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Showing 261-280 of 2,078 results for "out-of-network"

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A cropped shot of a man typing on the keyboard of a laptop at home.

Anti-Fraud Efforts Meet Real-World Test During ACA Enrollment Period

By Julie Appleby November 25, 2024 KFF Health News Original

The federal government put guardrails in place to limit unauthorized plan sign-ups and switches. But the changes could prove to be a burden to consumers.

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A young female doctor sits at a desk in an upscale office. A male patient sits across from her. There are plants and modern furniture in the background.

The Concierge Catch: Better Access for a Few Patients Disrupts Care for Many

By John Rossheim July 1, 2024 KFF Health News Original

Increasingly, Americans pay for the privilege of seeing a doctor. Research shows concierge medicine can further hamper access to care for those who can’t afford the upgrade.

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A photograph of a laptop. On the screen is the homepage for healthcare.gov.

After Public Push, CMS Curbs Health Insurance Agents’ Access to Consumer SSNs

By Julie Appleby April 9, 2024 KFF Health News Original

Days after publication of a KFF Health News article about Obamacare enrollees being switched to different plans without their knowledge or consent, the Centers for Medicare & Medicaid Services took steps to tighten insurance agents’ access to private consumer information on the federal marketplace.

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An illustration in watercolor of a syringe and vaccine vial against a soft background of dotted light.

Trump Team’s $500 Million Bet on Old Vaccine Technology Puzzles Scientists

By Arthur Allen May 5, 2025 KFF Health News Original

Secretary Robert F. Kennedy Jr.’s HHS said an enormous, noncompetitive flu vaccine development grant to two favored NIH leaders would ensure “transparency, effectiveness, and comprehensive preparedness.” But their vaccine is in early stages, relies on old technology, and is just one of scores of similar efforts.

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California governor Gavin Newsom stands behind a blue and white sign that reads "$30 insulin by CalRx"

Health Care Is Newsom’s Biggest Unfinished Project. Trump Complicates That Task.

By Angela Hart and Christine Mai-Duc January 7, 2025 KFF Health News Original

As Gov. Gavin Newsom enters the second half of his final term, health care stands out as his most ambitious but glaringly incomplete initiative for California residents. The issue will likely shape his national profile for better or worse. And now, Donald Trump brings a new wrinkle.

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Someone's hand holds out the two vials of the Evusheld covid therapy and their packaging.

It Was Already Hard to Find Evusheld, a Covid Prevention Therapy. Now It’s Even Harder.

By Hannah Recht March 17, 2022 KFF Health News Original

At least 7 million immunocompromised people could benefit from the monoclonal antibody injections designed to prevent covid-19. The government says it has enough doses for a fraction of those in need ― and it doesn’t have the money to buy more.

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A portrait of a woman wearing a black scarf around her head, holding a vase of pink flowers.

Small-Town Patients Face Big Hurdles as Rural Hospitals Cut Cancer Care

By Charlotte Huff August 7, 2024 KFF Health News Original

For rural patients, getting cancer treatment close to home has always been difficult. And now chemotherapy deserts are expanding across the United States as hospitals winnow services to save money, creating financial and logistical hurdles for people seeking lifesaving care.

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A photo of Robert F. Kennedy Jr. speaking in front of a building. Two microphones are seen next to him.

Chronically Ill? In Kennedy’s View, It Might Be Your Own Fault

By Stephanie Armour July 31, 2025 KFF Health News Original

In their zeal to “Make America Healthy Again,” top Trump administration officials depict patients and the doctors who treat them as partly responsible for whatever ails them.

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Health Systems Shifting To Outpatient Care As They Adapt To Changing Needs

December 3, 2024 Morning Briefing

Organizations are eyeing expansion of out-of-hospital care and are downsizing their acute care network as patients get comfortable with in-and-out procedures and home recovery.

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A photo of a nurse practitioner examining an older woman patient in her home.

Nurse Practitioners Critical in Treating Older Adults as Ranks of Geriatricians Shrink

By Jariel Arvin June 18, 2025 KFF Health News Original

The number of nurse practitioners specializing in geriatrics has more than tripled since 2010.

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A photo of a doctor holding up a dry powder inhaler to show his patient sitting next to him.

Could Better Inhalers Help Patients, and the Planet?

By Martha Bebinger, WBUR May 6, 2024 KFF Health News Original

Puff inhalers can be lifesavers for people with asthma and other respiratory diseases, but some types release potent greenhouse gases that contribute to climate change. That, in turn, worsens wildfires, contributes to air pollution, and intensifies allergy seasons — which can increase the need for inhalers. Some doctors are helping patients switch to more eco-sensitive inhalers.

