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 ...

Senate Bill 189 took aim at a new policy by Indianapolis-based Elevance Health Inc. that cut hospital reimbursement by 10% if an out-of-network clinician was involved with care.

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, ...

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 ...

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 ...

(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 ...

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 ...

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 ...

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 ...

NEW YORK (PIX11) — Mount Sinai, one of New York City’s largest hospital systems, moved out of network for hundreds of residents under the insurance company Anthem Blue Cross Blue Shield. The change in ...