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 ...

Up-to-date provider network directories enhance patient satisfaction and reduce operational costs. Yet health plans are facing several challenges to attract, retain and manage their provider networks ...

The percentage of patients receiving in-network care increased nationally by 7% across all medical specialties from 2019 to 2023, according to a new report. Overall, the national percentage of ...

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 ...

The Ambulatory Surgery Center Association, alongside a coalition of 33 healthcare organizations, published a Dec. 8 letter in opposition to a policy by Elevance Health that would require healthcare ...

Insurers’ failures to update their provider directories have led to dire consequences for people seeking mental health care. Experts, clinicians, and advocates explain how you can navigate these ...

Under the No Surprises Act, consumers are protected from financial liability beyond normal in-network cost sharing when they receive emergency services by an out-of-network facility or provider, ...

Editor’s note: The Chronicle is committed to maintaining journalistic standards and credibility in our coverage. We have elected to grant anonymity to one patient in this story to protect their ...

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 ...

Folx Health, a Boston-based digital healthcare service launched in 2020 specializing in the physical and mental health needs of the LGBTQIA+ community, is accepting insurance, thanks to its status as ...

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 ...