provider directories

Latest Headlines

Latest Headlines

What to expect from the Medicaid managed care proposal

The federal government will soon propose new regulations to  Medicaid managed care rules for the first time since 2002. The Centers for Medicare & Medicaid Services--which has been working on updating the regulations for more than a year--plans to address beneficiary information, provider network requirements and how plans spend money they receive from the program.

White House to address exchange plan provider directories, surprise medical bills

The Obama administration intends to fix two of consumers' biggest complaints about the Affordable Care Act: Inaccurate provider directories and surprise bills for costs not covered by insurance.

States played key role in enforcing network standards in 2014

While the Affordable Care Act established network requirements for plans in the commercial marketplaces, states played a role in both setting and enforcing such standards in 2014,  according to the Commonwealth Fund.  

CMS tightens provider directory rules for 2016

Starting next year, health insurers must provide up-to-date doctor lists for their  Medicare Advantage and Healthcare.gov policies, according to the Centers for Medicare & Medicaid Services.

Attorney General: Fined insurers must update provider directories

Eight New York insurers have agreed to pay a $60,000 collective fine and will ensure their provider directories are accurate under a settlement agreement with the state attorney's general office.