In his book “Better: A Surgeon’s Notes on Performance,” best-selling author Dr. Atul Gawande traces the origins of the first pricing method for surgical services all the way back to ancient Babylon, ...
In this episode we are joined by Ryan Ellison, Director of Revenue Services at Wakefield, to discuss Out Of Network (OON) claims, how the No Surprises Act (NSA) is changing the landscape, what ...
In August of 2024, a trial court in California dismissed a price-fixing claim in Verity Health System of California, Inc. v. MultiPlan Corporation. MultiPlan, a provider of health care data analytics, ...
Eric J. Woollen, vice president of managed care for Birmingham, Ala.-based Practice Partners in Healthcare, cites three ways health plans are corralling out-of-network ambulatory surgery centers into ...
The recently enacted Texas Senate Bill (SB) 2544 imposes mandatory mediation filing deadlines for out-of-network (OON) facility providers. Under Insurance Code Chapter 1467, OON facility providers ...
AI-generated summary reviewed by our newsroom. Read our AI Policy. UNC Health and Cigna, Duke Health and Aetna remain in contract disputes. Out-of-network care leads to higher patient bills and ...
Since the implementation of the No Surprises Act (NSA) in January 2022, out-of-network (OON) reimbursement has become a complex and resource-heavy challenge for hospital and health system revenue ...
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