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Showing 181-200 of 2,078 results for "out-of-network"

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Readers and Tweeters Diagnose Greed and Chronic Pain Within US Health Care System

January 19, 2023 KFF Health News Original

KHN gives readers a chance to comment on a recent batch of stories.

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Two vials of Fluorouracil. The liquid inside the glass vials are clear.

Overdosing on Chemo: A Common Gene Test Could Save Hundreds of Lives Each Year

By Arthur Allen March 26, 2024 KFF Health News Original

The FDA and some oncologists have resisted efforts to require a quick, cheap gene test that could prevent thousands of deaths from a bad reaction to a common cancer drug.

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A close-up image of a black stethoscope wrapped around a stack of U.S. dollar bills.

Health Care Consolidation and Rising Costs Happen, but Obamacare Is Not the Key Culprit

By Julie Appleby December 11, 2025 KFF Health News Original

The debate over expiring Affordable Care Act tax credits has given Republicans room to resurface old criticisms — such as blaming the ACA for mergers and consolidation within the health care industry.

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A woman wearing a black sweater poses for a portrait among tall trees

Flawed Federal Programs Maroon Rural Americans in Telehealth Blackouts

By Sarah Jane Tribble and Holly K. Hacker Data visualizations by Lydia Zuraw May 14, 2025 KFF Health News Original

Taxpayers — through federal infrastructure programs — have paid billions of dollars to internet companies to hook up rural Americans. Some communities have nothing to show for it, leaving medically vulnerable rural patients disconnected and without access to telehealth.

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A photo of a woman seen from behind working in a medical setting on a laptop.

Whistleblower Accuses Aledade, Largest US Independent Primary Care Network, of Medicare Fraud

By Fred Schulte March 5, 2024 KFF Health News Original

A recently unsealed lawsuit alleges Aledade Inc. developed billing software that boosted revenues by making patients appear sicker than they were.

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A senior man sits in a brown leather chair with a labradoodle dog in his lap. A walker is beside him. He is sitting in his home living room.

Sent Home To Heal, Patients Avoid Wait for Rehab Home Beds

By Felice J. Freyer Updated March 12, 2025 Originally Published March 12, 2025 KFF Health News Original

Many patients ready to leave the hospital end up lingering for days or weeks — occupying beds that others need and driving up costs — because of a lack of open spots at nursing homes and rehabilitation facilities. A few health systems are addressing this problem by moving post-acute rehab into the home.

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A photo of a chalkboard with "open enrollment" written on it surrounded by a stethoscope.

Medicare Enrollees Can Switch Coverage Now. Here’s What’s New and What to Consider.

By Julie Appleby October 16, 2023 KFF Health News Original

Fall is the time when enrollees in the federal program for older people and people with certain disabilities can make changes to their health and drug plans. The decision can be complicated, but here are some key points to keep in mind.

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Biden’s Got a New Set of Orders for Obamacare. Is It His Last?

By Julie Appleby December 1, 2023 KFF Health News Original

The Biden administration has issued its latest official wish list for Obamacare insurance plans, potentially one of the last major Affordable Care Act health policy efforts in the president’s first term. Changes on tap for 2025? For one, the administration wants states that run their own ACA marketplaces to crack down on what’s called “network […]

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A photograph of five hand-squeezable stress balloons in a row. From left to right, they are: white with a large smiley face, yellow with a regular smiley face, orange with an expressionless face, red with a frown, dark red with a very upset frown.

Pain Doesn’t Belong on a Scale of Zero to 10

By Elisabeth Rosenthal July 2, 2024 KFF Health News Original

A popular scale for measuring pain doesn’t work, but medicine still has no better alternative.

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A photo of three medical workers in surgical garb treating a patient in front of an MRI machine.

Patient Numbers at NIH Hospital Have Plummeted Under Trump, Jeopardizing Care

By Rachana Pradhan August 7, 2025 KFF Health News Original

The renowned research hospital that cares for people with rare or life-threatening diseases has been pummeled by an employee exodus and the gutting of research, both driven by the Trump administration.

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A photo of two women in cold weather wear. The woman on the left has a laptop and keyboard in front of her. The woman on the right is speaking to her. Paperwork and pamphlets are on the table in front of them.

