Oregon's lawsuit against HHS raises major questions about gender-affirming care regulations, impacting insurance compliance and patient access across states.

Clever Care Health Plan partners with Blue Zones Health to connect Medicare Advantage members with providers focused on longevity and culturally competent preventive care in Southern California.

Ascension Texas hospitals may become out-of-network for Blue Cross and Blue Shield of Texas insurance plans starting in 2024, impacting patient coverage and costs in Central Texas.

Changes in Medicare Advantage dental plan acceptance by providers may affect retirees relying on these plans post-COBRA and entering Medicare. Provider network adjustments emphasize the need for awareness in dental insurance selection under Medicare.

Bronson Healthcare offers free, one-on-one assistance for enrolling in 2026 federal Health Insurance Marketplace plans to ensure continuity of care and optimal coverage.

The Centers for Medicare & Medicaid Services renews Quest Analytics contract to enhance Medicare Advantage network adequacy reviews and compliance oversight for better access to care.

Rising cost pressures and demographic shifts fuel intensified disputes between payers and providers over Medicare Advantage contracts, impacting reimbursement and network participation.

New Hampshire's House Bill 507 shortens mental health provider credentialing to 30 days for private insurers, aiming to reduce care delays. Challenges in enforcement and insurer compliance remain.

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 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.