Costs higher employee benefits 30% administrative costs higher designated person to reconcile billing, to ensure that Medicare or third party payers are not inadvertently billed Cost of finding pts higher due to increased screening req HIPAA Cost to site of obtaining HIPAA consent $5/per subject =>10 million/yr Unique Problems in US Trials Goldfarb, N Association of Academic Health Centers (AAHC), The HIPAA Privacy Rule: Lacks Patient Benefit, Impedes Research Growth, Johnson, Guy GW
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