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What the Health? From KFF Health News: HHS Gets Funding, But How Will Trump Spend It?

February 5, 2026 Podcast

Congress has passed — and President Trump has signed — the annual spending bill for the Department of Health and Human Services. But it’s unclear whether the administration will spend the money as Congress directed. Anna Edney of Bloomberg News, Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico Magazine, and Sandhya Raman of CQ Roll Call join KFF Health News’ Julie Rovner to discuss that story and more. Also this week, Rovner interviews KFF Health News’ Renuka Rayasam about a new reporting project, “Priced Out.”

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A senior woman wearing a red turtleneck and black cardigan sits on the side of her bed for a portrait. The woven blanket on her bed is made of orange, yellow, and red yarn, which matches the painting of oranges that hangs above her bed.

A Centenarian Thrives Living Alone, Active and Engaged

By Judith Graham December 10, 2024 KFF Health News Original

Many older adults living alone, isolated and vulnerable, struggle with health issues. But a noteworthy slice of this growing group of seniors maintain a high degree of well-being. Meet Hilda Jaffe, age 102.

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Jacob Gooch Sr. is standing on crutches in a room in his home. The room is dark, but he stands in a beam of light coming in through a window.

Super Bowl Parade Shooting Survivors Await Promised Donations While Bills Pile Up

By Peggy Lowe, KCUR and Bram Sable-Smith June 21, 2024 KFF Health News Original

Families of the people hurt during the Feb. 14 mass shooting are carrying what one expert calls “victimization debt.” In the third story of our series “The Injured,” we learn about the strain of paying small and large medical bills and other out-of-pocket costs.

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A photo of a call center employee's headset resting on a desk.

Call Centers Replaced Many Doctors’ Receptionists. Now, AI Is Coming for Call Centers.

By Darius Tahir May 22, 2025 KFF Health News Original

Artificial intelligence products with lifelike voices are being marketed to schedule or cancel medical visits, refill prescriptions, and help triage patients. Soon, many patients might initiate contact with the health system by speaking not with a human but with AI.

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A woman wearing blue nitrile gloves helps a man who is sitting in a recliner next to her wearing a ventilator

They Need a Ventilator To Stay Alive. Getting One Can Be a Nightmare.

By Jordan Rau December 2, 2025 KFF Health News Original

Few nursing homes are set up to care for people needing help breathing with a ventilator because of ALS or other infirmities. Insurers often resist paying for ventilators at home, and innovative programs are now endangered by Medicaid cuts.

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Final Rule Issued On How Surprise Bill Disputes Should Be Settled

August 22, 2022 Morning Briefing

The Biden administration regulation continues to largely rely on median in-network rates in such dispute settlements, which providers have objected to. But one modification from an earlier plan says other information can shape arbiters’ determinations of an out-of-network rate.

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A photo of Rob Bonta speaking outside in front of a microphone.

Catholic Hospital Offered Bucket, Towels to Woman It Denied an Abortion, California AG Said

By Molly Castle Work October 7, 2024 KFF Health News Original

In California, where abortion rights are guaranteed, there’s a loophole. The growth of Catholic hospital systems, which restrict reproductive health care, has left patients with no other option for care. That will be the case for pregnant women in Northern California, with a hospital set to close its birth center.

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A photo of lawyer Aaron Siri gesturing while speaking at a lectern in a hearing room.

RFK Jr.’s Purge of FOIA Staff at FDA Spares People Working on Covid Vaccine Lawsuits

By Rachana Pradhan April 10, 2025 KFF Health News Original

A purge of FDA staff spared some people tasked with responding to a judge’s orders to disclose government records on covid vaccines, according to agency employees. The FOIA litigation was brought by Aaron Siri, an ally of Health and Human Services Secretary Robert F. Kennedy Jr.’s who represents anti-vaccine interests.

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An digital illustration of a teen girl surrounded by a circle of giant cell phones, creating a vortex around her. On the screens of the phones closest to her are images of her friends. The screens further back have gone black.

Social Media Bans Could Deny Teenagers Mental Health Help

By Daniel Chang Illustration by Oona Zenda August 7, 2024 KFF Health News Original

Congress and state legislatures are considering age bans and other limits for Instagram and TikTok out of concern that they harm kids’ mental health. But some researchers and pediatricians question whether there’s enough data to support that conclusion.

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