INSURASALES

Tag: Provider Networks

OhioHealth-Anthem Contract Negotiations Impact Network Status and Patient Coverage

OhioHealth warns of potential out-of-network status with Anthem after contract expiration on July 31, 2025, highlighting ongoing negotiations and reimbursement disputes impacting patient coverage and provider payments.

Astrana Health Completes $708M Acquisition of Prospect Health to Expand Integrated Care

Astrana Health finalizes $708 million acquisition of Prospect Health, expanding its integrated care network and Medicaid, Medicare Advantage, and commercial coverage. The deal enhances provider scale and care delivery capabilities under California's Knox-Keene health plan regulations.

Insurance Ghost Networks Delay Access to In-Network Care and Raise Costs

Insurance ghost networks with outdated provider directories delay patient access to care and increase costs. Legal actions and AI solutions highlight challenges in maintaining accurate in-network provider listings.

Premier Health and UnitedHealthcare Contract Negotiations Impact Network Status

Premier Health and UnitedHealthcare are negotiating payor contracts; unresolved talks may lead to network changes affecting patients with UnitedHealthcare plans from July 1. Impact on reimbursement rates and healthcare access analyzed.

Rising Provider Disputes in Medicare Advantage Prompt Special Enrollment Periods

Medicare Advantage plans face increasing provider disputes leading to special enrollment periods for affected members, raising regulatory and beneficiary access concerns.