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Showing 321-340 of 2,069 results for "out-of-network"

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What the Health? From KFF Health News: The ‘Unwinding’ of Medicaid

April 6, 2023 Podcast

As of April 1, states were allowed to begin reevaluating Medicaid eligibility for millions of Americans who qualified for the program during the covid-19 pandemic but may no longer meet the income or other requirements. As many as 15 million people could lose health coverage as a result. Meanwhile, the Medicare Hospital Insurance Trust Fund is projected to stay solvent until 2031, its trustees reported, taking some pressure off of lawmakers to finally fix that program’s underlying financial weaknesses. Alice Miranda Ollstein of Politico, Rachel Roubein of The Washington Post, and Amy Goldstein of The Washington Post join KHN’s Julie Rovner to discuss these issues and more. Also this week, Rovner interviews Daniel Chang, who reported the latest KHN-NPR “Bill of the Month” feature about a child not yet old enough for kindergarten whose medical bill landed him in collections.

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A medicare card is layered over a U.S. $100-dollar-bill.

Dodging the Medicare Enrollment Deadline Can Be Costly

By Susan Jaffe December 7, 2023 KFF Health News Original

As open enrollment ends, many people are tuning out. They could wind up with a surprise next year: higher costs and less access to health care providers.

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Close-up adult hand typing on laptop

Misleading Ads Play Key Role in Schemes to Gin Up Unauthorized ACA Sign-Ups, Lawsuit Alleges

By Julie Appleby Updated July 22, 2024 Originally Published July 19, 2024 KFF Health News Original

Misleading money-for-groceries ads helped lure people to call centers where some were enrolled in Affordable Care Act coverage — or switched from their existing plans — without their express permission, a new lawsuit alleges.

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Arizona Doctors Aim To Twist Surprise Billing Law Into Pay-Booster

June 1, 2022 Morning Briefing

A draft ballot initiative concerning the surprise billing law obtained by Stat has a surprising goal, according to the publication: It strips out key parts of the federal arbitration process and ultimately could boost physician’s incomes in out-of-network disputes, with consumers paying extra.

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Julian Prado, a tall 29-year-old man with a nose piercing and black mustache, hugs Carla Brown while holding a taco in his other hand. Brown is a 60-year-old woman.

In Los Angeles, Occupational Therapists Tapped to Help Homeless Stay Housed

By Molly Castle Work January 24, 2024 KFF Health News Original

Los Angeles County is deploying a small team of occupational therapists to help newly housed individuals adjust to life indoors. Therapists are trained to recognize disabilities and help with basic living skills, such as hygiene and cleanliness, that can help prevent clients from getting evicted or slipping back onto the streets.

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As Workers Struggle With Pandemic’s Impact, Employers Expand Mental Health Benefits

By Michelle Andrews November 10, 2021 KFF Health News Original

Many job-based health plans broadened their mental health and substance use coverage to make sure workers had the support they needed this year as pandemic stress lingered, the annual KFF survey finds. Also, the proportion of employers offering health insurance to their workers remained steady, and increases for premiums and out-of-pocket health expenses were moderate.

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A photo of a mammography machine.

Mammography AI Can Cost Patients Extra. Is It Worth It?

By Michelle Andrews January 10, 2024 KFF Health News Original

Artificial intelligence software to aid radiologists in detecting problems or diagnosing cancer has been moving rapidly into clinical use, where it shows great promise. But it’s a turnoff for some patients asked to pay out-of-pocket for technology that’s not quite ready for prime time.

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A photo of a Black woman standing by water. She holds a framed photo of her deceased mother.

Advertisements Promising Patients a ‘Dream Body’ With Minimal Risk Get Little Scrutiny

By Fred Schulte December 31, 2025 KFF Health News Original

While federal officials say they are cracking down on misleading drug ads, cosmetic surgery remains a “buyer beware” market.

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What the Health? From KFF Health News: Florida Limits Abortion — For Now

April 4, 2024 Podcast

The Florida Supreme Court handed down dual abortion rulings this week. One said voters will be allowed to decide in November whether to create a state right to abortion. The other ruling, though, allows a 15-week ban to take effect immediately — before an even more sweeping, six-week ban replaces it in May. Meanwhile, President Joe Biden is doubling down on his administration’s health care accomplishments as he kicks off his general election campaign. Lauren Weber of The Washington Post, Joanne Kenen of the Johns Hopkins University schools of nursing and public health, and Tami Luhby of CNN join KFF Health News’ Julie Rovner to discuss these stories and more. Also this week, Rovner interviews health care analyst Jeff Goldsmith about the growing size and influence of UnitedHealth Group in the wake of the Change Healthcare hack.

