Healthcare Policy

Health care costs are staggering. American taxpayers, consumers and employers pay more per capita for health care than any other country in the developed world. As a result, health plans are under enormous pressure from employers and regulators to contain medical costs, which means limiting member use of care services to that which are deemed…

Read more The high cost of obtaining authorizations for care

“Here, put this on and then the doctor will be with you shortly.” Those are not generally welcome words. It means putting on the dreaded hospital gown. Most people know what it is like to wear a hospital gown – it is a humbling experience. You feel barely covered. I know I always am walking around in fear…

Read more Health Insurance in the U.S.: Coverage Like a Hospital Gown

By Bill Bunker, Executive Vice President, SCI Solutions A study by the AMA argues the proposed insurance mergers would significantly reduce competition in 154 metropolitan areas within 23 states. To recap, four of the five largest health insurers are proposing to join together in two mergers: 1) Anthem and Cigna, and 2) Aetna and Humana.…

Read more American Medical Association Warns Government against Insurance Mergers

By Bill Bunker, Executive Vice President, SCI Solutions A new report from the Centers for Disease Control and Prevention (CDC) National Center of Health Statistics (NCHS) found the rate of people who did not seek medical care because of cost fell to 4.4 percent, representing a 16-year-low. This rate has been on the decline since…

Read more Healthcare Costs are Less of Barrier for Patients in Need, CDC Reports

By Bill Bunker, Executive Vice President, SCI Solutions The Centers of Medicare and Medicaid Services (CMS) recently released a new report that shows nearly one million Americans shopped for health insurance and picked a plan on the federally-run Affordable Care Act (ACA) exchanges since the regular sign-up season ended. The 2015 enrollment period concluded in…

Read more ACA Insurance Coverage Up, Uninsured Rate Down: What This Means for Practices

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