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

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 ...

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 ...

This article examines how prices, insurer payments, and patient payments for outpatient surgeries differ by site of care and network status. Objective: To examine how site of care and insurance ...

Contract showdowns between hospital systems and health insurers are happening more often, and patients are caught in the middle. In recent months, disputes over expiring contracts have led to tens of ...

Insurance companies are fining hospitals for out-of-network care, arguing that federal changes are costing them more money. A new bill aims to stop those fines and protect consumers ...

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 ...