If you have a health insurance plan, you’ve probably come across the terms “in-network” and “out-of-network.” Simply put, in-network means the doctors or hospitals you visit contract with your ...

A network refers to a collection of health care professionals and facilities that contract with a health insurance company to provide care to the insurer’s plan members at discounted prices. It is ...

A long-fought battle over fair reimbursement rates for both in-network and out-of-network medical coverage has largely pitted payers against providers. Unfortunately, patients are often caught in the ...

This article examines how prices, insurer payments, and patient payments for outpatient surgeries differ by site of care and network status. Objective: To examine how site of care and insurance ...

Recent moves in some states by insurers to restrict the use of out-of-network facilities by their members have created a headache for many ASCs around the country. Although out-of-network facilities ...