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Vice President, SCI Solutions In a historic bi-partisan bill, President Obama signed legislation on Thursday to end an outdated Medicare payment system, averting a 21 percent physician pay cut.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

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

By Bill Bunker, Executive Vice President, SCI Solutions According to Health Affairs, practices spend over 1000 hours per year per doctor managing insurance preauthorizations. That’s 20 hours a week or half a staff member dedicated to this activity alone per doctor. Across the industry, this adds up to more than $15 billion per year. Why…

Read more Insurance Preauthorizations Overwhelming Practice Staff?

By Bill Bunker, Executive Vice President, SCI Solutions Understanding your insurance coverage is dependent on whether your provider is in-network or out-of-network on your health plan. To make that determination, patients and referring providers rely on insurance payer’s directories to see if the specific provider in question is listed. Simple enough? Not if the directories…

Read more CMS Threatens to Penalize Medicare Advantage for Inaccurate Provider Directories

By Bill Bunker, Executive Vice President, SCI Solutions This week Medicare announced their move away from fee-for-service medicine within four years, outlining a plan to have 50 percent Medicare dollars paid to doctors and hospitals by alternative reimbursement models by 2018. This follows UnitedHealth Group’s announcement last week that they will increase value-based payments by…

Read more Medicare and UnitedHealth Say Goodbye to Fee-For-Service Medicine

By Bill Bunker, Executive Vice President, SCI Solutions While 2014 brought monumental changes to healthcare insurance, 2015 is set to bring even bigger changes to insurance reimbursement. The White House reports that in this past year alone approximately 10 million Americans gained insurance coverage through the Affordable Care Act (ACA). With healthcare coverage adoption rates…

Read more Tracking Care Coordination: What Healthcare Insurance Reimbursement Reform Means for Healthcare Technology

By Bill Bunker, Executive Vice President, SCI Solutions The Clarity Health team is pleased to announce today our new STAT service for radiology practices will deliver pre-authorized referrals in 30 minutes or less. You can read the full press release here. STAT Service Benefits for Radiologists This unprecedented 30-minute turnaround time will significantly benefit radiology…

Read more Introducing Clarity’s New STAT Service, Receive Pre-Authorized Referrals in 30 Minutes or Less