Our Team

Our Founder

Scott Ellsworth is a problem solver, consensus builder and team player with a 30-year proven track record of leading and building health care organizations. He has first-hand experience on the other side of the table and knows exactly how providers win and lose negotiating payer contracts.

Scott leads all of the payer strategy and contract negotiations work. He’ll help you anticipate payer strategies-tactics and how to handle each in a way to level the playing field. He is committed to getting real results for his clients AND does it in a way that ultimately leads better payer relationships.

President & CEO, West Region Centene

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SVP, Optum Payer Consulting

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Market President, Excellus BCBS

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President & CEO, West Region Centene - SVP, Optum Payer Consulting - Market President, Excellus BCBS -

Our Team

With over 120 years of combined managed care, consulting, & healthcare experience, our core consulting team provides extensive area expertise that drives immense value for clients through a multitude of avenues

  • Data Analytics

    20 Years Experience with Hospital Analytics

    Contract Negotiation Support

    Parity Analysis

  • Network Contracting

    25 Years Payer & Provider Experience

    Contract Negotiations

    Drafting, Redlining, & Review

  • Consulting Actuary

    20 Years Experience as MA Actuary

    MA Bid Analysis

    Risk Adjustment, RAF Score

    Probabilities Forecaster

  • Medicare Broker & Distribution

    25 Years Experience Building & Running Payer Broker Programs

    Product Innovation

    Performance & Pricing

  • Medicare Compliance

    30 Years Experience with Payers Compliance

    Contracts & Contract Admin

    HIPAA, Privacy & IT Security

  • Senior Consultant

    Deliverable Execution

    PowerPoint & Deck Design

    Excel Analytics

    Chart & Visual Creation