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 — ...

Many plans sold on the health insurance marketplaces offer a tradeoff: lower premiums in exchange for limited networks of providers. But consumers who opt for a narrow network plan with the idea that ...

Up-to-date provider network directories enhance patient satisfaction and reduce operational costs. Yet health plans are facing several challenges to attract, retain and manage their provider networks ...

When physicians whom patients do not choose and cannot avoid can bill out of network for care delivered within in-network hospitals, it exposes patients to financial risk and undercuts the functioning ...

Transcarent, Glen Tullman’s care navigation company, gained 10 new health system partnerships this week. These health systems are part of the company’s new provider network, which seeks to help its ...

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 ...

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 ...

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 ...

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 ...

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 ...