Insurance Authorizations

With much uncertainty looming over the healthcare industry, many hospitals and health systems have expressed concerns over losing insured patients and revenue if the Affordable Care Act (ACA) is repealed and/or replaced. Regardless of what industry changes are in store, it is paramount for hospitals, health systems and independent physician practices alike to provide patient-centric…

Read more SCI Report: Communication and Convenience Bring Hospitals More Referrals

In a prior blog, we covered three ways hospitals can rid themselves of hidden costs and inefficiencies, including getting a better handle on the insurance authorization process – an industry-wide problem.  Insurance authorizations are a complex process for both provider groups and patients. When converting time to dollars, health systems and providers spend between $23-$31…

Read more Baptist Health Care Eliminates Insurance Authorization Frustrations and Productivity Loss

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

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 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

By Bill Bunker, Executive Vice President, SCI Solutions The Affordable Care Act turned five this past week. While opinions are mixed, the numbers are clear – healthcare coverage is expanding: 16.4 million: Number of previously uninsured Americans who have gained coverage under the law, dropping the uninsured rate from 20.3 percent to 13.2 percent. 2.3…

Read more Keeping up with Insurance Complexities as the Affordable Care Act Turns Five