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Watch: When a Surprise Helper During Surgery Is Out-of-Network
"CBS This Morning" features the July installment of KHN-NPR's Bill of the Month about a surgical assistant's out-of-network bill for helping during knee surgery.
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A Mom’s $97,000 Question: How Was Her Baby’s Air-Ambulance Ride Not Medically Necessary?
There are legal safeguards to protect patients from big bills like out-of-network air-ambulance rides. But insurers may not pay if they decide the ride wasn’t medically necessary.
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Evidence Shows ACA’s Mandated Benefits Alone Don’t Drive Up Costs. The Debate Continues.
The Affordable Care Act put in place a package of benefits that health insurance plans must cover. Critics contend this mandate has jacked up premiums. Evidence supporting that claim is mixed.
By Julie Appleby and Sarah Boden -
Readers Take Congress to Task and Offer Their Own Health Policy Fixes
KFF Health News gives readers a chance to comment on a recent batch of stories.
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To Knock Down Health-System Hurdles Between You and HIV Prevention, Try These 6 Things
It’s been more than 10 years since the FDA first approved an HIV prevention drug. Today, people who could benefit from preexposure prophylaxis often struggle to access the lifesaving medicine or run into doctors without the education or empathy to offer affirming care. And those lapses can produce billing headaches.
By Zach Dyer -
When a Quick Telehealth Visit Yields Multiple Surprises Beyond a Big Bill
For the patient, it was a quick and inexpensive virtual appointment. Why it cost 10 times what she expected became a mystery.
By Darius Tahir -
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She Had a Broken Arm, No Insurance — And a $97,000 Bill
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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In New York, Providers Must Put Patient Costs on the Table
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 Call on Congress to Bolster Medicare and Fix Loopholes in Health Policy
KFF Health News gives readers a chance to comment on a recent batch of stories.
Democrats Make This Shutdown About the ACA
Episode 416The foreshadowed federal shutdown came after Congress failed to pass required spending bills, with Democrats demanding Republicans renew the expiring Affordable Care Act subsidies in exchange for their votes. While a shutdown does not affect Medicare and Medicaid, it could eventually hinder activities from every corner of the Department of Health and Human Services. Meanwhile, as Democrats and Republicans point fingers, HHS Secretary Robert F. Kennedy Jr. pursues policies and personnel that would undermine vaccines. Lauren Weber of The Washington Post, Shefali Luthra of The 19th, and Rachel Cohrs Zhang of Bloomberg News join KFF Health News’ Julie Rovner to discuss the news. Also this week, Rovner interviews KFF Health News’ Cara Anthony, who wrote a recent “Bill of the Month” feature about an out-of-network eye surgery that left one kindergartner’s family with a big bill.
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Complaints About Gaps in Medicare Advantage Networks Are Common. Federal Enforcement Is Rare.
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.
By Susan Jaffe -
Perspective
How Your In-Network Health Coverage Can Vanish Before You Know It
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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Toddler’s Backyard Snakebite Bills Totaled More Than a Quarter Million Dollars
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.
RFK Jr.’s Vaccine Schedule Changes Blocked — For Now
Episode 438A federal judge in Massachusetts this week sided with public health groups to block changes to the federally recommended schedule of childhood vaccines, dealing at least a temporary setback to Health and Human Services Secretary Robert F. Kennedy Jr.’s efforts to remake the schedule. Meanwhile, Congress has put its debate over the future of the Affordable Care Act on the back burner, but the issue of rising health care costs is still front and center for the voting public. Lauren Weber of The Washington Post, Margot Sanger-Katz of The New York Times, and Alice Miranda Ollstein of Politico join KFF Health News’ Julie Rovner to discuss these stories and more. Also this week, Rovner interviews KFF President and CEO Drew Altman to kick off a new series looking at health care solutions, called “How Would You Fix It?”
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Readers Balk at ‘Gold Standard’ of Autism Treatment
KFF Health News gives readers a chance to comment on a recent batch of stories.
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Readers Scrutinize Federal Cuts and Medical Debt
KFF Health News gives readers a chance to comment on a recent batch of stories.
Arizona Turns Back the Clock on Abortion Access
Episode 342A 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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In Vermont, Where Almost Everyone Has Insurance, Many Can’t Find or Afford Care
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.