Moffitt Cancer Center is now out of reach for many with Aetna Medicare Advantage HMO and PPO plans, and it will soon be the same for Humana Medicare Advantage HMO and PPO plans.

Health insurance giant Anthem is introducing a new policy that will penalize hospitals for using physicians outside of its coverage network, forcing medical facilities to police physicians’ network ...

Starting Sept. 1, Summa Health will stop scheduling appointments for non-emergency patients who have out-of-network insurance plans. Exceptions include emergency services and emergency labor and ...

There was a time when a hospital contract renewal was one of the more boring events in healthcare. Health systems and payers would work through rate disputes in private, and patients rarely knew the ...

Last winter, Amber Wingler started getting a series of increasingly urgent messages from her local hospital in Columbia, Missouri, letting her know her family's health care might soon be upended. MU ...

Sen. Scott Baldwin (R-Noblesville) wants to stop insurance companies from levying fees against hospitals that recommend out-of-network care. Insurance companies would be blocked from charging ...

Contract showdowns between hospital systems and health insurers are happening more often, and patients are caught in the middle. In recent months, disputes over expiring contracts have led to tens of ...