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 ...

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.

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 ...

Provider network intelligence (PNI) technology represents a revolutionary approach to network management that combines artificial intelligence, real-time data analytics and predictive modeling to ...

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 ...

Three major medical organizations are urging Anthem to withdraw a policy that would penalize hospitals and outpatient facilities that use out-of-network providers. The American Society of ...

(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 ...

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 ...

Searching for the best provider for SD-WAN, SASE, MPLS, content delivery network (CDN), 5G or any other network service can be a difficult, frustrating, and tedious process. There are so many ...