NACHA is working with standards bodies and key organizations to facilitate broader healthcare industry adoption of electronic payment and remittance processing through the ACH Network. This page includes materials shared with Congress and the U.S. Department of Health and Human Services (DHHS) along with a number of other documents related to current public policy on healthcare.
Using the ACH Network to process healthcare transactions and related remittance information can substantially benefit the healthcare industry by streamlining and enhancing transaction processing without adding burdensome costs. Studies show that transmitting payments and data using integrated automation through a scalable intermediating system like the ACH Network can result in an industry-wide cost reduction of $3.6 billion for Payers.
Currently, only a small percentage of healthcare payments and remittance processing between Payers and Providers is transmitted electronically. Processing costs for this largely paper-based system account for $5 billion in general and administrative costs for healthcare Payers. Yet, by standardizing electronic transmission of payments and remittance, and work process improvements that would result, much of these costs are avoidable.
The Electronic Healthcare Network Accreditation Commission (EHNAC), HIMSS Medical Banking Project, NACHA—The Electronic Payments Association, and the Workgroup for Electronic Data Interchange (WEDI), have released a white paper entitled “Compliance Guidelines for Financial Institutions in the Healthcare Sector: HITECH and the HIPAA Privacy and Security Rules.”
The Health Information Technology for Economic and Clinical Health (HITECH) Act directly affects today’s financial institutions and their services for the healthcare sector by modifying and amplifying the existing data privacy and security rules for protected healthcare information under the Health Insurance Portability and Accountability Act (HIPAA). This white paper was developed to address those issues by assisting financial institutions evaluate eligibility and build a compliance program blueprint. Financial institutions and other interested parties may download a copy of the full white paper here.
July 19-21, 2010, NCVHS held hearings on Administrative Simplification under PPACA on the National Health Plan Identifier and Operating Rules for Eligibility and Claims Status. Janet Estep, President and CEO of NACHA - The Electronic Payments Association testified before the committee to provide perspective on the difference between operating rules and standards, the benefits of private-sector rulemaking, and the applicability of "lessons learned" by the financial services community to healthcare.
Healthcare Presentations from PAYMENTS 2010
The following PAYMENTS 2010 healthcare presentations contain only a pdf of the PowerPoint presentation. If you are interest in the presentation and the audio recordings they can be purchase on a CD-ROM which contains the PAYMENTS 2010 conference proceedings and all presentations at a special rate of $199. To order, visit Conference Archives online or contact Conference Archives directly at 1-866-316-3289.
Additional Healthcare Presentations:
