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.
Insurance ghost networks with outdated provider directories delay patient access to care and increase costs.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 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.
Medicare Advantage plans face increasing provider disputes leading to special enrollment periods for affected members, raising regulatory and beneficiary access concerns.
