
How Strategic Partnerships Create a Competitive Advantage for Regional Health Systems
To remain competitive, regional health systems should seek outside expertise in areas where they lack resources and capabilities. … Read More
To remain competitive, regional health systems should seek outside expertise in areas where they lack resources and capabilities. … Read More
Delayed or denied payment due to avoidable friction between payers + providers is unsustainable and must be addressed. Here are 3 key causes. … Read More
Learn 8 key strategies to reduce friction between payers and providers in order to bring patient care back into focus. … Read More
Ensemble’s VP of Payer Strategy shares four innovative payer strategies to negotiate better contract rates and establish market leverage. … Read More
Providers are being ignored by contracted and non-contracted MA plans in their efforts to obtain a remedy for 340B drug underpayments. … Read More
Receiving accurate, timely reimbursement and reducing unnecessary administrative cost imposed by payers requires a proactive strategy. … Read More
UHC’s line item denials policy raises more questions than answers and significant concerns for our healthcare partners and their patients. … Read More
Healthcare providers must advocate for the extension of ACA plan enhanced subsidies to protect tenuous financial margins. … Read More
A new corporate whistleblower program incentivizes reporting of healthcare fraud involving private insurance plans. … Read More
Pre-payment review means you must submit medical records with each affected claim before the payer will agree to pay or adjudicate claims. … Read More
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