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 ...
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, ...
Last winter, Amber Wingler started getting a series of increasingly urgent messages from her local hospital in Columbia, Missouri, letting her know her family's health care might soon be upended. MU ...
In the intricate web of the modern healthcare industry, the term “out-of-network” has become somewhat synonymous with confusion and uncertainty for both patients and providers. The nature of ...
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 ...
Several major health systems are dropping Medicare Advantage plans in the new year. The hospitals are ending their acceptance ...
(WSAW) - The Centers for Medicare and Medicaid Services is answering questions still facing some patients in central Wisconsin. Following coverage of confusion as Aspirus sent letters to patients and ...
Contract showdowns between hospital systems and health insurers are happening more often, and patients are caught in the middle. In recent months, disputes over expiring contracts have led to tens of ...
GREENVILLE, N.C. (WITN) - Eastern Carolina’s major hospital system says despite state retirees under one Medicare Advantage plan being out-of-network, they won’t be charged a higher rate. WITN News ...
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 ...
As Brian Nowlin walked out of his yearly physical earlier this month, the staff at his doctor’s office handed him a flyer. Beginning in January, the flyer informed him, his Blue Cross and Blue Shield ...
Baptist Health's hospitals, clinics and rehabilitation centers across Arkansas have been out of network with UnitedHealthcare insurance plans since Monday, as the two sides failed to reach a new ...