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Showing 441-460 of 2,069 results for "out-of-network"

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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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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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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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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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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 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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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 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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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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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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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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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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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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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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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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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: 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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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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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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