What Drives Friction Between Providers and Payers?
Delayed or denied payment due to avoidable friction between payers + providers is unsustainable and must be addressed. Here are 3 key causes.
February 10, 2025
Published monthly on LinkedIn.
Delayed or denied payment due to avoidable friction between payers + providers is unsustainable and must be addressed. Here are 3 key causes.
Learn 8 key strategies to reduce friction between payers and providers in order to bring patient care back into focus.
Ensemble’s VP of Payer Strategy shares four innovative payer strategies to negotiate better contract rates and establish market leverage.
Providers are being ignored by contracted and non-contracted MA plans in their efforts to obtain a remedy for 340B drug underpayments.
Receiving accurate, timely reimbursement and reducing unnecessary administrative cost imposed by payers requires a proactive strategy.
Healthcare providers must advocate for the extension of ACA plan enhanced subsidies to protect tenuous financial margins.
A new corporate whistleblower program incentivizes reporting of healthcare fraud involving private insurance plans.
Ensemble delivers unparalleled RCM efficiency, data integrity + financial optimization to clients through strategic partners like Databricks.
Pre-payment review means you must submit medical records with each affected claim before the payer will agree to pay or adjudicate claims.
An end-to-end RCM partner shapes strategy throughout the revenue cycle, while traditional vendors operate at a task level.
Many bills have been pending in state legislatures. Let’s take a look at what’s been recently enacted in three of those states.
How to determine if an RCM assessment is right for you and how to select the right partner.