Proposed Modifications to the HIPAA Privacy Rule To Support, and Remove Barriers to, Coordinated Care and Individual Engagement

In this notice of proposed rulemaking (NPRM), the Department proposes modifications to the Standards for Privacy of Individually Identifiable Health Information (the Privacy Rule), issued pursuant to section 264 of the Administrative Simplification provisions of title II, subtitle F, of HIPAA. The proposals in this NPRM support the Department's Regulatory Sprint to Coordinated Care (Regulatory Sprint), described in detail below. Specifically, the proposals in this NPRM would amend provisions of the Privacy Rule that could present barriers to coordinated care and case management—or impose other regulatory burdens without sufficiently compensating for, or offsetting, such burdens through privacy protections. These regulatory barriers may impede the transformation of the health care system from a system that pays for procedures and services to a system of value-based health care that pays for quality care.