How to Talk to Participants with ESRD About Medicare Enrollment

Our Goal As always, SCM’s goal is to facilitate the best care for the employee/participant at a significantly reduced rate for the plan. Our expertise allows us to strategically handle claims, and we invite the employee/participant to be well educated on their choices, should they develop End Stage Renal Disease (ESRD) and need dialysis. As […]

Why Is Stop Loss Insurance Essential For Company Health Plans?

Stop Loss Insurance is essential to avoid immeasurable damage to your self-insured company. Learn how to avoid catastrophic damage with Specialty Care Management’s Stop Loss insurance options. For many companies, traditional group health plans are too expensive and impractical to be useful. Now more than ever, employers are turning to self-insured health plans because of […]

What Is Stop Loss Insurance?

Providing health benefits to your employees through self-insurance can be cost effective, but risky. Learn how to diminish those risks with Specialty Care Management and Stop Loss Insurance. Providing health insurance benefits is a perk that employees have come to expect. Many companies, however, can’t afford the rising costs associated with traditional group insurance plans. […]

HIPAA Nondiscrimination

Specialty Care Management (SCM) offers a range of services to help clients and customers save healthcare dollars, while enhancing the overall healthcare experience for patients and employees. SCM’s services focus on minimizing and managing risky, catastrophic, and high dollar conditions and treatments. SCM provides services that compliment current and existing healthcare plans and offerings, all […]

SCM’s Centers of Excellence for Organ Transplant

Specialty Care Management (SCM) has assembled a network of organ transplant facilities that offer superior service for patients at discounted rates for our clients. Our pre-negotiated rates make the fees for this complex and costly catastrophic health issue more predictable, and providers benefit from the subsequent timeliness and accuracy of payments. Consider us your organ transplant cost containment experts. […]

Quality Incentive Program

Starting January 2015, the Centers for Medicare and Medicaid Services (CMS) implemented the Quality Incentive Program (QIP) in the calculating of reimbursement levels.  What does this mean to you, the client? While the introduction of another payment metric may seem to complicate the Medicare-based billing and repricing process, the simple truth is that it won’t. […]