Healthcare Data Is A Plan Asset Not A TPA/Carrier Asset

Have you ever been refused data from your own benefit program? Does this sound familiar? “Im so sorry but I can’t provide you with that data due to HIPPA, as well as our secretive agreements with managed care organizations precludes us from releasing the information you have requested. I know that it is your data, but we just cant give it to you.”

The plan’s ownership of, and entitlement to, its own data is supported and underscored by the fact that service providers specifically state in their agreements that they are not plan fiduciaries, but rather provide services that are generally considered a “ministerial” and not a “fiduciary” activity.

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