CARSON CITY, Nevada, Nov. 6-- The Nevada Department of Business and Industry's Insurance Division issued the following news release: Commissioner Barbara Richardson officially accepted the Network ...

SPRINGFIELD, Ill. (WAND) — The vice president of Blue Cross Blue Shield of Illinois claims the insurance company doesn't have any regulatory issues going into Fiscal Year 2024. Although, Springfield ...

SPRINGFIELD, Ill. (WAND) — State representatives passed a plan Wednesday to improve network adequacy standards for health insurance companies. The legislation could require insurance companies to ...

State officials proposed new rules Wednesday that aim to establish better network adequacy for behavioral health providers, imposing maximum wait times for visits and requiring private insurers to ...

OVERLAND PARK, Kan., Dec. 2, 2025 /PRNewswire/ -- Quest Analytics, the leader in provider network design and management solutions, announced today that the Centers for Medicare & Medicaid Services ...

Most health insurance plans in the United States manage costs by financially incentivizing plan members to get health care within a network of health care providers. Insurance regulators issue ...

The following information was released by the Ohio State Medical Association (OSMA): OSMA VP of Advocacy, Monica Hueckel, recently testified in support of HB 219 in a hearing before the Ohio House ...

State-run health insurance exchanges would have to ensure that provider networks are at least as adequate as those required on the federal marketplaces under a proposed rule the Centers for Medicare ...

Humana faces a $700,000 fine from the Texas Department of Insurance due to its network adequacy, the department said Oct. 8. Humana put consumers at risk of facing high out-of-pocket costs due to an ...

A secret shopper survey (N = 8306) in Pennsylvania’s Affordable Care Act (ACA) Marketplace found inconsistencies between carrier regulatory filings and provider directories, frequent inaccuracies in ...

Three leading medical groups have spoken out against an Elevance plan to impose a 10% payment penalty on facility claims involving out-of-network (OON) clinicians, saying the policy raises legal and ...

CareOregon, the largest Medicaid provider in the state, will soon stop covering mental health and substance use treatment from out-of-network providers. Coverage will will end on Oct. 1 for Medicaid ...