CareOregon, the largest Medicaid provider in the state, will soon stop covering mental health and substance use treatment from out-of-network providers. Coverage will will end on Oct. 1 for Medicaid ...

Several physician associations are urging Elevance Health to abandon its new policy that penalizes hospitals and contracted facilities for using care providers who are not in-network with its Anthem ...

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 ...

Elevance Health is bringing its out-of-network provider penalty policy to New York on July 1, continuing a state-by-state ...

Patients are significantly more likely to go to an out-of-network provider when seeking behavioral care than when seeking medical or surgical care, according to a study conducted by Milliman and ...