In a major win for healthcare providers, on September 20th a Louisiana state court jury awarded $421 million in favor of an out-of-network provider in its long dispute with Blue Cross Blue Shield of ...

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 ...

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 ...

A network refers to a collection of health care professionals and facilities that contract with a health insurance company to ...

Plus, policymakers call for the release of federal broadband funding, a report examines the "dig once" rule's impact, Internet service providers can join an initiative to help combat sex trafficking, ...

In two separately filed lawsuits in New Jersey over the last two years, insurers have attacked hospitals and physicians for out-of-network claims. In 2009, Horizon Blue Cross Blue Shield of New Jersey ...

The settlement was announced as a rise in litigation is expected against insurers for allegedly publishing directories with medical professionals who are either nonexistent, have incorrect contact ...