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Showing 21-40 of 2,030 results for "out-of-network"

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Readers Call on Congress to Bolster Medicare and Fix Loopholes in Health Policy

February 29, 2024 KFF Health News Original

KFF Health News gives readers a chance to comment on a recent batch of stories.

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A photo of a doctor speaking to patients in a hospital waiting room.

How Your In-Network Health Coverage Can Vanish Before You Know It

By Elisabeth Rosenthal March 15, 2024 KFF Health News Original

One of the most unfair aspects of medical insurance is this: Patients can change insurance only during end-of-year enrollment periods or at the time of “qualifying life events.” But insurers’ contracts with doctors, hospitals, and pharmaceutical companies can change abruptly at any time.

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A senior man holds a letter from a Medicare provider. He is seated a table wearing glasses and a shirt and vest

Your Doctor or Your Insurer? Little-Known Rules May Ease the Choice in Medicare Advantage

By Susan Jaffe March 29, 2024 KFF Health News Original

Disputes between hospitals and Medicare Advantage plans are leading to entire hospital systems suddenly leaving insurance networks. Patients are left stuck in the middle, choosing between their doctors and their insurance plan. There’s a way out.

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A photo of Kathy Hochul speaking at a podium with the USA and New York flags behind her.

In New York, Providers Must Put Patient Costs on the Table

By Michelle Andrews March 20, 2025 KFF Health News Original

The governor’s fiscal year 2026 budget revises a law designed to limit unexpected bills that can put people at risk for unfair medical billing practices and reduce medical debt. Consumer groups say it doesn’t go far enough.

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A photo of a woman and her husband sitting at home.

Expectant Mom Needed $15,000 Overnight to Save Her Twins

By Renuka Rayasam April 27, 2023 KFF Health News Original

Doctors rushed a pregnant woman to a surgeon who charged thousands upfront just to see her. The case reveals a gap in medical billing protections for those with rare, specialized conditions.

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KFF Health News' 'What the Health?': Arizona Turns Back the Clock on Abortion Access

April 11, 2024 Podcast

A week after the Florida Supreme Court said the state could enforce an abortion ban passed in 2023, the Arizona Supreme Court ruled that state could enforce a near-total ban passed in 1864 — over a half-century before Arizona became a state. The move further scrambled the abortion issue for Republicans and posed an immediate quandary for former President Donald Trump, who has been seeking an elusive middle ground in the polarized debate. Alice Miranda Ollstein of Politico, Rachel Cohrs Zhang of Stat, and Rachel Roubein of The Washington Post join KFF Health News’ Julie Rovner to discuss these stories and more. Also this week, Rovner interviews KFF Health News’ Molly Castle Work, who reported and wrote the latest KFF Health News-NPR “Bill of the Month” feature, about an air-ambulance ride for an infant with RSV that his insurer deemed not medically necessary.

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A photo of a woman standing outside on a dock by a gazebo.

She Had a Broken Arm, No Insurance — And a $97,000 Bill

By Katheryn Houghton September 24, 2025 KFF Health News Original

Deborah Buttgereit knew piecing together the broken bone in her elbow would be expensive. But complications the doctor deemed a surprise, midsurgery, drove the total bill tens of thousands of dollars above the original estimate.

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A woman in a pink shirt walks away from the camera while holding a young boy on her right him. The boy looks behind her at the camera.

Toddler’s Backyard Snakebite Bills Totaled More Than a Quarter Million Dollars

By Jackie Fortiér October 30, 2024 KFF Health News Original

For snakebite victims, antivenom is critical — and costly. It took more than $200,000 worth of antivenom to save one toddler’s life after he was bitten by a rattlesnake.

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A photo of Governor Gavin Newsom during a press conference taken from the side. On the wall behind him is California's state seal.

California Expands Paid Sick Days and Boosts Health Worker Wages

By Don Thompson October 25, 2023 KFF Health News Original

Gov. Gavin Newsom signed legislation expanding paid sick leave to five days, extending bereavement leave to miscarriages and failed adoptions, and approving an eventual $25-an-hour health care minimum wage. Still, in a possible sign of national ambitions, the Democrat vetoed free condoms in schools and refused to decriminalize psychedelic mushrooms.

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Readers Scrutinize Federal Cuts and Medical Debt

May 12, 2025 KFF Health News Original

KFF Health News gives readers a chance to comment on a recent batch of stories.

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Naman Shah stands at a podium in a conference-like room. There is a projector screen behind him. A slide with a blue background and large white text reads, " Los Angeles County Medical Debt Summit, April 10, 2024."

