Topic: Provider Networks

Provider groups have been lobbying Congress hard this summer to make major changes to legislation to fight surprise billing.

UnitedHealth’s contract battles with two large physician staffing agencies have notable implications for the industry, a new analysis shows. 

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Humana has reached a deal with the hospital system McLaren to expand in-network options for its Medicare Advantage customers

A new study examines the network participation of TRICARE’s preferred provider organization plans—and the results, for the most part, are positive.

Aetna is at risk of losing its $1 billion Medicaid contract in Kansas because of network and billing problems.

Are Trump’s top Medicaid regulators ignoring major problems? An insurance giant’s tense meeting with a senator adds to the growing concern.

The Centers for Medicare & Medicaid Services is seeking to roll back Obama-era rule on Medicaid payment rates the agency says is outdated.

After months of legal back-and-forth, UPMC and Highmark have reached a long-term network agreement. 

A Pennsylvania appeals court has ruled that the government-brokered deal between UPMC and Highmark will end as scheduled June 30.