Health Insurance Providers’ Actions Concerning Mental Health

A Managed Care Resource

A Managed Care Resource The Managed Care Legal Database is a resource identifying how state and federal statutes and regulations address many issues that may occur between private payers and…

NEW RULES:Bans on balance billing and out-of-network cost-sharing

Effective Jan. 1, 2022, Health Plan commercial members will be protected from balance billing after receiving emergency care and nonemergency care from certain out-of-network providers at in-network facilities. The No Surprises Act, which is included within the Consolidated Appropriations Act of 2021 (the CAA), provides the following:

Payer Notice regarding the implementation of Senate Bill 855, Mental Health and Substance Use Disorder Coverage

Carenodes Health Enterprise
Office of the Executive

Dear Health Plan Representative,

Please see attached Notice regarding the implementation of Senate Bill 855, Mental Health and Substance Use Disorder Coverage.

Learn to speak the Managed Care Language (101)

Healthcare flow of funds explained. Managed Care 101 for healthcare entrepreneurs seeking to do business in the California market. Session led by Alex Yarijanian, CEO Carenodes. The aim: providing healthcare entrepreneurs with a framework within which they will find their place in the business value chain.

Expert Seminar on Parity Laws and Reimbursement

Learn to speak the Managed Care Language (101)

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