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My therapist said he was in-network. The insurer says he’s not. Am I obliged to pay full rates for all prior sessions?

I am having some serious issues with my health-insurance company denying claims. After a prostate-cancer diagnosis last year, I have been seeing a therapist for about a year. I continue to see him ...
MedPage Today

MedPAC Tackles Accuracy of Medicare Advantage Network Directories

Inaccuracies in Medicare Advantage (MA) directories listing in-network providers -- often criticized as being too "narrow" -- and flaws in rules governing them need to be addressed to prevent ...
Health Affairs

Insurers Should Use Standardized Identifiers For Provider Networks To Empower Consumers

Industry and HHS should collaborate to develop a voluntary standardized identifier for provider networks that is consistent across all segments of the health insurance markets. To accomplish this, we ...
The Chronicle

As Duke Health negotiates with Aetna, patients want both parties to keep them in mind

Editor’s note: The Chronicle is committed to maintaining journalistic standards and credibility in our coverage. We have elected to grant anonymity to one patient in this story to protect their ...
OPB

Up against a ‘ghost network’ for mental health care? Here’s what you can do

Stone RF / PM Images/Getty Images It’s hard to know if your health insurance plan is as good as advertised. You pay a monthly premium to access a network of health providers. But call the numbers in ...
The American Journal of Managed Care

Disconnects Between Provider Network Directories and Patient Preferences

This study found widespread instances of disconnect in online provider directories between information needed by patients and data availability. Objectives: The question of what providers one has ...
Morningstar

Zynex Announces New In-Network Provider Status with Humana

ENGLEWOOD, Colo., Feb. 4, 2026 /PRNewswire/ -- Zynex, Inc. (ZYXIQ), an innovative medical device company specializing in non-invasive medical devices for pain management, announced it has for the ...
Becker's ASC

Anesthesiologists urge Anthem to drop policy penalizing out-of-network providers

Several physician associations are urging Elevance Health to abandon its new policy that penalizes hospitals and contracted facilities for using care providers who are not in-network with its Anthem ...
Becker's ASC

Health Insurers Allege Fraud and Kickbacks Against Out-of-Network ASC Providers Who Forgive Patients’ Financial Responsibility

This article was written by John A. Mills, JD, an associate with Fenton Nelson’s litigation and compliance groups, in response to a recent lawsuit filed by Aetna against Bay Area Surgical Management ...