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 ...

The percentage of patients receiving in-network care increased nationally by 7% across all medical specialties from 2019 to 2023, according to a new report. Overall, the national percentage of ...

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

Up-to-date provider network directories enhance patient satisfaction and reduce operational costs. Yet health plans are facing several challenges to attract, retain and manage their provider networks ...

Inaccuracies in Medicare Advantage (MA) directories listing in-network providers -- often criticized as being too "narrow" -- and flaws in rules governing them need to be addressed to prevent ...

Under the No Surprises Act, consumers are protected from financial liability beyond normal in-network cost sharing when they receive emergency services by an out-of-network facility or provider, ...

Before founding Virsys12, I started my career as a software developer in healthcare and ultimately held roles as a CTO and CIO. It was evident to me that there was room for improvement in the ...

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 ...

Folx Health, a Boston-based digital healthcare service launched in 2020 specializing in the physical and mental health needs of the LGBTQIA+ community, is accepting insurance, thanks to its status as ...

Several physician associations are urging Elevance Health to abandon its new policy that penalizes hospitals and contracted facilities for using care providers who are not in-network with its Anthem ...

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

I am having some serious issues with my health-insurance company denying claims. After a prostate-cancer diagnosis last year, I have been seeing a therapist for about a year. I continue to see him ...