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 ...

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, ...

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 ...

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 ...

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 ...

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 ...

Stone RF / PM Images/Getty Images It’s hard to know if your health insurance plan is as good as advertised. You pay a monthly premium to access a network of health providers. But call the numbers in ...

(WSAW) - The Centers for Medicare and Medicaid Services is answering questions still facing some patients in central Wisconsin. Following coverage of confusion as Aspirus sent letters to patients and ...

We all know that Tricare has a lot of little nuances. And because of those nuances, it can sometimes seem like your actual cost for care is totally random from visit to visit. I assure you that is not ...