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
Payer Trends
Ideas, insights + industry updates
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
Tips for Providers Thinking of Going Out of Network
Understanding the implications and implementing a well-thought-out strategy is crucial to providers considering going out of network. … Read More
July 17, 2023
3 Tips to Successfully Negotiate Your Next Payer Contract
Providers must leverage what’s in their payer contract, comparative data and price transparency rules to level the playing field with payers. … Read More
February 27, 2023
Hospitals Ending 2022 in Red, Payers in Green
Hospitals are under unbearable financial pressure, many collapsing under their own weight while payers are raking in profit. … Read More
December 6, 2022
How Providers Should Leverage Payer Price Transparency
Providers should leverage published payer information to negotiate with payers. See our 6 steps to create a favorable negotiation strategy. … Read More
October 3, 2022
Payer Redirection of Outpatient Care: What You Need to Know
What healthcare organizations need to know about the latest policies aimed at redirecting patient care and their impact. … Read More
October 14, 2021
Top 5 Payer Trends Impacting Reimbursement
Ensemble’s experts break down the top 5 macro-trends you need to know about to avoid underpayments, denials and impacts on patient volume. … Read More
October 6, 2021
Operator Insights: Negotiating Better Payer Contracts
How to use your back-end denials to improve your front-end process, and other tips for negotiating better payer contracts. … Read More
February 5, 2020