Latest / The Regional Hospital Voice Podcast
9 - Insurance Payer Contract Negotiation: An Insider's Guide to Leverage with Scott Ellsworth
In this episode of the Regional Hospital Voice, Mark interviews Scott Ellsworth, a former health plan executive who spent 30 years on the payer side, including Market President at Excellus BlueCross BlueShield and President and CEO of Centene's seven-state western region. In 2022 he left the payer side and built a firm that works only for providers, after a health system brought him in to help undo a bad Blue Cross contract.
Scott explains how hospitals can use price transparency data to anchor rate requests and why he targets the 75th percentile of the market. He lays out the payer playbook…
The skinny
The skinny isn't ready yet — notes appear once the transcript is processed.