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Showing 401-420 of 2,044 results for "out-of-network"

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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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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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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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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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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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A close up photo shows a hundred dollar bill inside an envelope.

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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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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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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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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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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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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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: Abortion Pill’s Legal Limbo Continues

August 17, 2023 Podcast

A federal appeals court issued a split decision on whether the abortion pill mifepristone should remain on the market — rejecting a lower court’s decision to effectively cancel the drug’s FDA approval in 2000, while ordering the rollback of more recent rules that made the drug easier to obtain. Nothing changes immediately, however, as the Supreme Court blocked the lower court’s ruling in the spring. It will be up to the high court to determine whether the pill remains available in the U.S. and under which conditions. Sarah Karlin-Smith of the Pink Sheet, Alice Miranda Ollstein of Politico, and Shefali Luthra of The 19th join KFF Health News’ chief Washington correspondent, Julie Rovner, to discuss these issues and more. Plus, for “extra credit,” the panelists suggest health policy stories they read this week they think you should read, too.

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A colorful, digital illustration in pencil and watercolor shows a cartoon figure hooked up to an array of medical devices. The figure has a device in their mouth, which has caused two teeth to fall out; a glucose monitor on their arm is connected to a cellphone; a ventilator is connected to their lungs; a device is connected to their heart from the inside with battery packs on the outside; and a hemodialysis machine causes blood to spurt from a vein unnoticed. A large error symbol (a yellow triangle with a red exclamation point at its center) is at the center of the illustration.

Deep Flaws in FDA Oversight of Medical Devices, and Patient Harm, Exposed in Lawsuits and Records

By Fred Schulte and Holly K. Hacker Illustration by Oona Zenda December 21, 2023 KFF Health News Original

Thousands of medical devices are sold, and even implanted, with no safety tests.

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A photo shows a man standing for a portrait outside his home. He is holding a cane.

Reentry Programs to Help Former Prisoners Obtain Health Care Are Often Underused

By Renuka Rayasam March 8, 2023 KFF Health News Original

More than 600,000 people are released from prisons every year, many with costly health conditions but no medications, medical records, a health care provider, or insurance.

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A photo of a stethoscope and calculator resting on top of paperwork.

Thousands Face Medicaid Whiplash in South Dakota and North Carolina

By Arielle Zionts May 18, 2023 KFF Health News Original

Thousands of South Dakotans are being knocked off Medicaid, only to be eligible to requalify several months later. Even more enrollees are likely to experience a temporary loss of coverage in North Carolina.

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A photo shows Courtney Johnson sitting outside at a park.

‘Impending Intergenerational Crisis’: Americans With Disabilities Lack Long-Term Care Plans

By Sam Whitehead November 11, 2022 KFF Health News Original

Many Americans with intellectual and developmental disabilities do not have long-term plans for when family members can no longer care for them. Families, researchers, and advocates worry that has set the stage for a crisis in which people with disabilities could end up living in institutional settings.

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Having A Baby? Alaska Charges The Most, Alabama The Least

June 14, 2023 Morning Briefing

Alaska topped out at $21,525 for an in-network vaginal delivery and $25,518 for a C-section, according to FAIR Health’s new Cost of Giving Birth Tracker. Compare that to Alabama’s $7,840 for an in-network vaginal delivery and $8,913 C-section.

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A photo of an elderly woman seated for a portrait with her adult daughter behind her.

Why Long-Term Care Insurance Falls Short for So Many 

By Jordan Rau and JoNel Aleccia November 22, 2023 KFF Health News Original

The private insurance market has proved wildly inadequate in providing financial security for millions of older Americans, in part by underestimating how many policyholders would use their coverage.

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What the Health? From KFF Health News: 3 Health Policy Experts You Should Know

August 31, 2023 Podcast

In this special episode of KFF Health News’ “What the Health?” host Julie Rovner interviews three health policy experts.

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