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
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Data Analytics
20 Years Experience with Hospital Analytics
Contract Negotiation Support
Parity Analysis
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Network Contracting
25 Years Payer & Provider Experience
Contract Negotiations
Drafting, Redlining, & Review
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Consulting Actuary
20 Years Experience as MA Actuary
MA Bid Analysis
Risk Adjustment, RAF Score
Probabilities Forecaster
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Medicare Broker & Distribution
25 Years Experience Building & Running Payer Broker Programs
Product Innovation
Performance & Pricing
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Medicare Compliance
30 Years Experience with Payers Compliance
Contracts & Contract Admin
HIPAA, Privacy & IT Security
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Senior Consultant
Deliverable Execution
PowerPoint & Deck Design
Excel Analytics
Chart & Visual Creation