Payers are reshaping hospital reimbursement at the expense of compliance + cash flow. We dig into the data + offer tips to boost performance. … Read More
Improve Payer Strategy
Why Hospitals Are Doubling Down on ‘Payer Scorecards’
As hospitals face increasing pressures, a growing number of leaders are turning to an old business truth: What gets measured, gets managed. … Read More
6 Terms to Close Payer Contract Loopholes
Revise contracts to include language that clearly defines dispute resolution requirements, non-compliance penalties and enforcement mechanisms … Read More
Payer Strategy Playbook: Reducing Friction to Restore Focus
Learn 8 key strategies to reduce friction between payers and providers in order to bring patient care back into focus. … Read More
4 Strategies to Level the Playing Field with Payers
Ensemble’s VP of Payer Strategy shares four innovative payer strategies to negotiate better contract rates and establish market leverage. … Read More
3 Proactive Steps to Counteract Payer Denials and Delays
Receiving accurate, timely reimbursement and reducing unnecessary administrative cost imposed by payers requires a proactive strategy. … Read More
Providers Should Push Back Against Direct EMR Access for Payers
Lessons learned from providers who have granted direct EMR access to payers. … Read More
Tips for Providers Thinking of Going Out of Network
Understanding the implications and implementing a well-thought-out strategy is crucial to providers considering going out of network. … Read More
3 Tips to Successfully Negotiate Your Next Payer Contract
Providers must leverage what’s in their payer contract, comparative data and price transparency rules to level the playing field with payers. … Read More