Data Sharing...

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OK, so I've noticed that Dr. Bruce typically says the FAA _WILL_ find out about any non-reported medical conditions. How does that work? Does the FAA regularly query insurance data? What databases are they querying, and can someone cite an example of someone getting in trouble by this?

Why is this not HIPPA "protected" data?
 
Unregistered said:
Why is this not HIPPA "protected" data?
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HIPPA doesn't "protect" you from data sharing to "authorized users" and when you signed your medical certificate you implicitly agreed to authorize the FAA to have access to all your medical records AFaIK.

The only case I've heard of where the FAA took enforcement actions against (several) pilots based on 3rd party medical info involved some receiving disability payments for conditions they neglected to mention to their AMEs.
 
Even worse, the diagnosis code, the procedure codes and the pharmacy codes used for billing- these have been federally defined as not part of the medical record, and so are not protected by anything.

We gave up a lot for "healthcare affordability". Whether we get it is unclear. Even Experian can get your codes. So can the FAA. They subscribe to all sorts of databases.

Were you a sheeple in the 2012 debate?
 
Which 2012 debate?

So, can these databases be queried by anyone, just like you can check your credit report? If the FAA is trolling these databases, then how come you don't hear about huge numbers of pilots running into issues? From what I have read (as well as NTSB accident reports), it seems that a "non-trivial" number of pilots are less than honest on their medicals.
 
The Healthcare reform act: The "Affordable healthcare Act of 2012". So no you cannot lie or omit. Hear O'bam talking about the savings from the electronic medical record? This is it! EPIC's got a gargantuan database.

I'm not going to argue with an anon.

FAA only looks when there is an investigation. Standard investigation:
ATC clearances
Pilot current and training.
Aircraft currency and legality
Medical codes.

The subscriptions are pricey, I understand and I don't have one. And

There is no law requiring anybody give anything to you. You may not hear about pilot troubles, but I get LOTS of them to help fix. I don't think pilots who get into trouble talk about it much.....think about it.

Fixing pilot records is how I eat my lunch....
 
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Nobody's arguing, Bruce. Just trying to learn how the "system" works.

So what do they query these databases on? A name or SS#?

BTW, I am not a fan of the "Affordable" care act either....
 
Unregistered said:
Nobody's arguing, Bruce. Just trying to learn how the "system" works.

So what do they query these databases on? A name or SS#?

BTW, I am not a fan of the "Affordable" care act either....
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Since you provided legal name, address, and SS#, the search likely is done on anyone of these.

This reminds me of a thread from a few years ago where I learned that I need to ask the doctor what he intends to enter into the record before he starts scribbling or filling in scantron bubbles.

Last thing anyone of us needs is our doc's recording something that to him means something small-ish, but to the FAA, sticks you in the hurt locker.
 
Unregistered said:
Nobody's arguing, Bruce. Just trying to learn how the "system" works.

So what do they query these databases on? A name or SS#?

BTW, I am not a fan of the "Affordable" care act either....
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I have never tried to query as so far, in the last 20 years I have managed my healthcare "cash market" even though I have Blue Cross. I simply indicate "cash customer". I know that will have to come to an end fairly soon but....I don't know how to query EPIC. Any of the identifying fields on the HCFA form 1500 can identify you, I just don't know how EPIC is structured from the database side (I sure do know the "user" side).
 
bbchien said:
The Healthcare reform act: The "Affordable healthcare Act of 2012". So no you cannot lie or omit. Hear O'bam talking about the savings from the electronic medical record? This is it! EPIC's got a gargantuan database.
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I agree. So far its done nothing but hurt the people and the profession. Imho. I want a dr in charge of my healthcare. Not to mention, my info. Hope that doesn't send me into the spin zone. Lol

Sent from my DROID BIONIC using Tapatalk 2
 
Bruce - the ACA is from 2010 - that said - cash paid health care will remain and you need only look to the Indian Casinos . . . they are not subject to the ACA. . .
 
bbchien said:
I have never tried to query as so far, in the last 20 years I have managed my healthcare "cash market" even though I have Blue Cross. I simply indicate "cash customer". I know that will have to come to an end fairly soon but....I don't know how to query EPIC. Any of the identifying fields on the HCFA form 1500 can identify you, I just don't know how EPIC is structured from the database side (I sure do know the "user" side).
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So, if one goes to the doctor, pays cash, and gives no insurance info, the diagnostic codes, etc. will not hit the databases?
 
Unregistered said:
So, if one goes to the doctor, pays cash, and gives no insurance info, the diagnostic codes, etc. will not hit the databases?
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I do not believe that a non-participant in insurance scams -- er, schemes - is obligated to report anything to anybody, other than suspected child abuse or family violence. So, cash (and a clear understanding with your physician) should serve to keep your private medical information private. Does not, of course, relieve you of the obligation to self-report in the FAA context.

--

My primary physician is cash-only.
 
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