REPORT

Payer Trendscape 2025: 3 Trends to Track

How payers are reshaping reimbursement, especially via Medicare Advantage plans — and what providers can do about it

Ensemble’s Payer Trendscape 2025 draws on national payer data from nearly 300 facilities across 30+ health systems to reveal how payers, including Medicare Advantage plans, are increasingly denying inpatient claims, resisting compliance with the Two-Midnight Rule and delaying payments through unnecessary requests for information.

You’ll learn:

Why the majority of RFI denials ultimately end up paid, but reimbursements are delayed by 100+ days
Which KPIs to monitor to hold payers accountable and improve payment timelines
How strengthening contracts limits payer discretion and enforces prompt pay provisions
Why payer strategy must be part of a full revenue cycle partnership, rather than a standalone fix

REPORT

Payer Trendscape 2025: 3 Trends to Track

How payers are reshaping reimbursement, especially via Medicare Advantage plans — and what providers can do about it

Ready to supercharge your rev cycle?