HHS wants to give patients test results straight from lab
Proposed changes to federal regulations would override existing laws in 20 states and give patients access to laboratory test results without having first to talk with the physicians who ordered the tests.
The Dept. of Health and Human Services said its proposal, announced in September, could enable wider deployment of personal health record systems and give patients more control over their health care information. Yet some physicians say the changes could come at a cost, because life-altering test results delivered without the context of a doctor's explanation may increase patient anxiety and degrade the physician-patient relationship.
In 13 states, labs are forbidden from sending test results directly to patients, according to HHS. The results must go to the ordering physician or another authorized health care entity. Seven states allow labs to send test results to patients, but only with the approval of the ordering physician.
Twenty-three states do not have laws governing patient access to test results from labs. Seven states, as well as the District of Columbia and Puerto Rico, say patients can obtain test results directly from labs without physician consent.
Under the Health Insurance Portability & Accountability Act, patients have the right to copies of all of their medical records. But the federal law governing clinical labs does not explicitly authorize the firms to send test results to patients. The proposed rule is intended to set a national standard to clarify the matter and help speed "meaningful use" of electronic medical record systems.
"When it comes to health care, information is power," said HHS Secretary Kathleen Sebelius. "When patients have their lab results, they are more likely to ask the right questions, make better decisions and receive better care."
Physician organizations have yet to weigh in on the rule, for which comments must be submitted by Nov. 14. The American Clinical Laboratory Assn., the trade group for diagnostic-testing firms, also declined to discuss the proposal.
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When offenders are released from prison or move, they must provide their addresses to their local police departments, which post the information at the state database, www.pameganslaw.state.pa.us. There are 11244 active registrants on the website,
Under the Health Insurance Portability & Accountability Act, patients have the right to copies of all of their medical records. But the federal law governing clinical labs does not explicitly authorize the firms to send test results to patients.
The woman did not have a medical license, but for four years provided hyperbaric oxygen treatment to patients diagnosed with unapproved conditions and submitted insurance claims that included false diagnostic codes that let her collect more than $1
file photo By MATT COUGHLIN The owner of the former Pocono Playhouse in Barrett Township allegedly filed more than $180000 in false flood insurance claims at another of his Pennsylvania properties, the Bucks County Playhouse, in 2006.
And there were false or exaggerated repair estimates by a cooperating independent insurance adjuster, again resulting in higher payments.” While much of the criminal activity occurred in Philadelphia, police said a lot of the insurance losses occurred
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