Subscribe to BizTimes Daily – Local news about the people, companies and issues that impact business in Milwaukee and Southeast Wisconsin. Jim Morningstar, founder and coordinator for Milwaukee-based ...

We all know that Tricare has a lot of little nuances. And because of those nuances, it can sometimes seem like your actual cost for care is totally random from visit to visit. I assure you that is not ...

States have increasingly outsourced the provision of Medicaid services to private managed care plans. To ensure that plans maintain access to care, many states set network adequacy standards that ...

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 ...

ADDISON, Texas, April 20 /PRNewswire/ -- Concentra Inc. ("Concentra") announced today that its Concentra Health Care Network (HCN) has been certified by the Texas Department of Insurance's Division of ...

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 ...

Out-of-network providers are the doctors and facilities that do not have a direct affiliation with your health insurance company. Out-of-network care, either through a physician visit or during an ...

Les Masterson is a deputy editor and insurance analyst at Forbes Advisor. He has been a journalist, reporter, editor and content creator for more than 25 years. He has covered insurance for a decade, ...

PRAIRIE DU SAC, Wis. (WKOW) -- Sauk Prairie Healthcare will be out-of-network for patients with Anthem Blue Cross Blue Shield health insurance starting April 1. In an online release, the health care ...