Hospitals are getting shortchanged by Medicare Advantage insurers to the tune of 10 cents on every dollar, according to Ensemble, one of the largest hospital billing firms in the U.S. — a gap significant enough that the company has built an entirely new practice to help finance chiefs manage it.

The firm, which processes $55 billion in patient revenue for hospital clients, this summer rolled out what it calls an “Office of the CFO”: a team of former hospital finance executives embedded directly with clients to catch revenue problems before they hit quarterly results.

“We built a team of leaders who have sat in the CFO seat,” Ensemble founder and Chief Executive Officer Judson Ivy said in announcing the unit. “They’ve managed the month-end close, presented to boards and navigated the same pressures our clients face today.”

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