In a major win for healthcare providers, on September 20th a Louisiana state court jury awarded $421 million in favor of an out-of-network provider in its long dispute with Blue Cross Blue Shield ...

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 ...

Provider network intelligence (PNI) technology represents a revolutionary approach to network management that combines artificial intelligence, real-time data analytics and predictive modeling to ...

Summit Medical Group is not planning to renew its contract with BlueCross BlueShield of Tennessee (BCBST) after it says they ...

A National Council of Insurance Legislators proposal calls for plans to get dentists' permission before the letting outside ...

Missing that information can potentially further constrain in-network provider availability for LGBTQ+ individuals, a population traditionally underserved and frequently discriminated against in ...

Provider Network Composition and Reimbursement NQTL Types. A key focus of the Final Rules is to ensure that NQTLs related to provider network composition and reimbursement rates do not impose ...

Among mental health clinicians listed in New York's health plan provider directories, 86% were out-of-network, not accepting new patients or unreachable.