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Showing 21-40 of 2,044 results for "out-of-network"

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A portrait of a woman outside her apartment.

When a Quick Telehealth Visit Yields Multiple Surprises Beyond a Big Bill

By Darius Tahir December 19, 2023 KFF Health News Original

For the patient, it was a quick and inexpensive virtual appointment. Why it cost 10 times what she expected became a mystery.

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A photo showing Mehmet Oz sitting at a table in a court room.

Complaints About Gaps in Medicare Advantage Networks Are Common. Federal Enforcement Is Rare.

By Susan Jaffe November 20, 2025 KFF Health News Original

Health systems drop out of Medicare Advantage plans all the time. Yet government documents obtained by KFF Health News show that federal regulators rarely warn plans that their networks of health providers are so skimpy they violate legal requirements.

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Emergency Physicians Decry Surprise Air-Ambulance Bills

By Molly Castle Work March 27, 2024 KFF Health News Original

Emergency room doctors say insurers are increasingly declining to cover costly air-ambulance rides for critically ill patients, claiming they aren’t medically necessary. And the National Association of EMS Physicians says the No Surprises Act, enacted in 2022, is partly to blame. The law protects patients from many out-of-network medical bills by requiring insurers and providers […]

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What the Health? From KFF Health News: The Government Is Open

November 13, 2025 Podcast

The record-long federal shutdown is over after a small group of Democrats agreed to a deal with most Republicans that funds the government through January — but, notably, does not extend more generous Affordable Care Act tax credits. Plus, new details are emerging about how the Trump administration is using the Medicaid program to advance its policy goals. Anna Edney of Bloomberg News, Shefali Luthra of The 19th, and Sandhya Raman of CQ Roll Call join KFF Health News’ Emmarie Huetteman to discuss these stories and more. Also this week, KFF Health News’ Julie Rovner interviews KFF Health News’ Julie Appleby, who wrote the latest “Bill of the Month” feature.

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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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Medical Organizations Push Back On Anthem’s Out-Of-Network Policy

November 18, 2025 Morning Briefing

Anthem’s plan would punish hospitals and outpatient facilities for using out-of-network providers. Also in health industry news: Sutter Health announces plans for a California hospital; which hospitals will take the hardest hits from the Medicaid cuts; and more.

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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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Readers Take Congress to Task and Offer Their Own Health Policy Fixes

November 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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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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What the Health? From KFF Health News: 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 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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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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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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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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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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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 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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What the Health? From KFF Health News: 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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