Tag:

out of network

Latest Headlines

Latest Headlines

Cash-only pioneers teach other docs the ropes

Although industry estimates indicate that as little as 3 percent of U.S. physicians have made the switch to direct-pay or cash-only business models, the number of doctors exploring practicing without

Market a cash-based practice with price transparency, outcomes

Practices best-suited to a cash-only or direct-pay model are typically in specialties such as dermatology, psychiatry, or primary care. But a growing number of surgeons, even those traditionally

Aetna sues doctors over 'excessive' charges

Aetna ( NYSE: AET ) is suing six New Jersey doctors over "unconscionable" and "excessive" medical bills in a lawsuit that could help determine what pricing limits insurers can impose on out-of-network

BCBS of Massachusetts charges higher fees for expensive hospitals

In an attempt to reduce healthcare costs, Blue Cross Blue Shield of Massachusetts introduced a new plan last month that charges members hefty fees for seeking care at more expensive hospitals--and it

Weigh pros and cons of ending insurance contracts

The notion of dropping one or more insurance contracts is rich with pros as well as cons for physicians. On the plus side, out-of-network reimbursements generally are higher than contract-negotiated

UnitedHealth inks $50M settlement with NY over Ingenix charges

After almost a year of wrangling, UnitedHealth Group has agreed on a settlement with New York Attorney General Andrew Cuomo under which it will pay in $50 million to create a new database for its