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Showing 401-420 of 2,032 results for "out-of-network"

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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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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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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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In Alleged Health Care ‘Money Grab,’ Nation’s Largest Hospital Chain Cashes In on Trauma Centers

By Jay Hancock June 14, 2021 KFF Health News Original

HCA charges patients an “activation fee” of up to $50,000 for trauma teams at centers located in half its 179 hospitals — and they often don’t need trauma care, an analysis of insurance claims data shows.

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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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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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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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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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Fresh Produce Is an Increasingly Popular Prescription for Chronically Ill Patients

By Carly Graf March 23, 2023 KFF Health News Original

Fresh produce prescription programs are getting a boost in Montana as a way of helping people with chronic conditions such as diabetes and high blood pressure. The approach may be a model for other rural states to promote healthy eating in food deserts.

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A photo shows Kyle approaching a pop-up harm reduction unit table.

They Call It ‘Tranq’ — And It’s Making Street Drugs Even More Dangerous

By Martha Bebinger August 11, 2022 KFF Health News Original

Xylazine, an animal tranquilizer, has made it into the illegal drug supply of opioids and cocaine. It is changing the way outreach workers treat overdoses and may be responsible for grisly injuries and infections among people who unknowingly inject it.

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For Uninsured People With Cancer, Securing Care Can Be Like Spinning a Roulette Wheel

By Charlotte Huff April 10, 2023 KFF Health News Original

When uninsured people are diagnosed with cancer, accessing resources and paying for treatment can be daunting. The safety nets meant to help often fall short, say cancer physicians and health policy experts who study access to care. Some patients find it easier to play the odds.

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Anesthesiologists Say UnitedHealth Unfairly Canceling Contracts

October 12, 2021 Morning Briefing

According to Modern Healthcare, the American Society of Anesthesiologists says the insurer is canceling contracts at least six months ahead of time, leaving anesthesiologists out of network and paid a fraction of the rates they once received, the group’s president says. The group wants the Justice Department to investigate.

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An illustration shows a drawing of kidneys with red coloring, suggesting disease, against a green backdrop.

For Kids With Kidney Disease, Pediatric Expertise Is Key — But Not Always Close By

By Colleen DeGuzman August 19, 2022 KFF Health News Original

A study published in JAMA leads to questions about the uneven distribution of pediatric nephrologists nationwide. Children with end-stage kidney disease feel the impact.

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A photo shows Gavin Newsom outside speaking on a sunny day.

California’s Resolve Questioned After It Grants Medi-Cal Contract Concessions

By Bernard J. Wolfson and Samantha Young January 27, 2023 KFF Health News Original

After the Department of Health Care Services canceled Medi-Cal contract awards under pressure from major insurers, some consumer advocates question the administration’s willpower to improve care in the safety-net program.

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Unmet Needs: Critics Cite Failures in Health Care for Vulnerable Foster Children

By Andy Miller and Rebecca Grapevine January 25, 2023 KFF Health News Original

More states are moving to specialized managed-care contracts solely to handle medical and behavioral services for foster kids. But child advocates, foster parents, and even state officials say these and other care arrangements are shortchanging foster kids’ health needs.

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What the Health? From KFF Health News: Live from Austin, Examining Health Equity

September 9, 2024 Podcast

The term “health equity” means different things to different people. Beyond guaranteeing all Americans access to adequate, affordable medical care, the pursuit of equity can include addressing social determinants of health, such as housing, education, and environment. Systemic and historical racism — manifested in over-policing or contaminated drinking water, for instance — can negatively affect health. In a live taping at the Texas Tribune Festival, special guests Carol Alvarado, the Texas state Senate’s Democratic leader, and Ann Barnes, president and CEO of the Episcopal Health Foundation, along with KFF Health News’ Sabriya Rice and Cara Anthony, join KFF Health News’ Julie Rovner to discuss addressing health inequities.

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A photo shows a woman's hands as she fills out a ballot in a polling booth.

Awaiting Voters’ Decision on Abortion, When Medicine and Politics Collide

By Andrea King Collier October 21, 2022 KFF Health News Original

As Michigan and several other states await voters’ verdicts on ballot measures about abortion, the providers, patients, and activists on both sides strategize their next steps.

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What the Health? From KFF Health News: Biden Wins Early Court Test for Medicare Drug Negotiations

February 15, 2024 Podcast

A federal district court judge dismissed a lawsuit attempting to invalidate the Biden administration’s Medicare prescription-drug price negotiation program. But the suit turned on a technicality, and several more court challenges are in the pipeline. Meanwhile, health policy pops up in Super Bowl ads, as Congress approaches yet another funding deadline. Alice Miranda Ollstein of Politico, Lauren Weber of The Washington Post, and Rachel Cohrs of Stat join KFF Health News’ 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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What the Health? From KFF Health News: Health Enters the Presidential Race

January 25, 2024 Podcast

New Hampshire voters have spoken, and it seems increasingly clear that this November’s election will pit President Joe Biden against former President Donald Trump. Both appear to be making health a key part of their campaigns, with Trump vowing (again) to repeal the Affordable Care Act, and Biden stressing his support for contraception and abortion rights. Meanwhile, both candidates will try to highlight efforts to rein in prescription drug prices. Alice Miranda Ollstein of Politico, Anna Edney of Bloomberg News, and Jessie Hellmann of CQ Roll Call join KFF Health News chief Washington correspondent Julie Rovner to discuss these issues and more. Also this week, Rovner interviews Sarah Somers of the National Health Law Program about the potential consequences for the health care system if the Supreme Court overturns a key precedent attempting to balance executive vs. judicial power.

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