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 ...

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 ...

Duke and UNC Health remain at odds with a pair of major insurance companies, meaning patients across the Triangle could find themselves out-of-network if an agreement on a contract can’t be reached ...

While health plans often employ reimbursement rates as a tool to incentivize provider participation within their networks, study results showed reimbursement rates for office visits with ...

(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 ...

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 ...

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 ...

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 ...

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 ...