Medscape

In-Network Provider Use Rises Despite Bureaucratic Barriers

The percentage of patients receiving in-network care increased nationally by 7% across all medical specialties from 2019 to 2023, according to a new report. Overall, the national percentage of ...
JD Supra

Anthem Policy Penalizes In-Network Providers for Out-of-Network Care Providers

Effective January 1, 2026, Anthem (also known as Elevance Health) implemented its Facility Administrative Policy: Use of a Nonparticipating Care Provider for the states of Colorado, Connecticut, ...
The Chronicle

As Duke Health negotiates with Aetna, patients want both parties to keep them in mind

Editor’s note: The Chronicle is committed to maintaining journalistic standards and credibility in our coverage. We have elected to grant anonymity to one patient in this story to protect their ...
UUHC Health Feed

Behavioral Health Network Providers

Member benefits are designed to promote the use of network providers, including lower copayments, reduced out-of-pocket costs, and comprehensive coverage for in-network services. Members also enjoy ...

Duke switches health insurance for students, steering them to preferred providers

The Aetna plan incentivizes the use of Duke Hospitals, WakeMed, and Cone Health over other in-network medical providers.
Becker's ASC

Anesthesiologists urge Anthem to drop policy penalizing out-of-network providers

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 ...
Forbes

Why Provider Network Management Is Important For Health Plans In 2023

Before founding Virsys12, I started my career as a software developer in healthcare and ultimately held roles as a CTO and CIO. It was evident to me that there was room for improvement in the ...