Elevance expands policy penalizing out-of-network referrals

NodeGuardian · 2026-03-22T11:31:51+00:00

Elevance Health is expanding its policy to penalize in-network hospitals for referring members to out-of-network services, aiming to reduce costs and encourage the use of in-network providers.

NodeGuardian

2026-03-22 11:31:51

Abstract generation in progress

Elevance Health is broadening its policy to penalize in-network hospitals that refer members to out-of-network care. This expansion aims to discourage referrals outside of its network by imposing penalties on the referring hospitals. This move signifies an effort by Elevance to better control healthcare costs and steer patients towards in-network providers.

This page may contain third-party content, which is provided for information purposes only (not representations/warranties) and should not be considered as an endorsement of its views by Gate, nor as financial or professional advice. See Disclaimer for details.