There was a time when a hospital contract renewal was one of the more boring events in healthcare. Health systems and payers would work through rate disputes in private, and patients rarely knew the ...

Duke and UNC Health remain at odds with a pair of major insurance companies, meaning patients across the Triangle could find themselves out-of-network if an agreement on a contract can’t be reached ...

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 ...

Last winter, Amber Wingler started getting a series of increasingly urgent messages from her local hospital in Columbia, Missouri, letting her know her family's health care might soon be upended. MU ...

While health plans often employ reimbursement rates as a tool to incentivize provider participation within their networks, study results showed reimbursement rates for office visits with ...

Baptist Health's hospitals, clinics and rehabilitation centers across Arkansas have been out of network with UnitedHealthcare insurance plans since Monday, as the two sides failed to reach a new ...

(WSAW) - The Centers for Medicare and Medicaid Services is answering questions still facing some patients in central Wisconsin. Following coverage of confusion as Aspirus sent letters to patients and ...

GREENVILLE, N.C. (WITN) - Eastern Carolina’s major hospital system says despite state retirees under one Medicare Advantage plan being out-of-network, they won’t be charged a higher rate. WITN News ...

The dispute between Main Line Health and Cigna comes as payer and provider contract negotiations have grown increasingly contentious. In recent months, a significant number of providers have ...

CareOregon, the largest Medicaid provider in the state, will soon stop covering mental health and substance use treatment from out-of-network providers. Coverage will will end on Oct. 1 for Medicaid ...