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, ...

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 ...

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 ...

(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 ...

It was the first day of her family’s vacation in the San Juan Islands last June when Danielle Laskey, who was 26 weeks pregnant, thought she was leaking amniotic fluid. A registered nurse, Laskey ...

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 ...

Minnetonka, Minnesota-based UnitedHealthcare is no longer covering non-emergency services that members receive at out-of-network facilities outside of their service area. This policy update, which ...

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 ...