Our Services
Data Analytics Expertise & Capabilities
With over 60 years of combined managed care analytical experience, our Managed Care Analytics & Insights team provides a solid performance record of success including managed care negotiation support, contract modeling, standardized reporting, data aggregation, management, strategic pricing and communications. The team delivers a wealth of highly technical skills in conjunction with years of managed care analysis, strategy and negotiation experience.
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Negotiation Strategy
Ellsworth Consulting will handle everything from anticipation of payer actions to establishing a winning game plan to maximize revenue.
Our team has extensive experience negotiating large complex provider/payer contracts with the largest healthcare systems in the US, supporting contract negotiations across multiple payors and states. We take a strategic pricing approach to all contracting to allocate reimbursement across services and facilities for future success.
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Contract Modeling
Our entire team is Epic-certified for contract modeling, with the ability to perform ad-hoc modeling via SQL for non-Epic data.
Our policies and procedures ensure best practices and accuracy of results. Standardized modeling outputs present results at a detailed service line level, including profitability and % of Medicare comparisons so you are able to focus on client relations while we handle the specifics.
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Standardized Reporting
Ellsworth Consulting’s self-sufficient analytical team maintains multiple databases to drive standardized and ad hoc reporting needs.
We provide a suite of standardized reports via Power BI including Event Plans, Monthly Volume Insights, ER Dashboards, Internal Parity and Market Intelligence. Our reporting supports not only Managed Care needs but also Finance, Operations, Strategy, Pop Health and Clinical.