Govt studies medical card system
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The Taoiseach, Bertie Ahern, says the Irish government is studying the medical card system, with a view to making more people eligible.
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EDMONTON - Auditor General Fred Dunn fears health-care fraud and identity theft are occurring because the Alberta government has failed to properly keep track of more than two million duplicate or replacement health-care cards.
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A computer chip that is implanted under the skin won U.S. approval on Wednesday for use in helping doctors quickly access a patient's medical history.
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(InfoWorld) - The communications network used to transmit medical data for the U.S. government's Medicare and Medicaid programs has security vulnerabilities that could expose patients' medical data and other personal information, according to a report released Tuesday. The report, released by the U.S. Government Accountability Office (GAO), identified 47 weaknesses in the way the U.S. Centers for Medicare and Medicaid Services' (CMS) used a WAN (wide-area network) operated by an unnamed contractor. CMS uses the network to transmit claims data -- including patient names, dates of birth, Social Security numbers, addresses and medical information -- to health-care facilities, contractors, financial institutions, and state Medicaid offices. "A security breach in this communication network could lead to interruptions in the processing of medical claims or to unauthorized access to personally identifiable medical data, seriously diminishing the public's trust in CMS's ability to protect the sensitive beneficiary data it is entrusted with," the GAO said in the report. GAO, in its review of CMS security procedures early this year, found that the agency and contractor did not use adequate identification and authentication controls for access to the network, did not restrict user access to only those programs and files workers need, did not close off all access from the private network to the Internet and did not consistently encrypt sensitive data. CMS did not always ensure security policies it has in place, GAO said. "CMS did not always ensure that its contractor effectively implemented controls designed to prevent, limit, and detect electronic access to sensitive computing resources and to devices used to support the communication network," the GAO said. GAO gave CMS an early copy of the report, and Dr. Mark McClellan, CMS administrator, said in a July 10 letter the agency took quick action to fix the problems. CMS, working with its contractor, had fixed 22 of the 47 vulnerabilities identified by the July letter, and an additional 14 were scheduled to be fixed within weeks. The final 11 vulnerabilities were "somewhat more complex" and were scheduled to be fixed by Jan. 7, he wrote. "We are taking further steps to assure that none result in actual security breaches," McClellan added. "We have been proactive in our oversight of the network but are taking further steps to enhance security." GAO does not typically name contractors in its reports because its focus is on agency performance, a GAO spokesman said. A CMS spokesman said he did not know which contractor was involved in the network targeted by the GAO report. CMS uses multiple contractors, he said. The Medicare program is the nation's largest health-insurance program, covering 42 million U.S. citizens.
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A computer chip that is implanted under the skin won US approval on Wednesday for use in helping doctors quickly access a patient&#39;s medical history.
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Within five years, physicians could be able to access patients&#39; records from any hospital or doctors&#39; office in the state under a new ``eHealth&#39;&#39; initiative financed with an infusion
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A controversial scheme for national identity cards has been approved by the British House of Commons.
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Medical research often leads to unexpected breakthroughs in other peripheral areas.Based on the success being enjoyed by a project developed among a handful of leading pharmacy industry players, some experts say that you can add enhanced data security to the long list of advancements attributable to the health care industry.Founded in 2001, RxHub was the brainchild of three of the nation's largest pharmacy benefits managers (PBMs) -- companies responsible for handling the unseen legwork necessary to allow pharmacies to dole out prescriptions to eligible consumers, and for customers to employ their health care benefits to cover related expenses.Those companies -- AdvancePCS (since acquired by CVS-Caremark), Express Scripts, and Medco Health Solutions -- were looking for a way to better facilitate the massive volumes of data transfer needed to match customers with their medical, insurance, and payment records to cut costs and eliminate potential mistakes.In creating RxHub, a joint venture that serves as an electronic clearinghouse responsible for gathering the medical and benefits data needed to serve customers, people involved with the project claim that the pharmacy companies also pioneered an information-sharing model that other businesses may want to emulate to relieve their own data security headaches.At its core, RxHub claims to be a universal communication framework that links health care providers, insurance companies, the PBMs, and local pharmacies for the purpose of sharing electronic records and prescription data.One of the most attractive side benefits of the venture, backers claim, is that it in addition to streamlining that process, the effort has also helped the partners pilot a new manner in which to access and correlate sensitive information to protect the interests of the many businesses and customers they serve.Rather than forcing any of the firms in the prescription drug food chain to create additional databases for the purpose of providing records to their various external partners, RxHub serves in a data transport role that mines information from all the sources in real time to process transactions, without ever aggregating the information itself.Built around master data management software provided by vendor Initiate Systems, the RxHub infrastructure allows the involved parties to perform all the records validation work necessary for pharmacies to verify prescription and payment information in a matter of seconds, without demanding that anyone in the ecosystem create