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Release of information: are hospitals taking a hit?
G Michael Bellenghi1, Bonnie Coffey, Joseph E Fournier
1Association for Health Information Outsourcing Services, Media, PA, USA. gmbells@aol.com
Insights
Outsourcing release-of-information requests can reduce hospital burdens. However, new legislation capping electronic record copy fees may increase costs for hospitals if it impacts outsourcing company profitability.
Area of Science:
- Health Administration
- Healthcare Economics
- Medical Records Management
Background:
- Outsourcing release-of-information (ROI) requests offers hospitals a solution to manage administrative burdens and compliance costs.
- Recent legislative efforts aim to reduce maximum fees for copies of electronically stored health records.
Purpose of the Study:
- To analyze the potential financial implications of proposed legislation reducing fees for electronic health record copies.
- To assess the impact of fee reductions on the profitability of ROI outsourcing companies and the subsequent financial risk to hospitals.
Main Methods:
- Review of current fee structures for ROI services.
- Analysis of proposed legislative changes regarding electronic record copy fees.
- Economic modeling to project the impact on outsourcing company margins and hospital expenses.
Main Results:
- Reduced fees may not adequately cover the operational expenses of ROI outsourcing companies.
- A potential decrease in outsourcing company profitability could shift the financial burden back to hospitals.
- Hospitals may face increased expenses and risks if outsourcing partners become financially unsustainable.
Conclusions:
- Legislation capping electronic record copy fees could inadvertently increase costs for hospitals.
- Careful consideration of fee structures is necessary to ensure the sustainability of ROI outsourcing services.
- Hospitals should anticipate potential financial risks associated with changes in ROI service cost structures.
Abstract:
Outsourcing release-of-information requests helps hospitals alleviate administrative and compliance burdens and expense. Recently, state lawmakers have begun to draft legislation reducing the maximum fee that may be charged for copies of electronically stored records. The reduced fees may not cover expenses. If such legislation makes it difficult for outsourcing companies to make a profit from this service, hospitals ultimately could bear the expense and risk.
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