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Showing 461-480 of 2,069 results for "out-of-network"

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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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What the Health? From KFF Health News: Alabama’s IVF Ruling Still Making Waves

February 29, 2024 Podcast

Lawmakers in Congress and state legislatures are scrambling to react to the ruling by the Alabama Supreme Court that frozen embryos created for in vitro fertilization are legally children. Abortion opponents are divided among themselves, with some supporting full “personhood” for fertilized eggs, while others support IVF as a moral way to have children. Rachel Cohrs of Stat, Riley Griffin of Bloomberg News, and Joanne Kenen of the Johns Hopkins University schools of nursing and public health and Politico Magazine join KFF Health News’ Julie Rovner to discuss these issues and more. Also this week, Rovner interviews University of Pittsburgh law professor Greer Donley, who explains how a 150-year-old anti-vice law that’s still on the books could be used to ban abortion nationwide. 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: 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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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 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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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: All About the (Government) Funding

January 11, 2024 Podcast

With days to go until a large chunk of the federal government runs out of money needed to keep it operating, Congress is still struggling to find a compromise spending plan. Meanwhile, the Supreme Court agreed to hear — this year — a case that pits federal requirements for emergency treatment against state abortion bans. Alice Miranda Ollstein of Politico, Sarah Karlin-Smith of the Pink Sheet, and Tami Luhby of CNN join KFF Health News chief Washington correspondent Julie Rovner to discuss these issues and more. Also this week, Rovner interviews American Medical Association President Jesse Ehrenfeld about the choppy waters facing the nation’s physicians in 2024.

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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 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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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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Social Security Overpays Billions to People, Many on Disability. Then It Demands the Money Back.

By David Hilzenrath and Jodie Fleischer, Cox Media Group September 15, 2023 KFF Health News Original

Beneficiaries in five states described what happened when they received letters calling on them to return overpayments that can reach tens of thousands of dollars or more.

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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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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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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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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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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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Epidemic: Do You Know Dutta?

August 1, 2023 Podcast

Who gets credit for wiping smallpox from the planet? American men have been widely recognized while the contributions of South Asian public health workers have been less celebrated. Episode 2 of the “Eradicating Smallpox” podcast tells the story of Mahendra Dutta, an Indian public health leader, whose political savvy helped usher in a transformative approach to finding and containing smallpox cases.

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A photo of an American flag patch on camoflage.

Some Private Companies Charge Hefty Fees to Help Veterans With Disability Claims

By Michelle Andrews April 28, 2023 KFF Health News Original

Unaccredited companies promise to help veterans file for disability benefits. But unlike the thousands of service representatives who have been vetted and approved by the Department of Veterans Affairs to provide aid, these “medical consultants” or “coaches” operate with no restrictions on how much they can charge.

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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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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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