Tag: provider networks

The Memorial Healthcare System in Broward County includes six hospitals, a nursing home and multiple affiliated providers. The flagship facility is Memorial Regional Hospital in Hollywood.

Florida Blue and Memorial Healthcare Contract Dispute Affects 31,000 Members

Florida Blue and Memorial Healthcare's contract dispute renders 31,000 members out of network in Broward County, impacting access across commercial, ACA, and Medicare Advantage plans amid reimbursement rate disagreements.

SSM Health-UnitedHealthcare Contract Dispute Threatens St. Louis Patient Networks

Contract negotiations between SSM Health and UnitedHealthcare risk losing in-network access for 100,000 St. Louis patients. Dispute centers on reimbursement rates impacting commercial and Medicaid plans.

Contract Talks Influence Blue Cross-Ascension Texas Network Status in 2026

Blue Cross and Blue Shield of Texas and Ascension Texas hospitals face contract negotiations that may affect in-network status in 2026, impacting patient coverage and costs amid rising healthcare expenses.

Rhode Island Health Insurance Enrollment: Navigating Subsidy Changes and Plan Choices

Rhode Island's health insurance enrollment period highlights challenges with expiring subsidies, diverse plan options, and network limitations, affecting marketplace shoppers, Medicare enrollees, and workers with employer plans.

Health Insurance Networks Tighten Amid Rising Costs and Reduced Government Funding

U.S. health insurance networks are contracting due to increased medical costs and decreased government funding, impacting payer strategies and provider networks.

Medicare ACO Partners with CCGroup to Optimize Specialist Referral Efficiency

CCGroup selected by a Medicare ACO to develop a Specialist Golden Referral Network, leveraging data analytics to improve specialist efficiency and reduce elective procedure variation.

Curative Raises $150M Series B to Transform U.S. Health Insurance Model

Curative raises $150 million in Series B funding to expand its innovative $0 out-of-pocket health insurance plan, leveraging AI and technology to improve member outcomes and disrupt the traditional BUCA insurance model in the U.S.

U.S. Health Insurance and Policy Updates: ACA Subsidies, Medicare Reforms, and Healthcare Innovations

Comprehensive update on U.S. health insurance market dynamics including ACA subsidy uncertainty, Medicare specialty payment reforms, SNAP funding challenges, healthcare industry consolidations, pharmaceutical litigation, and emerging clinical innovations affecting insurance professionals.

Centene Sued Over Alleged Mental Health Provider Directory Failures in Arizona

Centene faces a wrongful death lawsuit in Arizona over allegations of inaccurate mental health provider directories and inadequate access under ACA-compliant plans. The case underscores wider industry compliance and network transparency challenges.