Los Angeles County Launches Ambitious Plan To Tackle Medical Debt. Hospitals Groan.

By Molly Castle Work May 23, 2024 KFF Health News Original

Los Angeles County, the nation’s most populous county, is spearheading a comprehensive plan to tackle a $2.9 billion medical debt crisis. Hospitals are still getting on board with the project, which is helmed by the public health department.

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A photo of a man checking a maple tree outside.

In Vermont, Where Almost Everyone Has Insurance, Many Can’t Find or Afford Care

By Phil Galewitz November 6, 2024 KFF Health News Original

Vermont has one of the lowest uninsured rates in the U.S., even though its residents pay some of the highest health insurance costs. Still, most of its hospitals are losing money and patients often face long waits for care.

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KFF Health News' 'What the Health?': The Supreme Court vs. the Bureaucracy

January 18, 2024 Podcast

The Supreme Court this week heard oral arguments in a case that could radically alter the way federal agencies — including the Department of Health and Human Services — administer laws passed by Congress. A decision in the case is expected this spring or summer. Meanwhile, the Biden administration is struggling over whether to ban menthol cigarettes — a move that could improve public health but also alienate Black voters, the biggest menthol users. Joanne Kenen of Johns Hopkins University and Politico Magazine, Lauren Weber of The Washington Post, and Rachel Cohrs of Stat join KFF Health News chief Washington correspondent Julie Rovner to discuss these issues and more. Also this week, Rovner interviews Darius Tahir, who reported and wrote the latest KFF Health News-NPR “Bill of the Month” feature about a lengthy fight over a bill for a quick telehealth visit.

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A photo of the Supreme Court's exterior at sunrise.

The Supreme Court Just Limited Federal Power. Health Care Is Feeling the Shockwaves.

By Stephanie Armour July 1, 2024 KFF Health News Original

A Supreme Court ruling restricting federal power will likely have seismic ramifications for health policy. A flood of litigation — with plaintiffs like small businesses, drugmakers, and hospitals challenging regulations they say are too expensive or burdensome and not authorized by law — could leave the country with a patchwork of disparate health regulations.

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A photo of a woman sitting for a portrait outside.

Lose Weight, Gain Huge Debt: NY Provider Has Sued More Than 300 Patients Who Had Bariatric Surgery

By Fred Schulte April 20, 2023 KFF Health News Original

The private equity-backed practice has been known to demand more than $100,000 in charges or penalties. One patient is fighting back.

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A photo of a woman handing over an insurance card.

The Big Squeeze: More Enrollees and Smaller Networks Plague Some ACA Plans

By Julie Appleby April 6, 2023 KFF Health News Original

Despite record enrollment in health insurance plans under the Affordable Care Act, some consumers who bought coverage and agents who helped them do so have had a tough start to the new year: Many say it’s hard to find an in-network doctor or hospital.

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A photo of a man sitting at a desk indoors.

It’s Called an Urgent Care Emergency Center — But Which Is It?

By Renuka Rayasam June 24, 2024 KFF Health News Original

Suffering stomach pain, a Dallas man visited his local urgent care clinic — or so he thought, until he got a bill 10 times what he’d expected.

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A photo of Mary Lou Retton posing for a photo outside of SiriusXM's studios.

Mary Lou Retton’s Explanation of Health Insurance Takes Some Somersaults

By Julie Appleby January 12, 2024 KFF Health News Original

The gold-medal gymnast’s explanation of why she remained uninsured has health policy experts doing mental gymnastics — because it makes little sense.

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KFF Health News' 'What the Health?': Newly Minted Doctors Are Avoiding Abortion Ban States

May 9, 2024 Podcast

For the second year in a row, medical school graduates across specialties are shying away from applying for residency training in states with abortion bans or significant restrictions, according to a new study. Meanwhile, Medicare’s trustees report that the program will be able to pay its bills longer than expected — which could discourage Congress from acting to address the program’s long-term financial woes. Lauren Weber of The Washington Post, Joanne Kenen of the Johns Hopkins University schools of nursing and public health and Politico Magazine, and Anna Edney of Bloomberg News join KFF Health News’ Julie Rovner to discuss these stories and more.

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An exterior photograph of the UF Health emergency and urgent care facility in Jacksonville, Florida.

Urgent Care or ER? With ‘One-Stop Shop,’ Hospitals Offer Both Under Same Roof

By Phil Galewitz August 2, 2024 KFF Health News Original

Hospitals in several states are partnering with a private equity-backed company to offer combined emergency and urgent care in a single building. But patients may not realize prices vary between the two services — often by a lot.

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