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Texas fines Humana $700K for network inadequacy, underscoring complexities of surprise billing

October 15, 2018 / Evan Sweeney

Texas regulators fined Humana $700,000 for network adequacy deficiencies, an unusual step that could signal state regulators are more willing to wade into concerns about surprise billing. The fine came months after the Texas Department of Insurance (TDI) learned that Humana canceled network contracts with anesthesiologists in three of the most-populated counties in Texas. That dispute meant customers couldn’t get anesthesiology services at 20 hospitals and surgical centers in the state's three largest metro areas, according to TDI’s announcement. Beyond just focusing on narrow networks, Insurance Commissioner Kent Sullivan pointed specifically to concerns about surprise billing.