just rubber-stamped everyone. That was ten years ago. Every time I t…
So… Is it surprising that Engineers in healthcare dont read the actual HIPAA documentation? Use of health data is permitted so long as it’s for payment, treatment or operations. Disclosures and patient consent are not required. There are helpful summaries on the US Department of Health and Humans Services website of the various rules (Security, Privacy & Notification) Source: https://www.hhs.gov/hipaa/for-professiona…
please, do tell me, where "estimating better pricing models to extract more profit" fit into those?
> Doctor writes script -> EHR -> Pharmacy -> Switch -> Clearinghouse —> PA Processing -> PBM/Plan makes determination
All the OP mentions happens way after the fact of those paths you described. People have already been charged. Treatment was already decided.