Ensemble Innovation: EIQ for Clinical Denials
Clinical denials routinely put millions of dollars at risk annually for large health systems. EIQ® helps ease the burden by reading the medical record in seconds, identifying denial risk with clear rationale and actionable recommendations — right in existing workflows.
Payer Trendscape 2025: 3 Trends to Track
Payers are reshaping hospital reimbursement at the expense of compliance + cash flow. We dig into the data + offer tips to boost performance.
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.
6 Terms to Close Payer Contract Loopholes
Revise contracts to include language that clearly defines dispute resolution requirements, non-compliance penalties and enforcement mechanisms
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.
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.
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.
Providers Should Push Back Against Direct EMR Access for Payers
Lessons learned from providers who have granted direct EMR access to payers.
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.
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.