The AHA Dec. 17 urged Elevance Health, which is the parent company of the Anthem brand of health plans, to rescind Anthem’s nonparticipating provider policy that is set to go into effect Jan. 1, ...

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

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 ...

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 ...

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 ...

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, ...

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

A NJ medical network owned by UnitedHealth will go out of network with more than 10 health insurances next month, they said.

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 ...