The Post-Journal

Options When A Provider Moves Out Of Network

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 ...
JD Supra

A Win for Out-of-Network Providers

In a major win for healthcare providers, on September 20th a Louisiana state court jury awarded $421 million in favor of an out-of-network provider in its long dispute with Blue Cross Blue Shield of ...
Becker's ASC

Health Insurers Allege Fraud and Kickbacks Against Out-of-Network ASC Providers Who Forgive Patients’ Financial Responsibility

This article was written by John A. Mills, JD, an associate with Fenton Nelson’s litigation and compliance groups, in response to a recent lawsuit filed by Aetna against Bay Area Surgical Management ...
Becker's ASC

Dispelling the Myths of Out-of-Network Billing

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 ...
OPB

CareOregon will stop covering out-of-network behavioral health services this fall

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 ...
UUHC Health Feed

Behavioral Health Network Providers

Member benefits are designed to promote the use of network providers, including lower copayments, reduced out-of-pocket costs, and comprehensive coverage for in-network services. Members also enjoy ...