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Showing 321-340 of 2,032 results for "out-of-network"

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A young Black medical student assists a young Black woman in practicing intubation on a dummy during a medical simulation

Mississippi Lacks Black Doctors, Even as Lawmakers Increasingly Target Diversity Programs

By Lauren Sausser July 2, 2024 KFF Health News Original

Administrators at the University of Mississippi School of Medicine are trying to recruit more Black students — and more Hispanic and Choctaw Nation students, for that matter. But they face several obstacles, including a recent swell of Republican opposition to diversity, equity, and inclusion efforts.

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A photo of protesters with signs gathering outside of a hospital.

These Appalachia Hospitals Made Big Promises to Gain a Monopoly. They’re Failing to Deliver.

By Brett Kelman and Samantha Liss September 29, 2023 KFF Health News Original

Ballad Health, the only hospital system across a large swath of Tennessee and Virginia, has fallen short of quality-of-care and charity care obligations — even as it’s sued thousands of patients for unpaid bills.

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A photo of a pharmacist organizing boxes of pills in an opened drawer.

Biden Administration’s Limit on Drug Industry Middlemen Backfires, Pharmacists Say

By Arthur Allen November 15, 2023 KFF Health News Original

A rule taking effect Jan. 1 was intended to stop one set of abuses by pharmacy benefit managers, or PBMs, but some pharmacists say it’s enabling these price brokers to simply do new things unfairly.

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A photo of a medical assistant wearing a face mask holding a door open while she waits outside.

Why Is Finding Covid Shots for Young Children Still So Hard?

By Jackie Fortiér, LAist October 20, 2023 KFF Health News Original

In Los Angeles and elsewhere, some parents are having trouble finding the new pediatric covid shot, especially for young children. Not all pediatricians or pharmacies have it and can administer it, even if vaccines.gov says they can.

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Hospital Prices Must Now Be Transparent. For Many Consumers, They’re Still Anyone’s Guess.

By Julie Appleby July 2, 2021 KFF Health News Original

A Trump administration rule mandating that hospitals disclose true prices on their websites took effect this year. But compliance is spotty and even when the data is public, it’s hard to find and understand.

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The Colonoscopies Were Free. But the ‘Surgical Trays’ Came With $600 Price Tags.

By Samantha Liss January 25, 2024 KFF Health News Original

Health providers may bill however they choose — including in ways that could leave patients with unexpected bills for “free” care. Routine preventive care saddled an Illinois couple with his-and-her bills for “surgical trays.”

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Medicaid ‘Unwinding’ Makes Other Public Assistance Harder to Get

By Katheryn Houghton and Rachana Pradhan and Samantha Liss November 29, 2023 KFF Health News Original

The bottleneck caused by states’ reevaluation of Medicaid enrollees has swept up low-income families that rely on other safety-net services.

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Ron Winters and his wife, Teresa, stand outside their home. Ron leans up against a brick wall, while his wife leans against him and places her hand on his stomach. They both look towards the camera.

Cancer Patients Face Frightening Delays in Treatment Approvals

By Lauren Sausser December 22, 2023 KFF Health News Original

Delaying cancer treatment can be deadly — which makes the roadblock-riddled process that health insurers use to approve or deny care particularly daunting for oncology patients.

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Analysis: Don’t Want a Vaccine? Be Prepared to Pay More for Insurance.

By Elisabeth Rosenthal and Glenn Kramon August 4, 2021 KFF Health News Original

Health insurers could do more to encourage vaccination, including letting the unvaccinated foot their bills.

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A man in a white tshirt stands in front of a window looking outwards

A Surgical Team Was About To Harvest This Man’s Organs — Until His Doctor Intervened

By Cara Anthony September 12, 2025 KFF Health News Original

A 22-year-old was shot in the head in St. Louis. As a surgical team prepared him for organ harvesting, his neurosurgeon raced to the operating room to stop it, saying that his patient had a chance at life. Today, the man is alive, sharing his story.

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An Arm and a Leg: Don’t Get ‘Bullied’ Into Paying What You Don’t Owe

By Dan Weissmann August 27, 2024 Podcast

In this episode of “An Arm and a Leg,” host Dan Weissmann speaks with Caitlyn Mai, a woman in Oklahoma who received a six-figure bill for a surgery her insurance promised to cover. This episode is an extended version of the “Bill of the Month” series, produced in partnership with NPR.

