OPB

CareOregon will stop covering out-of-network behavioral health services this fall

CareOregon, the largest Medicaid provider in the state, will soon stop covering mental health and substance use treatment from out-of-network providers. Coverage will will end on Oct. 1 for Medicaid ...
Becker's ASC

Health Insurers Allege Fraud and Kickbacks Against Out-of-Network ASC Providers Who Forgive Patients’ Financial Responsibility

This article was written by John A. Mills, JD, an associate with Fenton Nelson’s litigation and compliance groups, in response to a recent lawsuit filed by Aetna against Bay Area Surgical Management ...

If you have Blue Cross Blue Shield health insurance, you'll want to know about this big change

Beginning April 1, Memorial Hermann Health System facilities and physicians are out of network for some BCBSTX plans.

Legacy Health's contract with Regence BlueCross terminated; members may be out of network

Legacy Health's contract with Regence has ended, as the two have been unable to reach an agreement over reimbursement rates ...
Becker's Hospital Review

Behavioral care more likely to be out of network than physical care

Patients are significantly more likely to go to an out-of-network provider when seeking behavioral care than when seeking medical or surgical care, according to a study conducted by Milliman and ...
Becker's ASC

Dispelling the Myths of Out-of-Network Billing

Executive SummaryThere is no more controversial issue in the outpatient market today than out-of-network billing. It is important to understand the risks as well as the benefits for your ambulatory ...