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Showing 341-360 of 2,078 results for "out-of-network"

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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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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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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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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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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 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 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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Casey Shively sits for a portrait in his family home. He is sitting at the far end of a table and looks away from the camera, out a window. There are white and yellow lilies on the table, along with a candle holder.

‘Scared to Death’: Nurses and Residents Confront Rampant Violence in Dementia Care Facilities

By Jordan Rau August 9, 2024 KFF Health News Original

Clashes between residents — verbal, physical, and sexual — can be spontaneous and too unpredictable to prevent. But the chance of an altercation increases when memory care homes admit and retain residents they can’t manage, according to a KFF Health News examination of inspection and court records and interviews with researchers.

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An unrecognizable new mom holds her baby in one arm, and a pill bottle in the other. She is talking with a medical professional.

Federal Panel Prescribes New Mental Health Strategy To Curb Maternal Deaths

By Cheryl Platzman Weinstock May 16, 2024 KFF Health News Original

The leading causes of pregnancy-related deaths in the United States — including suicides and fatalities linked to substance use disorders — stem from mental health conditions. Now a federal task force has recommended strategies to help women who are at risk during or after pregnancy.

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A photo of the U.S. Capitol's exterior.

Federal Lawmakers Take First Steps Toward Oversight of $50 Billion in Opioid Settlements

By Aneri Pattani January 22, 2024 KFF Health News Original

The four-page bill lists how states should spend settlement money, but it doesn’t specify consequences for flouting the rules or name who is in charge of monitoring compliance.

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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 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 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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Health and Human Services Secretary Robert F. Kennedy Jr. speaking in a House of Representatives hearing room. He is also seen on a screen behind him broadcasting the hearing.

Vested Interests. Influence Muscle. At RFK Jr.’s HHS, It’s Not Pharma. It’s Wellness.

By Stephanie Armour July 14, 2025 KFF Health News Original

Health and Human Services Secretary Robert F. Kennedy Jr. lambasted federal agencies he accused of being overly influenced by the pharmaceutical industry. But he and other “Make America Healthy Again” notables have their own financial ties to the vast and largely unregulated $6.3 trillion global wellness industry that ethicists say raise red flags.

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Tension Builds in Transgender Policy Debate in Montana

By Keely Larson April 21, 2023 KFF Health News Original

Two transgender lawmakers are trying to lay the groundwork for LGBTQ-friendly policies in a conservative state, but tensions are running high as the legislative session nears its end.

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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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A man in a suit and red tie stands at an angle to the camera. There are many people behind him and out of focus.

GOP Presidential Hopefuls Use Trump’s Covid Record to Court Vaccine Skeptics

By Darius Tahir and Daniel Chang November 29, 2023 KFF Health News Original

Candidates see former President Donald Trump’s embrace of his administration’s covid-19 vaccine policies as an opportunity to gain ground. So far, their efforts haven’t found traction.

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What the Health? From KFF Health News: Nutrition Programs Face Their Own Shutdown

October 23, 2025 Podcast

Two major nutrition programs — SNAP and WIC — are likely to exhaust their funding in November, and the furloughs and firings at the CDC have left the agency unable to perform some of its major functions. Meanwhile, President Donald Trump’s new IVF policy is being met with dissatisfaction from both sides. Shefali Luthra of The 19th, Alice Miranda Ollstein of Politico, and Rachel Roubein of The Washington Post join KFF Health News’ Julie Rovner to discuss those stories and more. Also this week, Rovner interviews KFF Health News’ Katheryn Houghton, who wrote the latest “Bill of the Month” feature.

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Barb Dentz (right), sits beside state representative, Sam Whitson (left), in an office room. The walls are an olive green and are adorned by framed medals. An American flag stands in the corner, behind them.

How the Anti-Vaccine Movement Pits Parental Rights Against Public Health

By Amy Maxmen March 12, 2024 KFF Health News Original

Framed in the rhetoric of choice, Tennessee’s new law governing childhood vaccinations is among more than a dozen recently passed or pending nationwide that set parental freedom against community and children’s health.

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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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