How to locate TRICARE network providers, why meet-and-greets help with wait lists, and the billing risks of nonparticipating providers versus participating network providers.

In Q&A, TRS staff advised members that because TRAIL is Medicare‑based, members should generally be able to see providers that accept Medicare even if those providers are reported as 'out of network' with Aetna; members were told to contact TRS or Aetna for specific cases.

As healthcare costs climb, more large employers are contracting directly with hospitals and health systems to work out prices, improve quality and steer care.

A Florida man thought he had carefully planned for a seamless switch between health plans. It was anything but.

A grand jury is already circling the pricing tool at the center of this antitrust fight

A non-network plan proposal could help companies like Sidecar and Imagine360 compete with the HMOs and the PPOs.

The Elevance subsidary began dinging in-network hospitals over bills for out-of-network doctors in January.

In a true emergency, federal law requires hospitals to treat first — and insurance to follow accordingly.

The Trump administration pushed for price transparency in health care. But instead of patients shopping for services, it's mostly health systems and insurers using the information for negotiations.

Provider networks aren't failing — they're evolving. Here's a clear look at what’s driving those changes, and what they mean for consumers.

Provider networks solve real problems in health care, but they also create financial, access, and continuity risks for everyone involved.

In the complaint, multiple plaintiffs across California detail their own (or their child’s) struggle to find accessible care.

A National Council of Insurance Legislators proposal calls for plans to get dentists' permission before letting outside organizations send them patients.

The Senate Commerce and Consumer Protection Committee recommended Senate File 3705 as amended on March 12, 2026, to restore a temporary 'any willing provider' contracting rule for mental-health clinicians, after testimony from providers and advocacy groups about access problems and questions from members about program integrity.

The Senate Labor and Commerce Committee adopted a committee substitute for Senate Bill 121 to set a floor for out‑of‑network reimbursements (benchmarked to Medicare) and add minimum network‑adequacy standards; supporters said the bill would protect access and strengthen providers’ bargaining positions while staff will provide requested data on premiums and payouts.