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Showing 381-400 of 2,032 results for "out-of-network"

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Two Counties Square Off With California Over Mental Health Duties

By Angela Hart March 15, 2023 KFF Health News Original

The state wants to stop paying Kaiser Permanente for treating severely mentally ill Medi-Cal patients in Sacramento and Solano counties and force the counties to take on the task. The counties’ leaders say they can’t afford it.

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Advocates Call for 911 Changes. Police Have Mixed Feelings.

By Molly Castle Work June 23, 2023 KFF Health News Original

Though most California counties are experimenting with dispatching health professionals rather than law enforcement to respond to people experiencing mental health crises, powerful police unions fear defunding.

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What the Health? From KFF Health News: The Health of the Campaign

October 4, 2024 Podcast

The 2024 presidential race is taking on a familiar tone — with Democrats accusing Republicans of wanting to ban abortion and repeal the Affordable Care Act and Republicans insisting they have no such plans. Voters will determine whom they believe. Meanwhile, for the second time in a month, a state judge overturned an abortion ban, but few expect the decision to settle the matter. Alice Miranda Ollstein of Politico, Sandhya Raman of CQ Roll Call, and Anna Edney of Bloomberg News join KFF Health News chief Washington correspondent Julie Rovner to discuss these stories and more. Also this week, Rovner interviews KFF Health News’ Lauren Sausser, who reported and wrote the latest KFF Health News-Washington Post “Bill of the Month,” about a teenage athlete whose needed surgery lacked a billing code.

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What the Health? From KFF Health News: Abortion Heats Up Presidential Race 

August 1, 2024 Podcast

The elevation of Vice President Kamala Harris to the top of the presumed Democratic presidential ticket is newly energizing the debate over abortion, while former President Donald Trump attempts to distance himself from more sweeping proposals in the “Project 2025” GOP blueprint put together by his former administration officials and the conservative Heritage Foundation. Lauren Weber of The Washington Post, Alice Miranda Ollstein of Politico, and Sarah Karlin-Smith of the Pink Sheet join KFF Health News’ Julie Rovner to discuss these stories and more. Also this week, Rovner interviews KFF Health News’ Elisabeth Rosenthal, who reported and wrote the latest KFF Health News-NPR “Bill of the Month” about a preauthorized surgery that generated a six-figure bill.

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A photo illustration shows a woman handing over a health insurance card over an abstract background of a pulse reading.

Medicaid Health Plans Try to Protect Members — And Profits — During Unwinding

By Phil Galewitz March 9, 2023 KFF Health News Original

States are turning to the big health insurance companies to keep Medicaid enrollees insured once pandemic protections end in April. The insurers’ motive: profits.

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An Arm and a Leg: Wait, Is Insulin Cheaper Now?

By Dan Weissmann February 28, 2024 Podcast

Did the price of insulin go down? It’s not quite that simple. On this episode of “An Arm and a Leg,” producer Emily Pisacreta explores recent changes to the cost of the diabetes medication.

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Dementia Can Take a Toll on Financial Health, as Some Families Learn the Hard Way

By Sarah Boden, WESA June 20, 2023 KFF Health News Original

People with dementia and their families often find themselves with few legal rights when dealing with financial scams or the mismanagement of their assets. Research reveals financial troubles can be both an early sign and a painful symptom of cognitive decline.

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‘Everybody in This Community Has a Gun’: How Oakland Lost Its Grip on Gun Violence

By Samantha Young November 28, 2023 KFF Health News Original

A few years ago, Oakland won national acclaim for slashing gun-related crimes. Then the covid-19 pandemic tore through poor neighborhoods, and the murder of George Floyd fueled distrust in police. With guns readily available, violent crime has once again skyrocketed, leaving the community struggling to contain it.

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A photo of tents on the street in Miami.

Fraudsters Are Duping Homeless People Into Signing Up for ACA Plans They Can’t Afford

By Daniel Chang June 13, 2023 KFF Health News Original

Homeless people are being fraudulently enrolled in health plans on the Affordable Care Act’s marketplace, induced with cash payments from insurance agents and brokers. Those who sign up for an ACA plan are disqualified from other forms of free and low-cost care and risk disruption in treatment.

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New California Law Makes It Easier to Get Care for Mental Health and Substance Abuse

By Bernard J. Wolfson February 26, 2021 KFF Health News Original

The measure, which took effect Jan. 1, removes loopholes that made it easy for insurers to use arcane company guidelines to avoid paying for care. Patients now have an easier way to challenge those denials.

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What the Health? From KFF Health News: Abortion and SCOTUS, Together Again

December 14, 2023 Podcast

The Supreme Court agreed this week to hear its first major case on abortion since overturning Roe v. Wade — one that could restrict the availability of the abortion pill mifepristone, even in states where abortion remains legal. Meanwhile, on Capitol Hill, lawmakers in the House and Senate finally moved to renew health programs that expired in October — but it’s likely too late to finish the job in 2023. Alice Miranda Ollstein of Politico, Riley Griffin of Bloomberg News, and Lauren Weber of The Washington Post join KFF Health News chief Washington correspondent Julie Rovner to discuss these issues and more. Also this week, Rovner interviews Jen Golbeck, a University of Maryland professor and social media superstar, about her new book, “The Purest Bond,” which lays out the science of the human-canine relationship.