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A collage of images of eyes, a scalpel, and maps of Colorado, Wyoming, and Ireland.

Ex-Eye Bank Workers Say Pressure, Lax Oversight Led to Errors

By Madelyn Beck, WyoFile and Rae Ellen Bichell November 20, 2024 KFF Health News Original

Corneas, the windshields of the eye, are the most transplanted part of the human body. But four former employees at Rocky Mountain Lions Eye Bank told of numerous retrieval problems, including damage to eyes and removal from the wrong body.

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A still from a video of medical workers in surgical gowns and masks. Text on the screen reads, "Breast cancer surgery battle. CBS / KFF Health News investigation into reconstruction costs.

How a Medical Recoding May Limit Cancer Patients’ Options for Breast Reconstruction

By Rachana Pradhan and Anna Werner, CBS News and Leigh Ann Winick, CBS News May 31, 2023 KFF Health News Original

The federal government’s arcane process for medical coding is influencing which reconstructive surgery options are available, creating anxiety for breast cancer patients.

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A photo of the Amgen logo sign outside of its headquarters, framed by foliage.

Amgen Plows Ahead With Costly, Highly Toxic Cancer Dosing Despite FDA Challenge

By Arthur Allen May 7, 2024 KFF Health News Original

The FDA told Amgen to test whether a quarter-dose of its lung cancer drug worked as well as the amount recommended on the product label. It did and with fewer side effects. But Amgen is sticking to the higher dose — which earns it an additional $180,000 a year per patient.

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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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Helicopters Rescued Patients in ‘Apocalyptic’ Flood. Other Hospitals Are at Risk, Too.

By Lauren Sausser and Holly K. Hacker December 16, 2024 KFF Health News Original

The helicopter evacuation of 70 people from a Tennessee hospital during Hurricane Helene is considered a success story. The building was destroyed by floodwaters, but no one died. In hindsight, why was it built next to a river?

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Patients See First Savings From Biden’s Drug Price Push, as Pharma Lines Up Its Lawyers

By Arthur Allen February 16, 2024 KFF Health News Original

A restructuring of the Medicare drug benefit has wiped out big drug bills for people who need expensive medicines. But the legal battle over drug negotiations means uncertainty over long-term savings.

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Watch: ‘Going It Alone’ — A Conversation About Growing Old in America

December 12, 2024 KFF Health News Original

Judith Graham, KFF Health News’ “Navigating Aging” columnist, talks with older adults who live alone by choice or circumstance. They share what it means to thrive in later years.

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A photo illustration of athletes Justin Renfrow, Riley Cote, and Mike Lee surrounded by psychedelic mushrooms.

Pain, Hope, and Science Collide as Athletes Turn to Magic Mushrooms

By Markian Hawryluk and Kevin Van Valkenburg, ESPN April 24, 2023 KFF Health News Original

A group of former professional athletes traveled to Jamaica to try psychedelics as a way to help cope with the aftereffects of concussions and a career of body-pounding injuries. Will this still largely untested treatment work?

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A photograph of an orange prescription bottle from above. There is only one pill left in the bottle.

Defense Department Health Plan Cuts Its Pharmacy Network by Nearly 15,000 Outlets

By Patricia Kime November 8, 2022 KFF Health News Original

Many of the pharmacies were small, independent operations that had decided not to participate next year because of the lowered reimbursement being offered. But they were surprised by an early dismissal, and some patients with specialized drug needs could face difficulties in the transition.

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A health care worker rests their hand on their forehead behind stacks of paperwork.

California’s Ambitious Medicaid Experiment Gets Tripped Up in Implementation

By Angela Hart December 5, 2023 KFF Health News Original

The health care insurers, nonprofit organizations, and other groups responsible for implementing Gov. Gavin Newsom’s ambitious plan to infuse Medicaid with social services say their ability to serve vulnerable, low-income Californians is hamstrung.

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After 18 Months, Sutter Antitrust Settlement Finally Poised for Formal Approval

By Jenny Gold July 22, 2021 KFF Health News Original

A year and a half after Sutter Health agreed to a tentative settlement in a closely watched antitrust case, the San Francisco judge presiding over the case indicated she would sign off on the terms, pending agreement on another contentious issue: attorney fees.

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