Building and managing healthcare provider networks can be complicated — especially because provider directories must be kept compliant and up to date. Members of your provider onboarding and ...

It’s no secret that payers and providers must work together to improve the quality and efficiency of care. Or, in other words, pay for care with care. That has typically proved easier said than done.

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 ...

A fully insured business will shop around with different health insurance companies for the best value, including a good network. However, self-funded health plans — which are growing in popularity — ...

Clay Phillips is vice president of Provider Programs and Strategy at BlueCross BlueShield of Tennessee. Every year during open enrollment for health plans, many people have questions about their ...

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 ...

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 ...

Editor’s Note: Journalist Philip Moeller, who writes widely on health and retirement, is here to provide the Medicare answers you need in “Ask Phil, the Medicare Maven.” Send your questions to Phil.

Susan H. Busch ([email protected]) is a professor in the Department of Health Policy and Management, Yale School of Public Health, in New Haven, Connecticut. Kelly A. Kyanko is an assistant professor ...

Question: I just found out that one of my providers is no longer in network for my Medicare Advantage Plan. What are my options? Answer: There are many important factors to consider when learning to ...

"Is this doctor in my insurance network?" is one of the key questions people ask when considering whether to see a particular doctor. Unfortunately, in some cases the answer may not be a simple yes or ...

NEW HYDE PARK, N.Y.--(BUSINESS WIRE)--Northwell Direct today announced that it has been selected by Northwell Health to supply the provider network for the health system’s 2022 health care benefits ...