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 ...

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 ...

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 ...

Health Prize Invites Innovators to Predict Hospitalizations for Patient Populations and Avoid Unnecessary Hospitalizations WASHINGTON--(BUSINESS WIRE)-- Heritage Provider Network (HPN), an ...

Cleveland Clinic joins Broward health plan provider network, expanding access to 12,000 caregivers across five hospitals and 40 outpatient centers ...

Les Masterson is a deputy editor and insurance analyst at Forbes Advisor. He has been a journalist, reporter, editor and content creator for more than 25 years. He has covered insurance for a decade, ...