The Affordable Care Act requires every health plan to offer benefits free from most annual and all lifetime dollar limits. If you have a self-insured plan, you may feel the direct impact of this a ...

Forty-five percent of the silver-level PPO plans coming to the market for the first time in 2016 provide no annual cap for policyholders' out-of-network costs, an analysis by the Robert Wood Johnson ...

East Texas Medical Center Tyler has filed a lawsuit in excess of $1 million against three of the largest health insurance companies in the state — Blue Cross Blue Shield of Texas, Aetna and Cigna — ...

One of the country's largest health insurers is being accused of having misleading information on doctor and hospital network participation for EPO and PPO plans sold in the state exchange. As a ...

There is no one-size-fits-all solution to health insurance. Employers can offer a variety of healthcare plans to their employees, and two popular options are Preferred Provider Organizations, or PPOs, ...

We examined patient response to a narrowing of a preferred provider organization network that effectively raised the out-of-pocket price for a few physicians. Analysis of a natural experiment ...

Les Masterson is a deputy editor and insurance analyst at Forbes Advisor. He has been a journalist, reporter, editor and content creator for more than 25 years. He has covered insurance for a decade, ...

SOUTHFIELD, Mich.--(BUSINESS WIRE)-- DenteMax, LLC, the nation’s largest seamless dental PPO network, 1 also offers the largest seamless dental-only network modeled after Medicare Medical standards.

Brentwood, Tenn.-based Prime Health Service, a nationwide preferred provider organization, has acquired Denver-based Casualty Management Network, another PPO network. Prime Health Services has more ...

ORANGE, Calif.--(BUSINESS WIRE)--CaliforniaChoice announced today the addition of three new full-network PPO plans from Anthem Blue Cross. These plans offer access to the Anthem Blue Cross Prudent ...