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. … Read More
February 10, 2025
Payer Trends
Ideas, insights + industry updates
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. … Read More
February 6, 2025
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. … Read More
January 30, 2025
Supporting Our Clients Against MA Plans’ 340B Inequities
Providers are being ignored by contracted and non-contracted MA plans in their efforts to obtain a remedy for 340B drug underpayments. … Read More
November 13, 2024
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. … Read More
November 5, 2024
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
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
Providers Should Push Back Against Direct EMR Access for Payers
Lessons learned from providers who have granted direct EMR access to payers. … Read More
August 29, 2023
Payers Are Pushing for Direct EMR Access. Providers Must Push Back.
Since EMR access is so valuable, we encourage providers to take a thoughtful approach before giving it away without an equitable exchange. … Read More
August 9, 2023
The Real Cost of Medicare Advantage Plan Success
Medicare Advantage plans have never cost taxpayers less than traditional Medicare, despite that being the entire goal of the program. … Read More
August 9, 2023