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Showing 421-440 of 2,044 results for "out-of-network"

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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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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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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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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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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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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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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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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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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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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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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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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: Let’s Talk About the Weather

July 20, 2023 Podcast

It’s been the summer of broken weather records around the world — for heat, rain, and wildfire smoke — advertising the risks of climate change in a big way. But, apparently, it’s not enough to break the logjam in Washington over how to address the growing climate crisis. Meanwhile, in Texas, women who were unable to get care for pregnancy complications took their stories to court, and Congress gears up to — maybe — do something about prescription drug prices. Alice Miranda Ollstein of Politico, Shefali Luthra of The 19th, and Rachel Cohrs of Stat join Julie Rovner, KFF Health News’ chief Washington correspondent, to discuss these issues and more. Also this week, Rovner interviews Meena Seshamani, the top administrator for the federal Medicare program.

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Epidemic: Speedboat Epidemiology

August 29, 2023 Podcast

In Bangladesh, smallpox eradication workers went to great lengths to vaccinate even one person, sometimes traveling by speedboat, crossing rickety bamboo bridges or leech-infested paddy fields. Episode 4 of the “Eradicating Smallpox” podcast is about what it takes to bring care directly to people where they are.

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Rural Seniors Benefit From Pandemic-Driven Remote Fitness Boom

By Christina Saint Louis January 17, 2023 KFF Health News Original

When the pandemic began, senior service agencies hustled to rework health classes to include virtual options for older adults. Now that isolation has ended, virtual classes remain. For seniors in rural areas, those classes have broadened access to supervised physical activity.

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A photo shows the exterior of BeverlyCare.

Hospitals Divert Primary Care Patients to Health Center ‘Look-Alikes’ to Boost Finances

By Phil Galewitz Photos by Heidi de Marco September 9, 2022 KFF Health News Original

Medicare and Medicaid pay “look-alike” health centers significantly more than hospitals for treating patients, and converting or creating clinics can help hospitals reduce their expenses.

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What the Health? From KFF Health News: The Long Road to Reining In Short-Term Plans 

July 13, 2023 Podcast

President Biden made good on a campaign promise this week with a proposal that would limit short-term health insurance plans that boast low premiums but also few benefits. Meanwhile, the Supreme Court’s decision to outlaw affirmative action programs could set back efforts to diversify the nation’s medical workforce. Alice Miranda Ollstein of Politico, Amy Goldstein of the Washington Post, and Rachel Cohrs of Stat News join KFF Health News’ chief Washington correspondent Julie Rovner to discuss these issues and more. Also this week, Rovner interviews KFF Health News’ Bram Sable-Smith, who reported the latest KFF Health News-NPR “Bill of the Month” about how a hospital couldn’t track down a patient, but a debt collector could.

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What the Health? From KFF Health News: New Year, Same Abortion Debate

January 4, 2024 Podcast

Some Supreme Court justices were wrong if they assumed overturning “Roe v. Wade” would settle the abortion issue before the high court. At least two cases are awaiting consideration, and more are in the legal pipeline. Meanwhile, Congress once again has only days until the next temporary spending bill runs out, with no budget deal in sight. Lauren Weber of The Washington Post, Shefali Luthra of The 19th, and Victoria Knight of Axios join KFF Health News chief Washington correspondent Julie Rovner to discuss these issues and more. Also this week, Rovner interviews Sandro Galea, dean of the Boston University School of Public Health, about how public health can regain public trust.

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Proposed Medicare Advantage Changes Cannot Accurately Be Called ‘Cuts,’ Experts Say

By Madison Czopek, PolitiFact and Yacob Reyes, PolitiFact February 22, 2023 KFF Health News Original

CMS advanced two proposed changes that could affect Medicare Advantage plans. One would allow the government to recover past overpayments. As a result, it could reduce those insurers’ profits, leading them to increase enrollees’ out-of-pocket costs or reduce benefits. But it’s inaccurate to characterize the changes as “cuts.”

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What the Health? From KFF Health News: Alabama Court Rules Embryos Are Children. What Now?

February 22, 2024 Podcast

In a first-of-its-kind ruling, the Alabama Supreme Court has determined that embryos created for in vitro fertilization procedures are legally people. The decision has touched off massive confusion about potential ramifications, and the University of Alabama-Birmingham has paused its IVF program. Meanwhile, former President Donald Trump is reportedly planning to endorse a national 16-week abortion ban, while his former administration officials are planning further reproductive health restrictions for a possible second term. Lauren Weber of The Washington Post, Rachana Pradhan of KFF Health News, and Victoria Knight of Axios 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 that they think you should read, too.

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