Insurers hoping for a reprieve from an out-of-network billing system largely favoring healthcare providers will likely be left wanting as federal policymakers sit on their hands and one large payer’s ...

A pediatric occupational therapy clinic in Anoka County, whose owner said she was being shut out of insurance networks when she opened in November, has since gained access to several insurers. But one ...

This article quantifies the prevalence of claim denials in Medicare Advantage (MA), along with their direct impact on provider revenue. Employing medical claims data from multiple MA plans, covering ...