Payer Trendscape 2025: 3 Trends to Track
Payers are reshaping hospital reimbursement at the expense of compliance + cash flow. We dig into the data + offer tips to boost performance.
November 13, 2025
Published monthly on LinkedIn.
Payers are reshaping hospital reimbursement at the expense of compliance + cash flow. We dig into the data + offer tips to boost performance.
Revise contracts to include language that clearly defines dispute resolution requirements, non-compliance penalties and enforcement mechanisms
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.
The fraught and evolving dynamics between payers and providers ultimately impact care delivery for patients
With the increased adoption of ICHRAs, now is the time for providers to proactively rethink their contracting strategies with exchange plans.
Lessons learned from providers who have granted direct EMR access to payers.
Since EMR access is so valuable, we encourage providers to take a thoughtful approach before giving it away without an equitable exchange.
Medicare Advantage plans have never cost taxpayers less than traditional Medicare, despite that being the entire goal of the program.