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No Surprises Act Notice and Disclosures

Rights and Protections Against Surprise Medical Bills for Emergency Services and Certain Services from Out-of-Network Providers at an In-Network Hospital or Ambulatory Surgical Center Plan participants are protected from surprise billing, also called balance billing,...

Qualified Payment Amount

Rights and Protections Against Surprise Medical Bills for Emergency Services and Certain Services from Out-of-Network Providers at an In-Network Hospital or Ambulatory Surgical Center Plan participants are protected from surprise billing, also called balance billing,...

What Do Employees Think of Direct-to-Provider Healthcare?

Direct-to-provider healthcare is rapidly growing among employers seeking to lower their healthcare costs. But what do employees think of the idea? It turns out they like it quite a lot, especially when it comes to primary care. A nationwide 2021 survey conducted by...

The Northwell Direct / Brighton Health Plan Solutions Story

When Northwell Health, the second-largest employer in New York and the state’s largest health system, decided the rising cost of traditional health insurance was unsustainable, they decided the future lay with a direct-to-provider solution. By eliminating traditional...

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