Knowing your health plan can help you save money and avoid surprise expenses. Understanding in-network vs. out-of-network providers is key to learning how your health plan works. The providers you see ...

Question: I just found out that one of my providers is no longer in network for my Medicare Advantage Plan. What are my options? Answer: There are many important factors to consider when learning to ...

A network refers to a collection of health care professionals and facilities that contract with a health insurance company to ...

The dispute between Indianapolis-based Elevance and provider groups centers on the federal No Surprises Act, enacted in 2022, ...

Several major health systems are dropping Medicare Advantage plans in the new year. The hospitals are ending their acceptance ...

Executive SummaryThere is no more controversial issue in the outpatient market today than out-of-network billing. It is important to understand the risks as well as the benefits for your ambulatory ...

If you have a health insurance plan, you’ve probably come across the terms “in-network” and “out-of-network.” Simply put, in-network means the doctors or hospitals you visit contract with your ...

CareOregon, the largest Medicaid provider in the state, will soon stop covering mental health and substance use treatment from out-of-network providers. Coverage will will end on Oct. 1 for Medicaid ...

In August of 2024, a trial court in California dismissed a price-fixing claim in Verity Health System of California, Inc. v. MultiPlan Corporation. MultiPlan, a provider of health care data analytics, ...

MultiPlan is in the legal crosshairs of another healthcare system over contracts and services provided to partner health plans that providers have described as collusive and anticompetitive. The class ...

Insurers’ failures to update their provider directories have led to dire consequences for people seeking mental health care. Experts, clinicians, and advocates explain how you can navigate these ...