A Shift in Hospital-Payer ‘Power Dynamics’
As reimbursement pressures mount + admin burdens grow, hospitals + health systems are adopting a firmer stance in negotiations with payers.
April 8, 2025
As reimbursement pressures mount + admin burdens grow, hospitals + health systems are adopting a firmer stance in negotiations with payers.
It’s widely acknowledged that prior authorization tends to disproportionately impact the sickest people who need the most expensive care.
Violence against healthcare staff harms the entire system you rely on. By staying mindful, you keep the focus on healing where it belongs.
Despite recent attempts by health insurance companies to ease the burden for patients and doctors, some tactics have met skepticism.
Some insurers’ efforts to improve prior authorization practices aren’t as helpful as they would seem, says Judson Ivy.
Workplace violence in healthcare is an escalating concern that deeply affects staff, patients and the quality of care provided.
Our VP of Payer Strategy discusses managed care contracting + strategies for hospitals to optimize negotiations + improve financial outcomes.
Ensemble has been selected by Hospital Sisters Health System (HSHS) as the system’s strategic end-to-end revenue cycle partner.
Learn 8 key strategies to reduce friction between payers and providers in order to bring patient care back into focus.
Ensemble for the fifth time has been named Best in KLAS for end-to-end revenue cycle outsourcing for delivering a frictionless revenue cycle.
Bill Rutherford, former Executive Vice President and Chief Financial Officer of HCA Healthcare, has joined Ensemble’s Board of Managers.
Ensemble’s VP of Payer Strategy shares four innovative payer strategies to negotiate better contract rates and establish market leverage.