Health Care Operations shall have the meaning given to such term under the HIPAA 2 Privacy Rule in 45 CFR § 164.501.
Health Care Operations shall have the meaning given to such term under the Privacy Rule, including but not limited to, 45 C.F.R. Section 164.501.
Health Care Operations has the same meaning as the term "health care operations" at 45 C.F.R. § 164.501.
Examples of Health Care Operations in a sentence
Business Associate may also use and disclose PHI to provide Data Aggregation services relating to the Health Care Operations of Plan.
Plan and Business Associate hereby agree that Business Associate may, in the performance of the Administrative Services, use and disclose PHI to health care providers, other business associates of Plan, agents or subcontractors of Business Associate, and others, in any manner Plan would be permitted or required to use and disclose PHI under the HIPAA Rules if Plan were performing the Administrative Services including without limitation, for Treatment, Payment and Health Care Operations.
More Definitions of Health Care Operations
Health Care Operations means activities of the Plan related to its health care functions, including quality assessment, case management, care coordination, reviewing competence of health care professionals, evaluating provider performance, health plan performance, cost management, resolution of grievances, or any other related activities.
Health Care Operations shall have the meaning set out in its definition at 45 C.F.R. § 164.501.
Health Care Operations means any of the following activities
Health Care Operations has the meaning given to that term in 45 CFR § 164.501.
Health Care Operations means certain administrative, financial, legal, and quality improvement activities that are necessary to run programs including, but not limited to, conducting quality assessment and improvement activities, population-based activities relating to improving health or reducing health care costs, case management and care coordination, evaluating practitioner, provider, or health plan performance, and underwriting, enrollment, premium rating and other activities related to creation, renewal, or replacement of a health insurance contract.
Health Care Operations shall have the meaning set forth at 45 CFR § 164.501 of the HIPAA Regulations.
Health Care Operations means any of the following activities of the Plan, to the extent such activities relate to the covered functions of the Plan, including, but not limited to: Conducting quality assessment and improvement activities including outcomes evaluation and development of clinical guidelines, provided that the obtaining of generalizable knowledge is not the primary purpose of any studies resulting from such activities; Patient safety activities; Population-based activities relating to improving health or reducing Health Care costs, protocol development, case management and care coordination, disease management, contacting Health Care Providers and patients with information about Treatment alternatives and related functions that do not include Treatment;Reviewing the competence or qualifications of Health Care professionals, evaluating practitioner and Provider performance, rating Health Care Provider and Plan performance, including accreditation, certification, licensing, or credentialing activities; Underwriting (subject to the prohibition in this Article 11), premium rating and other activities relating to the creation, renewal, or replacement of a contract of health insurance or health benefits, securing or placing a contract for reinsurance of risk relating to Health Care claims, including stop-loss insurance and excess of loss insurance; Conducting or arranging for medical review, legal services and auditing functions, including fraud and abuse detection and compliance programs; Business planning and development, such as conducting cost-management and planning- related analysis associated with managing and operating the Plan, including formulary development and administration, development or improvement of payment methods or coverage policies; Business management and general administrative activities of the Plan, including, but not limited to: Management activities relating to the implementation of and compliance with HIPAA’s administrative simplification requirements; Customer service, including the provision of data analysis for policyholders, Plan Sponsors, or other customers; Resolution of internal grievances; The sale, transfer, merger or consolidation of all or part of the Plan with another Covered Entity, or an entity that following such activity will become a Covered Entity, and due diligence related to such activity; Consistent with the applicable requirements of 45 CFR Section 164.514, creating de-identified Health Information or a limited data set, a...