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Ascension Payer Strategy VP Details Shift From Adversarial Negotiations
In a Becker's Hospital Review interview, Ascension's VP of payer revenue strategy and contracting, Tamar Goldblatt, discusses her priorities nearly a year into the role. She describes Medicare Advantage instability, rising denial rates, and payer use of data/technology to increase denials as top concerns reshaping payer negotiations. Goldblatt also flags fragmentation in the ACA market, including growth of individual coverage health reimbursement arrangements, and Ascension's expansion of ambulatory care sites as a response to affordability pressures. She emphasizes collaborative, data-driven payer partnerships over "us vs. them" negotiating dynamics.
Why it mattersHealth plans and providers negotiating Medicare Advantage and commercial contracts should note growing hospital system pushback on denial rates and utilization review practices as a flashpoint in payer-provider relations.