A fully insured business will shop around with different health insurance companies for the best value, including a good network. However, self-funded health plans — which are growing in popularity — ...

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.

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 ...

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 ...

Insurers’ failures to update their provider directories have led to dire consequences for people seeking mental health care. Experts, clinicians, and advocates explain how you can navigate these ...

Clay Phillips is vice president of Provider Programs and Strategy at BlueCross BlueShield of Tennessee. Every year during open enrollment for health plans, many people have questions about their ...

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 ...

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, ...

This article is the latest in the Health Affairs Forefront series, Provider Prices in the Commercial Sector, featuring analysis and discussion of physician, hospital, and other health care provider ...