Bruce,

Easy....the feds haven't put any federal laws in place requiring Wal*Mart to
do something different. Thus, Wal*Mart is free to determine its own
electronic commerce strategy and requirements as it chooses for each
market/geographic region of the world it does business in.

Furthermore, keep in mind that Wal*Mart's in-store pharmacies are providers.
Thus, this function of Wal*Mart is now a covered entity under HIPAA and as
such, Wal*Mart will have to determine its compliance strategy.

Rachel
Rachel Foerster
Principal
Rachel Foerster & Associates, Ltd.
Professionals in EDI & Electronic Commerce
39432 North Avenue
Beach Park, IL 60099
Phone: 847-872-8070
Fax: 847-872-6860
http://www.rfa-edi.com

-----Original Message-----
From: Bruce T LeGrand [mailto:[EMAIL PROTECTED]]
Sent: Friday, May 31, 2002 8:41 AM
To: Mimi Hart
Cc: [EMAIL PROTECTED]; [EMAIL PROTECTED]; [EMAIL PROTECTED]
Subject: RE: TA1 responding to non-participating health care providers


I'd have to turn the question back around. How can Wal-Mart, not mandated to
support federally required security and privacy, require a closed
environment
and the Health Care industry not?
------------------( Forwarded letter 1 follows )--------------------
Date: Thu, 30 May 2002 15:30:18 -0500
To: [EMAIL PROTECTED], [EMAIL PROTECTED],
 [EMAIL PROTECTED]
From: Mimi.Hart[HartAM]@crstlukes.com.comp
Sender: [EMAIL PROTECTED]
Subject: RE: TA1 responding to non-participating health care providers

I understand your argument Greg...but isn't healthcare different in the
following:

1. Walmart uses EDI when it places an order with a supplier...who it
has talked to initially, probably had several meetings with, and
exchanged trading partner agreements and companion documents and
pricing. A supplier does not "walk in the door"  unannounced and declare
itself in need......

2. Healthcare providers have "customers" walk in the door, declare
themselves in need...and pretty much, regardless of whether they have
treated them before or not (especially with EMTALA provisions).. need to
treat them.  To stay in business..they need to create a claim and send
it....regardless of whether they have ever worked with their customers
insurer or not....

How can the two situations be compared? Just because "closed' works for
a Walmart...how is it going to work for us?

Mimi Hart
Research Analyst, HIPAA
Iowa Health System
319-369-7767 (phone)
319-369-8365 (fax)
319-490-0637 (pager)
[EMAIL PROTECTED]

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