Health Data Rules and What They Do
Known as the Interoperability and Patient Access Rules, the new regulations have two goals:
- Update how health plans, providers, and patients share information.
- Let you decide who can see your health information.
What This Means for You
You control who can see your information. That includes health care claims, doctor visits, health care benefits, and more.
Why Share Your Data
It can help health plans and providers get on the same page. The new rule allows you to use apps to see data we have from providers. When they can freely — and safely — share data, it allows all parts of your care to work together. And that may help you get better care at lower costs.
Third parties may not be subject to HIPAA or other federal or state privacy laws. They may use your data in ways you don't know about or don't want. So take time to think about who you want to have access to it. Only share it with third parties that you trust.
Medica won't share your data unless you authorize it or unless otherwise required or permitted by law. If you ask Medica to share your data with a third party, Medica can no longer protect or control what happens to the shared data. We encourage you to read and understand the privacy policies of any third party before authorizing Medica to send your data to the third party.
What You Need To Do
As you’re using your favorite apps, you may be asked to share your health information. If you decide to share your information with any third-party apps, here’s an easy process to let you choose when and where you want to share your health data.
- Step 1: Sign in to your Medica member account
- If you don't have a Medica member account, you'll need to create a Medica username and password. A Medica username and password can be created at medicamember.com. You will need your Medica member ID to create this account.
- For existing medicamember.com users: If you have an existing medicamember.com username and password, there is nothing else to do and you can use this username and password to share your health data via an app.
- For mymedica.com users: If you have have a mymedica.com username, you'll need to create a new username and password at medicamember.com. Your new account will be used in any third-party apps to confirm your identity and agree to share data between Medica and outside apps.
- Step 2: Sharing your data through your third party app
- Your medicamember.com username and password will be used in the apps to verify your information and authorize sharing data.
- Each app will have a different process to connect to your Medica data.
- Data shared with the app you authorize includes: claim information, provider visit data, provider payments, cost sharing, clinical data, benefits data, explanations of benefits, and demographic information.
Viewing Where Data is Being Shared
You can view the apps you are sharing with by accessing medicamember.com and finding the data sharing page under My Account in the primary navigation.
- If you are currently sharing data, the app will be listed.
- If you don't see any information, you are not sharing data with an app.
How to Stop Sharing Data
Your data will be shared for one year after authorizing the app. At one year, your data sharing will automatically stop. The apps will likely ask you if you’d like to continue sharing your data. At that time, you need to make a decision.
There are two ways to stop sharing your data:
- To stop sharing data with an app, simply log into medicamember.com, find the data sharing page under My Account, and uncheck the permission sharing box. Once you save your changes, you are no longer sharing your health data. The change is immediate.
- Additionally, you may be able to stop data sharing via the third party app – each app will have a different method to stop sharing data.
If Medica has already shared data based on your authorization, your request to stop sharing will not work for data already shared.