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To Stem the Spread of Monkeypox, Health Departments Tap Into Networks of Those Most at Risk

By Céline Gounder July 27, 2022 KFF Health News Original

Although the disease is currently spreading almost exclusively among men who have sex with men, some cases are turning up in other populations — and that number is likely to grow if public health officials don’t effectively nip the outbreak in the bud.

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Cash for Colonoscopies: Colorado Tries to Lower Health Costs Through Incentives

By Markian Hawryluk November 2, 2022 KFF Health News Original

State employees could receive checks ranging from $50 to thousands of dollars if they choose the right provider.

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What the Health? From KFF Health News: Another Try for Mental Health ‘Parity’

July 27, 2023 Podcast

President Joe Biden is kicking off his reelection campaign in part by trying to finish a decades-long effort to establish parity in insurance benefits between mental and physical health. Meanwhile, House Republicans are working to add abortion and other contentious amendments to must-pass spending bills. Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico, Anna Edney of Bloomberg, and Sarah Karlin-Smith of the Pink Sheet join KFF Health News’ chief Washington correspondent, Julie Rovner, to discuss these issues and more. Also this week, Rovner interviews KFF Health News’ Céline Gounder about her podcast “Epidemic.” The new season focuses on the successful public health effort to eradicate smallpox.

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KHN’s ‘What the Health?’: Finally Fixing the ‘Family Glitch’

October 13, 2022 KFF Health News Original

The Biden administration has decided to try to fix the so-called “family glitch” in the Affordable Care Act without an act of Congress. The provision has prevented workers’ families from getting subsidized coverage if an employer offer is unaffordable. Meanwhile, Medicare’s open enrollment period begins Oct. 15, and private Medicare Advantage plans are poised to cover more than half of Medicare’s 65 million enrollees. Margot Sanger-Katz of The New York Times, Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico, and Rachel Cohrs of Stat join KHN’s Julie Rovner to discuss these topics and more. Plus, for extra credit, the panelists recommend their favorite health policy stories of the week they think you should read.

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O’laysha Davis lays her infant daughter down on a pink blanket beside a window. Davis lovingly looks down at her as she sleeps.

Being Black and Pregnant in the Deep South Can Be a Dangerous Combination

By Lauren Sausser December 8, 2023 KFF Health News Original

Being Black has always been dangerous for pregnant women and infants in the South. And researchers say things are continuing to move in the wrong direction.

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A photo shows the exterior of a Planned Parenthood clinic. A sign on the building reads, "Care no matter what."

Montana Clinics That Provide Abortions Preemptively Restrict Pill Access for Out-of-State Patients

By Katheryn Houghton and Arielle Zionts July 7, 2022 KFF Health News Original

Montana is an island of legal abortion, but three of the state’s five clinics are limiting access to abortion pills for out-of-state patients in an effort to protect themselves and patients from legal attacks.

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An illustration of vials of medicine on a winding and complex production line.

Drugmakers Are Abandoning Cheap Generics, and Now US Cancer Patients Can’t Get Meds

By Arthur Allen June 21, 2023 KFF Health News Original

A quality-control crisis at an Indian pharmaceutical factory has left doctors and their patients with impossible choices as cheap, effective, generic cancer drugs go out of stock.

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A photo of an older woman standing for a portrait outside by a fence.

‘It Was a Bloodbath’: Rare Dialysis Complication Can Kill, and More Could Be Done To Stop It

By Brett Kelman Photos by Eric Harkleroad July 7, 2023 KFF Health News Original

A venous needle dislodgment is a rare dialysis complication that can kill a patient in minutes. Some experts worry those who treat themselves at home are at increased risk.

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What the Health? From KFF Health News: Nursing Home Staffing Rules Prompt Pushback

June 6, 2024 Podcast

The nursing home industry — as well as a healthy number of Congress members — are all pushing back on the Biden administration’s new rules on nursing home staffing. Industry officials say that there are not enough workers to meet the requirements and that the costs would be prohibitive. Meanwhile, Democrats on Capitol Hill are trying to force Republicans to explain their exact positions on assuring access to contraceptives and in vitro fertilization. Rachel Cohrs Zhang of Stat, Alice Miranda Ollstein of Politico, and Sandhya Raman of CQ Roll Call join KFF Health News’ Julie Rovner to discuss these stories and more. Also this week, Rovner interviews KFF Health News’ Bram Sable-Smith, who reported and wrote the latest KFF Health News-NPR “Bill of the Month” feature about a free cruise that turned out to be anything but.

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