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 ...

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 ...

Today’s payers are still adjusting to the significant operational and transparency changes as a result of the No Surprises Act and Consolidated Appropriations Act. These mandates put the provider ...

The Biden administration wants to require plans in state-run exchanges set up by the Affordable Care Act to maintain provider networks as extensive as those in federal marketplaces. Under a new rule ...

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 ...

These advantages have set the stage for network tools powered by AI and ML to reach deeper into service provider networks and back-office systems as a predictive resource capable of correlating the ...