The changing landscape of out-of-network reimbursement

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By David C. Lewis | 19 September 2018
Commercial out-of-network (OON) provider reimbursement is a topic of great debate in healthcare. Changes on both the payer and provider sides have produced a large disparity in the OON payment levels pursued by each. To avoid unfavorable outcomes, it is important to evaluate the methodology used for setting OON reimbursement levels and to identify savings opportunities.