#ProviderNetworks
When patients choose an insurer — or even a new plan with the same insurer — they may lose access to medications or doctors that they have had for years. #ProviderNetworks
Switching to a cheaper health plan delayed a man's access to vital medicine: "He didn't deserve to die like that"
A Florida man thought he had carefully planned for a seamless switch between health plans. It was anything but.
buff.ly
July 6, 2026 at 7:00 PM
BLOG POST: Provider networks solve real problems in health care, but they also create financial, access, and continuity risks for everyone involved. buff.ly/y9iUAd4 #healthcoverage #managedcare #providernetworks
Provider Networks: Everyone Suffers – Making it Make Sense
Provider networks solve real problems in health care, but they also create financial, access, and continuity risks for everyone involved.
buff.ly
January 21, 2026 at 3:30 PM
Blog Post: 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. buff.ly/HAR20Sj #healthcoverage #managedcare #providernetworks
Provider Networks: Challenges and Opportunities – Making it Make Sense
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.
buff.ly
February 4, 2026 at 6:30 PM
More large employers are looking beyond traditional health-plan networks and contracting directly with hospitals and healthcare providers. #DirectContracting #ProviderNetworks buff.ly/co0yG3o
To cut healthcare costs, employers are doing their own negotiating  | Employee Benefit News
As healthcare costs climb, more large employers are contracting directly with hospitals and health systems to work out prices, improve quality and steer care.
buff.ly
September 16, 2026 at 8:30 PM
This case goes after the plumbing of out-of-network pricing. The complaint also argues that Lifepoint's in-network deals don't force these out-of-network disputes into arbitration. #Precedent #WorthWatching #ProviderNetworks #Litigation #AntiTrust
Hospital giant Lifepoint sues MultiPlan, Aetna, Cigna over alleged pricing cartel
A grand jury is already circling the pricing tool at the center of this antitrust fight
buff.ly
June 5, 2026 at 7:00 PM
The proposal could have a direct effect on the #ACA #FullyInsured small-group #HealthInsurance market, and it could have an indirect effect on all employer plans. #RBP #ProviderNetworks
Some 2027 ACA exchange plans could ditch provider networks
A non-network plan proposal could help companies like Sidecar and Imagine360 compete with the HMOs and the PPOs.
buff.ly
March 30, 2026 at 4:00 PM
The policy is similar to one #Anthem began applying Jan. 1 in Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri, Nevada, New Hampshire, Ohio and Wisconsin. #California #ProviderNetworks #Elevance
Anthem to penalize California hospitals for out-of-network doctors
The Elevance subsidary began dinging in-network hospitals over bills for out-of-network doctors in January.
buff.ly
March 6, 2026 at 5:00 PM
Blog Post: In a true emergency, federal law requires hospitals to treat first — and insurance to follow accordingly. buff.ly/dbcvYeZ #healthcoverage #providernetworks
Benefit MIMS – Employee Benefits Explained
In a true emergency, federal law requires hospitals to treat first — and insurance to follow accordingly.
buff.ly
February 25, 2026 at 5:04 PM
This is the fifth #GhostNetwork lawsuit filed by Pollock Cohen and Walden Macht, dating back to 2024, and it arrives on the heels of other ghost network cases. #ProviderNetworks #litigation #ClassAction
Blue Shield of California, Magellan Health sued over alleged ‘ghost networks’
In the complaint, multiple plaintiffs across California detail their own (or their child’s) struggle to find accessible care.
buff.ly
December 1, 2025 at 5:01 PM
A #NetworkLeasing provision in the 2020 model lets #dentists opt out of these arrangements. A readoption draft now under review could replace the network leasing opt-out provision with an opt-in provision. #ProviderNetworks
Delta Dental, other insurer groups defend provider network leasing rules
A National Council of Insurance Legislators proposal calls for plans to get dentists' permission before letting outside organizations send them patients.
buff.ly
July 22, 2025 at 11:30 PM
Minnesota's Senate is taking a bold step to tackle the mental health provider shortage by pushing to reinstate a crucial contracting rule that could expand access to care for countless residents.

Learn more here!

#MN #ProviderNetworks #HealthcareAccess #CitizenPortal #MinnesotaMentalHealth
Senate commerce panel backs restoring 'any willing provider' contracting for mental health
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.
citizenportal.ai
March 13, 2026 at 2:29 AM
Alaska's Senate has taken a bold step towards protecting healthcare access with a new bill that sets a minimum reimbursement benchmark for out-of-network clinicians—could this be the game-changer Alaskans have been waiting for?

Learn more here

#AK #CitizenPortal #ProviderNetworks
Senate committee adopts working substitute for SB 121 to set out‑of‑network floor and add network adequacy
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.
citizenportal.ai
February 3, 2026 at 2:21 AM