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Strategic Payer Negotiations

Strategic Payer Negotiations: A Data-Driven Approach

September 11, 2025 / admin / Articles, Contract Negotiations, Data-Driven, Data-Driven Negotiations, Data-Driven Payer Negotiations, Payer Negotiations, Scott Ellsworth, Strategic Payer Negotiations, Value-Based Care, Value-Based Care Models

Healthcare providers today face mounting pressures from multiple directions. Administrative burdens continue to pile up, denial rates are climbing, and reimbursement rates lag behind inflation. Yet many hospitals and health systems approach payer negotiations with the same old playbook, leaving significant money on the table and accepting contract terms that don’t serve their organization’s best […]

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Contract Negotiations, Data-Driven, Data-Driven Negotiations, Data-Driven Payer Negotiations, Payer Negotiations, Scott Ellsworth, Strategic Payer Negotiations, Value Based Care, Value-Based Care Models

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Practices Served

  • Behavioral Health
  • Primary Care
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  • Urgent Care
  • Speech Therapy
  • Geriatric Medicine
  • Skilled Nursing Facilities (SNF)
  • Substance Abuse
  • Genetic Testing
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  • Oncology
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  • OBGYN
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  • Digital Therapeutics (DTx)
  • Remote Patient Monitoring
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  • Home Infusion Therapy
  • Sleep Study Labs
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  • COVID-19 Testing

Practices Served

  • Behavioral Health
  • Primary Care
  • DME
  • Urgent Care
  • Speech Therapy
  • Geriatric Medicine
  • Skilled Nursing Facilities (SNF)
  • Substance Abuse
  • Genetic Testing
  • Pharmacogenetic (PGx)
  • Toxicology
  • Allergy Testing
  • Oncology
  • Pathology
  • OBGYN
  • Internal Medicine
  • Podiatry
  • Biologics and Specialty Drugs
  • Telestroke and Teleneurology
  • Digital Therapeutics (DTx)
  • Remote Patient Monitoring
  • Remote Therapeutic Monitoring
  • Home Infusion Therapy
  • Sleep Study Labs
  • Physical Therapy (PT)
  • Occupational Therapy
  • COVID-19 Testing

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  • Medical Credentialing Specialist, Hispanic Female

    Credentialing Use Cases: Challenging Provider Histories

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  • White Female Medical Credentialing Expertise

    Who Does Credentialing in a Healthcare Organization?

  • Primary Care Medical Billing, Credentialing

    Which CPT Codes are Used in Primary Care Billing

  • A Group of Contracted Doctors Standing in Times Square

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  • White Female Master Medical Credentialing Expert

    Complete Credentialing and Enrollment Process for Providers

  • Aging Asian-American Female Medical Doctor

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