By B. Scott McBride, Darby C. Allen and John W. Petrelli on Posted in Uncategorized
Aetna Life Insurance Company (Aetna) is going on the offensive against a Northwest Houston hospital with an out-of-network strategy. On February 23, 2015, Aetna filed suit in Texas federal court against Robert A. Behar, M.D. and North Cypress Medical Center (North Cypress), alleging that Dr. Behar, the CEO of North Cypress, offered impermissible ownership stakes … Continue Reading
By Susan Feigin Harris and Summer D. Swallow on Posted in Uncategorized
While not a new concept, the use of narrow networks has become a lightning rod for the controversy surrounding qualified health plans (QHPs) offered on the insurance exchanges created under the Affordable Care Act (ACA) and the consumer satisfaction with access to physicians and care they expect they are purchasing. Narrowly tailored network designs, including … Continue Reading
