PHYSICIAN ALERT

PHYSICIAN ALERT

PHYSICIAN ALERT

You may receive, or you may already have received a letter from HMSA similar to the one connected to the page link below, purporting to be a cover letter for a “Revised authorization form” that will be enclosed with the letter.Patients’ welfare and rights are potentially seriously impacted by this proposal from HMSA.The Coalition strongly encourages you to consider carefully before you act, and consult an attorney if you have legal questions.

1.It appears you would receive such a letter only if your re-credentialing with HMSA is not due.The letter may invite you to “replace” your previous authorization form with the new one.

  • If your re-credentialing is not due, YOU ARE NOT REQUIRED TO RETURN THE SIGNED AUTHORIZATION FORM.
  • The Coalition believes that if you signed a prior version of the authorization form granting HMSA a release to access your personal medical records, the new authorization form does not improve your position materially.In fact, in the Coalition’s opinion, the new authorization may make your situation worse, because, although HMSA agrees that they must obtain a specific authorization from you before accessing your confidential personal medical records, the new authorization includes your express agreement that your participation with HMSA will be automatically terminated, without the right to a hearing, if you refuse to give HMSA the authorization when requested.The Coalition strongly recommends you consult an attorney if you are contemplating signing the new authorization because you hope it improves your situation.

2.The letter may represent that “the revisions do not reflect any change in HMSA’s credentialing procedures. . . .”THE COALITION CATEGORICALLY DISAGREES.We believe the letter is referring to a credentialing requirement we took issue with in 1997, and HMSA subsequently agreed to remove.Now it is back like the proverbial cat that would not die!

3.In the Coalition’s opinion, if you sign the new proposed authorization form, you are still granting HMSA a release to obtain your personal medical records, and such a release is completely unjustified.Any information HMSA needs in credentialing can be obtained in the peer review process in circumstances that afford you the due process protections of the Constitution and the Hawai`i Health Care Quality Improvement Act of 1989 (Chapter 671D, HRS).We strongly believe that giving HMSA automatic access to your personal medical records is completely unwarranted and very detrimental to your patients’ best interests.You may see an example of the proposed authorization form by clicking the link below.