Ensemble Health Partners, in Partnership with Health Systems, Receives Two 2022 Clarivate Healthcare Business Insights Revenue Cycle Awards for Strong Performance

CINCINNATI, Ohio, Sept. 18, 2023 — Ensemble Health Partners (“Ensemble”), the leading revenue cycle management company for hospitals, health systems and physician practices, has received two of the four 2022 Clarivate Healthcare Business Insights (“HBI”) Revenue Cycle Awards for strong performance on revenue cycle key performance indicators. One partner health system was recognized in the

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Congress Investigates OIG Report That Medicaid MCOs Deny Prior Authorizations at Higher Rates

The OIG’s recommendations primarily focus on state oversight. However, it may be appropriate for additional rulemaking to require states to establish their own guardrails around MCOs. These guardrails would ensure prior authorization decisions align with state Medicaid standards for medical necessity and limit when MCOs may use their own internal coverage criteria to deny beneficiary access to care.

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Ensemble Health Partners Receives Highest Performance Score in KLAS End-to-End Revenue Cycle Outsourcing 2023 Performance Report 

Cincinnati, Ohio, – Sept. 21, 2023 – Ensemble Health Partners (“Ensemble”), the leading revenue cycle management company for hospitals, health systems and physician practices, received the top score for overall performance among end-to-end revenue cycle outsourcing vendors in KLAS Research’s End-to-End Revenue Cycle Outsourcing (“RCO”) 2023 Performance Report.

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New ID Requirement for HOPDs Passes House Committee

The stated goal of this bill is to prevent HOPD rates from being paid for services rendered in free-standing physician offices or other settings that should be reimbursed at a lower cost. There is also speculation the bill might be the first step in a larger reimbursement model overhaul aimed at aligning HOPD reimbursement rates with those of ASCs and physician practices.

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