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Showing 461-480 of 2,078 results for "out-of-network"

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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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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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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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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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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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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: 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: 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: 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: 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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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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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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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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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: 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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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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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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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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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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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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