Medicaid Health Plans Step Up Outreach Efforts Ahead of GOP Changes

By Claudia Boyd-Barrett December 22, 2025 KFF Health News Original

Even as President Donald Trump and GOP lawmakers say the One Big Beautiful Bill Act targets waste, fraud, and abuse, Medicaid health plans are hosting events across the U.S. to prevent low-income families from losing health insurance and food benefits next year.

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A photo of protesters holding signs outside that read, "Stop the billionaire takeover," "Stop Elon now. Nobody elected Elon," "Workers over billionaires," and "We are one. Respect our rights."

Current, Former CDC Staff Warn Against Slashing Support to Local Public Health Departments

By Jess Mador, WABE March 24, 2025 KFF Health News Original

Public health and science researchers are concerned about the Trump administration’s cuts to the Centers for Disease Control and Prevention. Reductions in staff and budgets could undermine the nation’s ability to respond to threats, they say.

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A photo of a female doctor wearing a white coat standing beside a sign that says: "Healthy Rural California, Inc. / Family medicine residency program / committed to training residents to be excellent clinicians."

Health Care Cuts Threaten Homegrown Solutions to Rural Doctor Shortages

By Bernard J. Wolfson September 18, 2025 KFF Health News Original

In a rural, largely Republican region of California, homegrown efforts to bolster the medical workforce face an uphill battle, in part because of federal health care cuts approved by the GOP Congress and signed by President Donald Trump in July, as well as a state budget deficit.

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Thune Says Health Care Often ‘Comes With a Job.’ The Reality’s Not Simple or Straightforward.

By Arielle Zionts June 27, 2025 KFF Health News Original

Sixty percent of Americans have health insurance through their own workplace or someone else’s job. But not all employers provide health insurance or offer plans to all their workers. When they do, cost and quality vary widely, making Thune’s statement an oversimplification.

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A woman embraces a young boy, feeding him a liquid from a small cup

States Are Cutting Medicaid Provider Payments Long Before Trump Cuts Hit

By Bram Sable-Smith and Sarah Jane Tribble September 22, 2025 KFF Health News Original

North Carolina and Idaho are cutting their Medicaid programs to bridge budget gaps, raising fears that providers will stop taking patients and that hospitals will close even before the brunt of a new federal tax-and-budget law takes effect.

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U.S. President Joe Biden is standing at a presidential podium in front of a seated audience in the White House.

Biden Wants States to Ensure Obamacare Plans Cover Enough Doctors and Hospitals

By Julie Appleby December 6, 2023 KFF Health News Original

The regulatory proposal was announced Nov. 15 and is likely one of the last major ACA policy efforts of the president’s first term.

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A photo of a laptop screen showing UnitedHealth Group's logo.

Biden Team, UnitedHealth Struggle to Restore Paralyzed Billing Systems After Cyberattack

By Darius Tahir and Bernard J. Wolfson and Daniel Chang March 8, 2024 KFF Health News Original

The cyberattack on a unit of UnitedHealth Group’s Optum division is the worst on the health care industry in U.S. history, hospitals say. Providers struggling to get paid for care say the response by the insurer and the Biden administration has been inadequate.

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Millions of Dollars Flow From Pharma to Patient Advocacy Groups

By Rachana Pradhan December 15, 2023 KFF Health News Original

Pharma money is all over the place — in universities, companies doing continuing medical education for doctors and in prominent patient advocacy organizations that are household names across America. Public Citizen, a consumer advocacy nonprofit, reports today that between 2010 and 2022, the drug industry’s main lobbying group and member companies provided at least $6 […]

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Congressman Off-Base in Ad Claiming Fauci Shipped Covid to Montana Before the Pandemic

By Katheryn Houghton February 5, 2024 KFF Health News Original

Facts don’t support claims by a likely Republican Senate candidate that a federal research laboratory in Montana infected bats with a coronavirus from China before the covid-19 outbreak.

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A woman in a blue tshirt with dark hair and red lipstick smiles at the camera. She is seated in front of a blue door

The Price You Pay for an Obamacare Plan Could Surge Next Year

By Daniel Chang June 17, 2025 KFF Health News Original

An estimated 4 million Americans will lose health insurance over the next decade if Congress doesn’t extend enhanced subsidies for Affordable Care Act marketplace coverage, which expire at the end of the year. Florida and Texas would see the biggest losses, in part because they have not expanded Medicaid eligibility.

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