California law mandates that health plans maintain a Provider Dispute Resolution process to ensure timely and accurate ...

"This settlement ensures accountability and puts protections in place to stop Health Net’s misleading practices and give patients access to the care they expect from their health insurance," San Diego ...

During a declared State of Emergency, impacted members have two options to secure an emergency supply of their medications: Members can fill their prescription at the original pharmacy if it is open.

As the Tricare West Region contract transitions to TriWest, the previous contractor says it is receiving a 'deluge of misdirected calls' from TriWest beneficiaries. (Defense Health Agency) As the ...

North Country HealthCare is the “only game in town” for care delivery in some of the regions it serves, said Dr. Jennifer Cortes, quality and population health medical officer at the federally ...

DENVER — Colorado mental health providers participating in the state's Essential Safety Net Provider program just got notice of significant reimbursement cuts. The cuts affect providers who became ...