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Showing 421-440 of 2,032 results for "out-of-network"

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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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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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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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Shaunti Meyer stands in front of a mirrored door. She looks at the camera with a serious expression.

Physicians Are Uneasy as Colorado Collects Providers’ Diversity Data

By Markian Hawryluk April 25, 2022 KFF Health News Original

Colorado is requiring insurers that offer public option plans to collect demographic data on health providers, including race and sexual orientation. The aim is to connect patients with the right provider, but providers are worried about their privacy.

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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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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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With No Legal Guardrails for Patients, Ambulances Drive Surprise Medical Billing

By Laura Ungar September 14, 2020 KFF Health News Original

Studies show that at least half of ground ambulance rides across the nation leave patients with “surprise” medical bills. And a $300-a-mile ride is not unusual. Yet federal legislation to stem what’s known as balance billing has largely ignored ambulance costs.

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Wave of Rural Nursing Home Closures Grows Amid Staffing Crunch

By Tony Leys January 25, 2023 KFF Health News Original

Many small-town care facilities that remain open are limiting admissions, citing a lack of staff, while a wave of others shutter. That means more patients are marooned in hospitals or placed far away from their families.

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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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Her First Colonoscopy Cost Her $0. Her Second Cost $2,185. Why?

By Michelle Andrews May 31, 2022 KFF Health News Original

Preventive care, like screening colonoscopies, is supposed to be free of charge to patients under the Affordable Care Act. But some hospitals haven’t gotten the memo.

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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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What the Health? From KFF Health News: Congress Kicks the (Budget) Can Down the Road. Again.

November 16, 2023 Podcast

Congress narrowly avoided a federal government shutdown for the second time in six weeks, as Democrats came to the rescue of divided House Republicans over annual spending bills that were supposed to be finished by Oct. 1. But the brinksmanship is likely to repeat itself early in 2024, when the next temporary spending patches expire. Meanwhile, a pair of investigations unveiled this week demonstrate how difficult it still is for seniors to get needed long-term and rehabilitation care. Alice Miranda Ollstein of Politico, Rachel Cohrs of Stat, and Joanne Kenen of Johns Hopkins University and Politico Magazine join KFF Health News’ Julie Rovner to discuss these issues and more.

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An employee collects a wastewater sample from an open manhole. A plastic bottle at the end of a long, yellow pole contains the water sample as it's lifted from the manhole.

Covid Sewage Surveillance Labs Join the Hunt for Monkeypox

By Mark Kreidler August 9, 2022 KFF Health News Original

Wastewater testing has proved a reliable early alarm bell for covid outbreaks. U.S. researchers are now adapting the approach to track the explosive spread of monkeypox.

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A photo of a black doctor showing a black pregnant woman an image of her ultrasound.

A Striking Gap Between Deaths of Black and White Babies Plagues the South

By Lauren Sausser May 22, 2023 KFF Health News Original

Infant mortality rates across the South are by far the worst in the U.S. A look at South Carolina — where multimillion-dollar programs aimed at improving rates over the past 10 years have failed to move the needle — drives home the challenge of finding solutions, especially in rural communities.

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What the Health? From KFF Health News: Democrats See Opportunity in GOP Threats to Repeal Health Law 

December 7, 2023 Podcast

Sensing that Republicans are walking into a political minefield by threatening once again to repeal the Affordable Care Act, the Biden administration is looking to capitalize by rolling out a series of initiatives aimed at high drug prices and other consequences of “corporate greed in health care.” Meanwhile, the Supreme Court hears a case that could determine when and how much victims of the opioid crisis can collect from Purdue Pharma, the drug company that lied about how addictive its drug, OxyContin, really was. Alice Miranda Ollstein of Politico, Anna Edney of Bloomberg News, and Rachana Pradhan of KFF Health News join KFF Health News chief Washington correspondent Julie Rovner to discuss these issues and more. Also this week, Rovner interviews Dan Weissmann of KFF Health News’ sister podcast, “An Arm and a Leg,” about his investigation into hospitals suing their patients over unpaid bills.

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What the Health? From KFF Health News: The State of the Union Is … Busy

March 7, 2024 Podcast

At last, Congress is getting half of its annual spending bills across the finish line, albeit five months after the start of the fiscal year. Meanwhile, President Joe Biden delivers his annual State of the Union address, an over-the-counter birth control pill is (finally) available, and controversy erupts over new public health guidelines for covid-19 isolation. Alice Miranda Ollstein of Politico, Sarah Karlin-Smith of the Pink Sheet, and Sandhya Raman of CQ Roll Call join KFF Health News’ Julie Rovner to discuss these issues and more. Also this week, Rovner interviews Neera Tanden, the White House domestic policy adviser, about Biden’s health agenda. 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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NYC Makes Clear Its Intent to Lead on Abortion Access

By Michelle Andrews February 28, 2023 KFF Health News Original

Mayor Eric Adams’ announcement this year to provide abortion pills free of charge at four of New York’s sexual health clinics is the city’s latest move on abortion access. Other jurisdictions are also taking steps.

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HHS Releases Details on How Surprise Medical Bill Disputes Will Be Resolved

October 1, 2021 Morning Briefing

Ahead of greater consumer protections against unexpected out-of-network charges taking effect on Jan. 1, the Department of Health and Human Services issued an interim rule Thursday that outlines an arbitration process that will settle disagreements between insurers and providers over costs. The Biden administration’s approach is favored by the insurance industry.

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A photo of two women hugging outside.

The Painful Legacy of ‘Law and Order’ Treatment of Addiction in Jail

By Renuka Rayasam July 19, 2023 KFF Health News Original

Efforts to improve addiction care in jails and prisons are underway across the country. But a rural Alabama county with one of the nation’s highest overdose rates shows how change is slow, while law enforcement officials continue to treat addiction as a crime rather than a medical condition.

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