Local governments often face extra fees when employees get out-of-network medical care, but some don’t track the insurance charges or even know about them. Health Insurance and Managed Care, Prices (Fares, Fees and Rates), Local Government, Government Contracts and Procurement, MultiPlan Inc, UnitedHealth Group Inc, Regulation and Deregulation of Industry Local governments often face extra fees when employees get out-of-network medical care, but some don’t track the insurance charges or even know about them. NYT > Business