Managing Payer Friction Through Contract Negotiations
The fraught and evolving dynamics between payers and providers ultimately impact care delivery for patients … Read More
May 23, 2024
Insights
Ideas, insights + industry updates
What Is a Reference-Based Pricing Plan?
Reference-Based Pricing plans pay based on a benchmark set by an administrator, rather than based on services rendered or value derived. … Read More
May 1, 2024
Revenue Cycle Impacts: 2024 State Legislation
State legislatures have already been busy this year. Here are some topics and bills Ensemble experts have been watching closely. … Read More
April 30, 2024
AI in Action: Revenue Cycle Management
There’s great opportunity for AI in healthcare RCM where models can be fine-tuned to reduce friction and more accurately predict outcomes. … Read More
April 11, 2024
The Power + Potential of AI in the Healthcare Revenue Cycle
Generative AI holds the power to help providers recoup the revenue they need to continue helping patients get the care they deserve.
… Read More
April 11, 2024
Understanding the Financial and Referral Impact of Patient Satisfaction Scores
Patient satisfaction scores have taken center stage in healthcare, influencing reimbursement rates, patient retention and referrals … Read More
February 13, 2024
Making ICHRA Plans Work for Providers and Patients
With the increased adoption of ICHRAs, now is the time for providers to proactively rethink their contracting strategies with exchange plans. … Read More
February 6, 2024
CMS Tightens Prior Authorization Time Frame in Final Rule
Health plans will be required to meet a prior authorization time frame as short as 72 hours, along with providing reasoning for any denials. … Read More
January 30, 2024
Opt for Outcomes with End-to-End RCM Vendor Selection
When it comes to selecting the right revenue cycle management (RCM) partner, there are crucial factors beyond cost considerations. … Read More
January 24, 2024
Ensemble’s AI Impact
See how Ensemble is actually applying AI to drive value across the entire revenue cycle. … Read More
January 16, 2024