or retain any additional records.In doing so, the system allows the companies to live up to the demands of regulations, including the Health Insurance Portability and Accountability Act (HIPAA), while protecting themselves from potential data leakage incidents, RxHub executives said."The idea was to create a hub for all of this sensitive data without ever creating a master database where the information itself would be stored; we're more like FedEx, we look at the routing information, handle the package, and get it there reliably," said JP Little, chief executive of RxHub."We've been very careful about how we architected these systems and our business itself from the get-go in terms of not wanting to retain any data," he said. "This work was being done before we existed, but there was no hub; serving that role in the middle, the responsibility for security and controls remains with that various stakeholders, and the risk is lowered across the entire process."RxHub effectively specializes in real-time data mining, built on Initiate's Enterprise Master Person Index (EMPI) technology.When a patient requests a prescription at a pharmacy using the tools -- which currently cover an estimated 135 million U.S. consumers -- the transaction is pushed through RxHub, which in turn verifies the involved person's information wherever it is stored by the various PBMs and health care providers involved.Rather than creating a central record of all of that data, or storing any related information itself, the company merely delivers the relevant results regarding eligibility and payment details to the pharmacy, which can dole out the involved medicines and patient benefits.?By eliminating the need to create additional databases of patient information throughout all the businesses involved, both the companies themselves and consumers covered by the system are less likely to become victimized by leakage events or attacks, proponents of the system say."A hacker would need to break into one of the PBMs or some other element of the overall prescribing system to get this data, we don't actually have it," Little said. "The idea is to eliminate the need to create additional databases; we access the data needed to carry out the transaction from all these different sources, but we never retain it; that's the beauty of this type of an industry hub model."Officials with Initiate say that the distributed architecture approach being utilized by the pharmacy sector is catching on throughout a number of other areas within the health care industry, including some government projects.Driven primarily by concerns around HIPAA and other regulations in the health care sector, company officials said that similar mandates in other markets such as the financial services space and even the law enforcement industry are driving interest from other types of organizations."With this type of data mining, companies are able to tie together separate systems in a real-time environment without putting themselves at risk of a data leakage event or an attack on the information," said Scott Schumacher, chief scientist for Initiate."Companies can create centralized registries for these types of customer records that gather the data from source systems without ever disturbing it, or retaining anything that could be used to carry out fraud," he said. "We believe that along with a number of other benefits to business, this approach also creates a more dynamic security model for data sharing, and we're hearing from many different types of organizations today who have an interest in doing something similar."Schumacher said that Initiate typically competes for deals with IT industry giants IBM and Oracle, which have built similar systems for fostering secure information federation among business partners.And some industry watchers agree that the strategy adopted by RxHub in the pharmacy business could appeal to other types of firms, in particular retailers, as they struggle with issues of data retention, protection, and regulatory compliance."This type of approach is already being used in the public sector, intelligence community, and in the financial services industry," said Ray Wang, analyst at Forrester Research. "Whether it is tracking down suspects or identifying risk among credit bureaus, in effect, the idea is to find a quick match and link without the saving of data to ensure that no information is inappropriately saved, or can be leaked."
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SINGAPORE : Gynaecologists at KK Women&#39;s and Children&#39;s Hospital have come up with a computerised system to literally give women a clearer picture on the state of health of their cervix.
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OTTAWA (CP) - On the heels of his well-publicized call for medical watchdogs to crack down on doctors working for Internet pharmacies, Health Minister Ujjal Dosanjh is asking his provincial counterparts to do their part.
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WASHINGTON -- The Food and Drug Administration has approved an implantable computer chip that can be inserted in patients to pass along their medical history to doctors.
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Health care advocates say government support of electronic data can improve care and prevent errors.
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A survey of hospital review boards that watchdog experiments on patients shows that one in three members takes money from companies that make drugs and medical devices that come under study. What's more, many of those with conflicts rarely or never disclose their financial ties, researchers found.
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The federal government is now pushing health providers to use proven remedies for common ailments.
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Editor&#39;s Note: Published on page A19 of the Nov. 23, 2004 issue of the Philippine Daily Inquirer. This was the Department of Health&#39;s advice yesterday to the public over the
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Details about every citizen revealed The Dutch Data Protection Authority is investigating claims that a medical database set up by health insurance companies reveals details about nearly every Dutch citizen.â¦
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The state Department of Public Health has launched a sweeping review of how it verifies the licenses of employees at public hospitals following the resignation of the director of social services at the state-operated Lemuel Shattuck Hospital in Jamaica Plain over allegations that she falsified her academic credentials and licenses.