In August of 2024, a trial court in California dismissed a price-fixing claim in Verity Health System of California, Inc. v. MultiPlan Corporation. MultiPlan, a provider of health care data analytics, ...

To make an informed choice, it helps to understand the pros and cons of in-network vs. out-of-network participation. Here’s ...

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 ...

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 ...

UNC Health and Cigna are continuing negotiations for a new contract into the holiday weekend. The current agreement ends ...

A quest for higher rates helps fuel UConn Health's planned expansion as its Waterbury Hospital purchase advances.

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 ...

Recent moves in some states by insurers to restrict the use of out-of-network facilities by their members have created a headache for many ASCs around the country. Although out-of-network facilities ...

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 ...

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 ...

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 ...