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KFF Health News' 'What the Health?': The Crisis Is Officially Ending, but Covid Confusion Lives On

May 11, 2023 Podcast

The public health emergency declaration for covid-19 ends May 11, ushering in major changes in how Americans can access and pay for the vaccines, treatments, and tests particular to the culprit coronavirus. But not everyone will experience the same changes, creating a confusing patchwork of coverage — not unlike health coverage for other diseases. Meanwhile, outside advisers to the FDA formally recommended allowing a birth control pill to be sold without a prescription. If the FDA follows the recommendation, it would represent the first over-the-counter form of hormonal contraception. Margot Sanger-Katz of The New York Times, Tami Luhby of CNN, and Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico join KFF Health News’ Julie Rovner to discuss these issues and more. Plus for “extra credit” the panelists suggest health policy stories they read this week they think you should read, too.

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Donated prescription drugs are stacked on shelves. On the top shelf, a sign reads, "DONATED MEDICATIONS / INJECTABLES" On the shelf below, a second sign says, "DONATED MEDICATIONS / INHALERS / NASAL SPRAYS"

These Programs Put Unused Prescription Drugs in the Hands of Patients in Need

By Kate Ruder December 6, 2023 KFF Health News Original

States and counties look to expand programs that accept donations of unused surplus drugs from places like nursing homes and hospitals and redistribute them to low-income and uninsured residents.

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High Court Allows Insurers To Limit Dialysis, Forcing Patients To Medicare

June 22, 2022 Morning Briefing

In a 7-2 decision, the justices said an employer-provided health plan could make all dialysis providers out of network, which reduces reimbursements from the plan. That can have the effect of forcing patients into Medicare, which covers serious kidney disease. The court also refused to take up an appeal by the maker of Roundup, which is facing massive liability claims from people asserting that the weed killer causes cancer.

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A photo of a mother, father, and two children standing by a window.

She Received Chemo in Two States. Why Did It Cost So Much More in Alaska?

By Arielle Zionts September 29, 2023 KFF Health News Original

A breast cancer patient who received similar treatments in two states saw significant differences in cost, illuminating how care in remote areas can come with a stiffer price tag.

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A photo shows a female and male nurse working at computers inside a hospital.

Squeezed by Temp Nurse Costs, Hospital Systems Create Their Own Staffing Agencies

By Andy Miller December 15, 2022 KFF Health News Original

Hospitals have depended on travel nurses to fill shifts, especially during covid surges. Now some larger systems, reeling from high contract labor costs, have created staffing units, aiming to lure nurses who want more work flexibility and better pay than staff RNs get.

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A photo of a woman preparing paperwork at her desk.

A Smart Move on Tax Day: Get Health Insurance Information Using Your State’s Tax Forms

By Sarah Boden, WESA April 14, 2023 KFF Health News Original

A growing number of states — including Maryland, Colorado, and Massachusetts — are using tax forms to point people toward lower-cost health coverage available through state insurance marketplaces.

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An Arm and a Leg: A Mathematical Solution for US Hospitals?

By Dan Weissmann June 4, 2025 Podcast

An immigrant mathematician is on a mission to save U.S. hospitals billions of dollars and improve the lives of doctors, nurses, and patients. At one hospital, it’s working.

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A photo of a nurse standing outside for a portrait in red scrubs.

Experts: US Hospitals Prone to Cyberattacks Like One That Hurt Patient Care at Ascension

By Rachana Pradhan and Kate Wells, Michigan Public June 20, 2024 KFF Health News Original

Clinicians working for Ascension hospitals in multiple states described harrowing lapses, including delayed or lost lab results, medication errors, and an absence of routine safety checks to prevent potentially fatal mistakes.

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An Arm and a Leg: A $229,000 Medical Bill Goes to Court

By Dan Weissmann April 20, 2023 Podcast

Lisa French was told her surgery would cost $1,337. But the hospital sent her a bill for $229,000, then sued her. The case went all the way to the Colorado Supreme Court. The court’s ruling could have major implications for determining a “reasonable price” in health care.

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