A fully insured business will shop around with different health insurance companies for the best value, including a good network. However, self-funded health plans — which are growing in popularity — ...

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 ...

Building and managing healthcare provider networks can be complicated — especially because provider directories must be kept compliant and up to date. Members of your provider onboarding and ...

It’s no secret that payers and providers must work together to improve the quality and efficiency of care. Or, in other words, pay for care with care. That has typically proved easier said than done.

Editor's Note: Journalist Philip Moeller, who writes widely on health and retirement, is here to provide the Medicare answers you need in "Ask Phil, the Medicare Maven." Send your questions to Phil.

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 ...

The dispute between Indianapolis-based Elevance and provider groups centers on the federal No Surprises Act, enacted in 2022, which seeks to protect patients from unexpected, expensive out-of-network ...

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, ...

Susan H. Busch ([email protected]) is a professor in the Department of Health Policy and Management, Yale School of Public Health, in New Haven, Connecticut. Kelly A. Kyanko is an assistant professor ...

STAMFORD, Conn.--(BUSINESS WIRE)--Information Services Group (ISG) (Nasdaq: III), a global AI-centered technology research and advisory firm, has launched a research study of managed network service ...