SmartFinancial on MSN

What Is a Health Insurance Network?

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

‘Ghost Network’ ERISA Class Action Lawsuit Settled: Key Takeaways for Health Care Providers

Following nearly two years of litigation, Cigna Health and Life Insurance Company and the named plaintiffs in Hecht v. Cigna Health and Life Insurance Co., Case No. 1:24-cv-05926 (N.D. Ill.) have ...
Everyday Health

What's the Difference Between In-Network and Out-of-Network?

If you have a health insurance plan, you’ve probably come across the terms “in-network” and “out-of-network.” Simply put, in-network means the doctors or hospitals you visit contract with your ...
MedPage Today

MedPAC Tackles Accuracy of Medicare Advantage Network Directories

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 ...
Becker's ASC

Anesthesiologists urge Anthem to drop policy penalizing out-of-network providers

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 ...
OPB

Up against a ‘ghost network’ for mental health care? Here’s what you can do

Stone RF / PM Images/Getty Images It’s hard to know if your health insurance plan is as good as advertised. You pay a monthly premium to access a network of health providers. But call the numbers in ...
Hosted on MSN

My therapist said he was in-network. The insurer says he’s not. Am I obliged to pay full rates for all prior sessions?

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 ...
Yahoo

Aultman Hospital no longer 'in network' for Humana Medicare Advantage

Thousands of patients insured through Humana's Medicare Advantage plans are no longer "in network" at Aultman hospitals. Adam Luntz, senior vice president of finance at Aultman, said the contract ...
The American Journal of Managed Care

Disconnects Between Provider Network Directories and Patient Preferences

This study found widespread instances of disconnect in online provider directories between information needed by patients and data availability. Objectives: The question of what providers one has ...
Becker's ASC

Health Insurers Allege Fraud and Kickbacks Against Out-of-Network ASC Providers Who Forgive Patients’ Financial Responsibility

This article was written by John A. Mills, JD, an associate with Fenton Nelson’s litigation and compliance groups, in response to a recent lawsuit filed by Aetna against Bay Area Surgical Management ...
journalgazette

Parkview announces changes to out-of-network policy

Parkview Health is adjusting its out-of-network policy, potentially scaling back patient access to its providers. But the changes, which will be phased in starting May 1, may prevent some patients ...
Ibj.com

Elevance to institute policy cutting hospital reimbursements if out-of-network providers involved in care

Elevance Health is ending the year in a battle with hospital and physician groups over the Indianapolis-based health insurer’s planned policy change, effective Jan. 1, that would cut hospital ...