Medicare Advantage (MA) plans often establish restrictive networks of covered providers. Some policy makers have raised concerns that networks may have become excessively restrictive over time, ...

Hospitals and health systems continue to grow closer to the physician groups and networks in their market. Irrespective of system size and revenue, breadth of physician network and local market ...

Health plans use selective physician networks to control costs while improving quality. However, narrow (limited) networks raise concerns about reduced access to and continuity of care. In the period ...

Some providers aren't properly referring patients, which could lead to inappropriate and out-of-network care, according to a new survey by Kyruus. The online survey of 200 primary care and specialty ...

An alleged kickback scheme that a California health system settled for $31.5 million involved steering physicians to use its Epic EHR. Here are nine things to know: 1. Fresno, Calif.-based Community ...

Possibly the most efficient and cost-effective marketing and business development strategies rolled into one, referrals from other doctors or health-related professionals can become the solid backbone ...

Dallas-based Tenet Healthcare, parent company of ASC chain United Surgical Partner International, will launch Commure’s ambient AI platform across its physician network. Tenet Physician Resources will ...

Network analyses of patients with diabetes in Hawaii illustrate structures and links that health plans could leverage to strengthen quality improvement and disease management programs. Objectives: To ...

The dispute between Indianapolis-based Elevance and provider groups centers on the federal No Surprises Act, enacted in 2022, ...

LAS VEGAS -- The Henry Ford Physician Network put more than 30 percent of its revenue at risk to take part in the Next Generation ACO and made the numbers work. The $8 billion system beat its target ...

SACRAMENTO, Calif., Sept. 8 /PRNewswire/ -- Brown & Toland Physicians, one of the largest physician organizations in San Francisco, is joining the Sutter Medical Network (SMN) of Northern California ...