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Showing 481-500 of 2,078 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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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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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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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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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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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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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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A photo of a woman talking at a press conference at a microphone.

The Painful Pandemic Lessons Mandy Cohen Carries to the CDC

By Fred Clasen-Kelly and Rachana Pradhan and Holly K. Hacker August 23, 2023 KFF Health News Original

Mandy Cohen, the new director of the Centers for Disease Control and Prevention, earned praise for her leadership and communication as the face of North Carolina’s response to covid-19. People in the state’s most vulnerable communities tell a more complicated story.

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A woman with long dark hair and wearing a white doctor's coat stands in a hallway with arms by her side and looks at the camera.

The Powerful Constraints on Medical Care in Catholic Hospitals Across America

By Rachana Pradhan and Hannah Recht February 17, 2024 KFF Health News Original

The expansion of Catholic hospitals nationwide leaves patients at the mercy of the church’s religious directives, which are often at odds with accepted medical standards.

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KHN’s ‘What the Health?’: Biden Declares the Pandemic ‘Over’

September 22, 2022 KFF Health News Original

President Joe Biden, in an interview with CBS’ “60 Minutes,” declared the covid-19 pandemic “over,” stoking confusion for members of his administration trying to persuade Congress to provide more funding to fight the virus and the public to get the latest boosters. Meanwhile, concerns about a return of medical inflation is helping boost insurance premiums even as private companies race to get their piece of the health pie. Anna Edney of Bloomberg News, Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico, and Lauren Weber of KHN join KHN’s Julie Rovner to discuss these issues and more. Also, for extra credit, the panelists suggest their favorite health policy stories they think you should read, too.

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A woman with her eyes closed hugs her husband who looks at the camera.

Damaged Credit Delays the Dream of Buying a Home

By Aneri Pattani June 16, 2022 KFF Health News Original

Joe Pitzo was diagnosed with brain cancer in 2018. After surgery, the bills topped $350,000. “This just took a major toll on my credit,” Joe said. “It went down to next to nothing.”

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California Opens Medicaid to Older Unauthorized Immigrants

By Bernard J. Wolfson Photos by Heidi de Marco May 2, 2022 KFF Health News Original

Starting May 1, low-income unauthorized immigrants over age 49 became eligible for full Medicaid health coverage, a significant milestone in California’s effort to expand coverage.

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A photo shows a teenage boy in a classroom looking worriedly down at classwork on his desk.

States Opting Out of a Federal Program That Tracks Teen Behavior as Youth Mental Health Worsens

By Daniel Chang October 26, 2022 KFF Health News Original

Colorado, Florida, and Idaho are the latest states to opt out of a survey that tracks concerning behaviors in high school students. Officials cite low participation and state laws that require parental permission. But some advocates say dwindling state participation is an “enormous loss” that will make it harder to track signs of poor mental health — like drug and alcohol misuse and suicidal ideation — among teens.

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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 shows patrons smoking hookah inside of a hookah lounge.

California’s Proposed Flavored Tobacco Ban Gives Hookah a Pass

By Rachel Scheier November 3, 2022 KFF Health News Original

Californians will decide Nov. 8 whether to approve a statewide ban on the sale of flavored tobacco products, including menthol cigarettes. But the measure, known as Proposition 31, exempts hookah tobacco. Anti-smoking activists criticize the carve-out, calling it the latest example of businesses using identity politics to profit from a deadly product.

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A photo shows Daisy Gonzalez posing for a portrait outside near the encampment where she lives.

‘The Country Is Watching’: California Homeless Crisis Looms as Gov. Newsom Eyes Political Future

By Angela Hart February 9, 2023 KFF Health News Original

As Gov. Gavin Newsom enters his second term, his legacy as governor and path forward in the Democratic Party hinge on his making visible headway on California’s homeless crisis. We lay out the possibilities — and challenges — as he unleashes an $18 billion battle plan.

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A photo shows a crushed car and debris, the aftermath of Hurricane Ian in Florida.

Hurricane Ian Shows That Coastal Hospitals Aren’t Ready for Climate Change

By Daniel Chang and Lauren Sausser October 7, 2022 KFF Health News Original

Hundreds of medical centers along the Atlantic and Gulf coasts face serious risks from even relatively weak storms as climate change accelerates sea-level rise — not to mention big ones like Category 4 Hurricane Ian.

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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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