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 ...
Becker's Hospital Review

Better provider network management in eight steps

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 ...
Business Wire

New Study from Madaket Health Reveals Nearly Half of Americans Delay Healthcare Due to Cost and In-Network Barriers

CAMBRIDGE, Mass.--(BUSINESS WIRE)--The increasing cost of healthcare, along with insurance coverage constraints, may be causing many Americans to delay or entirely put off receiving the healthcare ...
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 ...
ProPublica

Struggling to Find an In-Network Mental Health Provider? Here’s What You Can Do.

ProPublica is a nonprofit newsroom that investigates abuses of power. Sign up to receive our biggest stories as soon as they’re published. It’s hard to know if your health insurance plan is as good as ...
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 American Journal of Managed Care

Disconnects Between Provider Network Directories and Patient Preferences

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 ...
Business Wire

Tempus is Now an In-Network Provider for Humana, Expanding Access to its Next-Generation Sequencing Tests

CHICAGO--(BUSINESS WIRE)--Tempus, a leader in artificial intelligence and precision medicine, today announced that the company has signed agreements for in-network provider status with Humana Inc.