Inaccuracies in Medicare Advantage (MA) directories listing in-network providers -- often criticized as being too "narrow" -- and flaws in rules governing them need to be addressed to prevent ...

A network refers to a collection of health care professionals and facilities that contract with a health insurance company to ...

Following nearly two years of litigation, Cigna Health and Life Insurance Company and the named plaintiffs in Hecht v. Cigna Health and Life Insurance Co., Case No. 1:24-cv-05926 (N.D. Ill.) have ...

Industry and HHS should collaborate to develop a voluntary standardized identifier for provider networks that is consistent across all segments of the health insurance markets. To accomplish this, we ...

A recent federal district court decision highlights a little known but significant risk faced by employers with welfare benefit plans that rely on medical provider and facility networks supplied by ...

If you have a health insurance plan, you’ve probably come across the terms “in-network” and “out-of-network.” Simply put, in-network means the doctors or hospitals you visit contract with your ...

These inaccurate or misleading physician directories have for years been an obstacle for patients seeking in-network providers and have even led some to pay large sums out of pocket, or to delay or ...

This study found widespread instances of disconnect in online provider directories between information needed by patients and data availability. Objectives: The question of what providers one has ...

I am having some serious issues with my health-insurance company denying claims. After a prostate-cancer diagnosis last year, I have been seeing a therapist for about a year. I continue to see him ...