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.

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