Topic: Provider Networks

Utah's legislators have taken another step toward slimming down the state's voter-mandated Medicaid expansion, plus more insurance news.

A Florida judge has rejected Oscar’s request for an injunction to block Florida Blue from reaching exclusive agreements with insurance brokers. 

Georgia are suing Anthem, claiming that the insurer misled them about the provider network it would offer through its Affordable Care Act plans.

The square-peg-in-a-round-hole analogy can easily be used to describe the process in which insurance payers manage provider credentialing.

Inaccuracies in provider directories cause major barriers to patients. Doing the work to find a solution will be more than worth the effort.

Narrow provider networks can offer payers a crucial tool for keeping costs low for employer-sponsored plans, according to a new study. 

Humana has reached a deal with Trinity Health to include seven hospitals in the payer's Medicare Advantage network, plus more healthcare headlines.

Just days after Walmart announced it would pull out of CVS Caremark’s network, the two sides have reached a new contract agreement. 

Tenet Healthcare has reached multiyear agreements with Humana and Anthem, plus more healthcare headlines.

The urgent care chain CityMD was at risk falling out of UnitedHealthcare's network. But the organizations struck a deal to avert that scenario.