SCI Solutions

By Bill Bunker, Executive Vice President, SCI Solutions Anthem recently announced their intention to buy Cigna for $54.2 billion. Just a few weeks ago, Aetna moved to buy Humana for $37 billion. If these deals are approved, Anthem, Aetna, and UnitedHealthcare would be the largest insurers in the country. Why the move towards consolidation? For…

Read more What the Anthem-Cigna Merger May Mean for Physicians and Patients

By Bill Bunker, Executive Vice President, SCI Solutions The Clarity Health team is happy to announce the availability of an integration with athenahealth to deliver completed insurance authorizations, helping our customers streamline referrals and accelerate patient care. You can read the full press release here. athenahealth adds to the list of EHR and HIT vendors Clarity…

Read more Clarity Health Integrates with athenahealth EHR

By Bill Bunker, Executive Vice President, SCI Solutions The Centers of Medicare and Medicaid Services (CMS) released the Medicare Physician Fee Schedule (MPFS) proposed rule on July 8th. Under the proposal, physicians will see a modest 0.5 percent payment increase on January 1st, 2016. CMS is accepting public comments on the proposed rule until September…

Read more CMS Releases 2016 Medicare Physician Fee Schedule Proposed Rule

By Bill Bunker, Executive Vice President, SCI Solutions The Centers for Medicare and Medicaid Services (CMS) released a new proposal of health insurer premium rate increases for 2016, ranging from 10 to 85 percent. These proposed increases affect the 37 states using Healthcare.gov as their exchange. CMS emphasized these proposed rates still have several months…

Read more Private Health Insurers to Increase Premiums for 2016

By Bill Bunker, Executive Vice President, SCI Solutions The market for care coordination technology is predicted to grow 26.1 percent annually between now and 2020, according to a recent Frost and Sullivan study. The study defines care coordination software as “applications that are specifically designed to enable team-based patient care, particularly for at-risk patients with…

Read more Care Coordination Market to Grow 26.1 Percent CAGR in Next Five Years

By Bill Bunker, Executive Vice President, SCI Solutions Clarity is excited to announce new integration capabilities for third-party healthcare solutions seeking electronic insurance authorization services. As you know, insurance authorizations are a tough challenge for the healthcare industry, as payers require different information sets and processes. Many medical practices struggle to obtain completed and accurate…

Read more New Insurance Authorization Integration for Third-Party Healthcare Solutions

By Bill Bunker, Executive Vice President, SCI Solutions In a historic bi-partisan bill, President Obama signed legislation on Thursday to end an outdated Medicare payment system, averting a 21 percent physician pay cut. President Obama says the new bill gives physicians assurance on Medicare payments. “It also improves it because it starts encouraging payments based…

Read more What the New Medicare Bill Means for Physicians and Payments

By Bill Bunker, Executive Vice President, SCI Solutions Since 2000, hospitals have provided more than $459 billion in uncompensated care to their patients, according to the American Hospital Association (AHA). Uncompensated care is an overall measure of hospital care provided for which no payment was received from the patient or insurer. In 2013 alone, hospitals…

Read more Uncompensated Care in America: $5.7 Billion Saved, but $40 Billion Still Unpaid