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Latest KFF Health News Stories

So Your Insurance Dropped Your Doctor. Now What?

KFF Health News Original

Patients sometimes find themselves scrambling for affordable care when a contract dispute causes a hospital — and most of the doctors and other clinicians who work there — to be dropped from an insurance network. Here are six things to know if that happens to you.

Private Medicare, Medicaid Plans Exaggerate In-Network Mental Health Options, Watchdogs Say

KFF Health News Original

A federal probe of Medicare and Medicaid plans run by private insurance companies found that the plan operators often overstated how many mental health providers were available in their networks. In some cases, investigators found providers had never had contracts with plans they were listed on.

Surprise Medical Bills Were Supposed To Be a Thing of the Past. Surprise — They’re Not.

KFF Health News Original

The No Surprises Act, which was signed in 2020 and took effect in 2022, was heralded as a landmark piece of legislation that would protect people who had health insurance from receiving surprise medical bills. And yet bills that take patients by surprise keep coming.

An Arm and a Leg: Meet the Middleman’s Middleman

Podcast

Why are patients facing bigger bills than they expect for out-of-network care? In this episode of “An Arm and a Leg,” the show explains the hidden mechanics of MultiPlan, a data firm that helps health insurers set these rates and make bigger returns.

Congressional Doctors Lead Bipartisan Revolt Over Policy on Surprise Medical Bills

KFF Health News Original

Congress last year shielded consumers from unexpected out-of-network charges, but hospitals and doctors have decried the arbitration plan put forward by the Biden administration for negotiating these bills as favoring insurers. More than 150 members of the House agree.

Last Thing Patients Need During Pandemic: Being Last to Know a Doctor Left Network

KFF Health News Original

Health plan network changes occur all the time as doctors retire, relocate or leave networks. Unfortunately, patients may be the last to find out about such changes because there are often few requirements that either providers or insurers inform them.

Needy Patients ‘Caught In The Middle’ As Insurance Titan Drops Doctors

KFF Health News Original

UnitedHealthcare is dropping hundreds of physicians from its New Jersey Medicaid network, separating patients from longtime doctors. Physicians charge the insurer is using its market power to shift business to practices it controls.

It’s Not Just You: Picking Health Insurance Is Hard. Here’s How To Be Smart About It.

KFF Health News Original

It’s open enrollment season for health insurance. And choosing the best plan is tricky whether you have to buy insurance on your own or just figure out which plan to sign up for at work. Here’s what you need to know.

1 In 6 Insured Hospital Patients Get A Surprise Bill For Out-Of-Network Care

KFF Health News Original

On average, 16% of inpatient stays and 18% of emergency visits left a patient with at least one out-of-network charge, most of those came from doctors offering treatment at the hospital, according to a study by the Kaiser Family Foundation.