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 ...

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

States have increasingly outsourced the provision of Medicaid services to private managed care plans. To ensure that plans maintain access to care, many states set network adequacy standards that ...

America’s hospitals, health systems and its caregivers have significant concerns regarding Anthem’s nonparticipating provider policy1 and the harm it will inflict on patients.

Understanding the extent to which beneficiaries can “realize” access to reported provider networks is imperative in mental health care, where there are significant unmet needs. We compared listings of ...

In navigating the evolving landscape of regulatory reforms, intensifying competition and escalating pricing pressures, health plans stand at a pivotal juncture where the accuracy and currency of ...