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Showing 501-520 of 2,044 results for "out-of-network"

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What the Health? From KFF Health News: Slow Your Disenroll

June 15, 2023 Podcast

More than a million Americans have lost Medicaid coverage since pandemic protections ended. The Biden administration is asking states to slow disenrollment, but that does not mean states must listen. Meanwhile, a Supreme Court decision gives Medicaid beneficiaries the right to sue over their care, and a new deal preserves coverage of preventive services nationwide as a Texas court case continues. Rachel Cohrs of Stat, Alice Miranda Ollstein of Politico, and Sandhya Raman of CQ Roll Call join KFF Health News’ Mary Agnes Carey to discuss these issues and more. Also this week, KFF Health News’ Julie Rovner interviews Dan Mendelson, CEO of Morgan Health, a new unit of JPMorgan Chase, about employers’ role in insurance coverage.

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A photo shows Susie Talevski standing next to the sign outside the Valparaiso Care and Rehabilitation Center, the nursing home where her father resided.

Supreme Court to Hear Nursing Home Case That Could Affect Millions

By Farah Yousry, Side Effects Public Media November 7, 2022 KFF Health News Original

An Indiana man’s family sued a state-owned nursing home for alleged mistreatment. A U.S. Supreme Court decision in the case could determine the right of many Americans to sue government agencies.

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A photo shows a patient's blood pressure being checked with an arm cuff.

‘Free’ Screening? Know Your Rights to Get No-Cost Care

By Julie Appleby July 6, 2022 KFF Health News Original

Even a decade in, the Affordable Care Act’s recommendations to simply cover preventive screening and care without cost sharing remain confusing and complex.

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A screenshot of the three-person Zoom panel. From clockwise, the speakers are: Céline Gounder, Bill Foege, and Helene Gayle.

Watch: Thinking Big in Public Health, Inspired by the End of Smallpox

September 18, 2023 KFF Health News Original

A conversation about how the lessons from the victory over smallpox could be applied to public health challenges today.

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Jayne Wildasin, an adult woman with blonde curly hair wearing a patterned blouse, stands inside her office. A computer desk is visible behind her.

At 988 Call Centers, Crisis Counselors Offer Empathy — And Juggle Limited Resources

By Brett Sholtis, WITF September 8, 2022 KFF Health News Original

During a mental health crisis, a conversation with an empathetic listener can be lifesaving. But for in-person help, resources are in short supply in many parts of the country.

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Patient record form with stethoscope

How Much Health Insurers Pay for Almost Everything Is About to Go Public

By Julie Appleby July 1, 2022 KFF Health News Original

New government rules force health insurers to publicly disclose what they pay for just about every service. That information could help consumers and employers know whether they’re getting a fair deal.

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A nurse is seen from behind administering a mammogram to a woman.

Preventive Care May Be Free, but Follow-Up Diagnostic Tests Can Bring Big Bills

By Michelle Andrews June 14, 2022 KFF Health News Original

Under the Affordable Care Act, insurers cannot charge consumers for various preventive services that have been recommended by experts. But if those screenings indicate more testing is needed to determine whether something is wrong, patients may be on the hook for hundreds or even thousands of dollars for diagnostic services.

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A photo shows a woman using a laptop with a notepad on the desk beside it.

Three Things to Know About Insurance Coverage for Abortion

By Julie Appleby July 13, 2022 KFF Health News Original

Even before the Supreme Court struck down the constitutional right to abortion, insurance coverage for the service varied widely. Now it’s become even more complex, with additional changes and court challenges to come.

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Biden Wins, but His Health Agenda Dims With GOP Likely to Hold Senate

By Julie Rovner November 7, 2020 KFF Health News Original

Democrats had hoped not only to defeat President Donald Trump but also to capture the Senate so they could make major policy changes, such as bolstering the Affordable Care Act and reducing the number of uninsured.

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Anesthesia Provider Will Pay $260K To Settle ‘Surprise Billing’ Claims

June 2, 2021 Morning Briefing

Patients in Massachusetts didn’t know that South Shore Anesthesia Associates was out of network until they received a bill, the Boston Globe reported. News is also on Quorum Health, QHR Health, Grant Avenue Capital, AHIP, Epic Systems Corp., CVS and Amazon Web Services.

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Layers of Subcontracted Services Confuse and Frustrate Medi-Cal Patients

By Bernard J. Wolfson December 22, 2021 KFF Health News Original

Many of the 14 million patients in Medi-Cal are in managed care health plans that outsource their care to subcontractors or sub-subcontractors. For patients with difficult health care needs, it can be hard to know where to turn.

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A photo shows a dermatologist holding a magnifier to a mole on a Black woman's wrist to check for melanoma.

Skin Cancer Is a Risk No Matter the Skin Tone. But It May Be Overlooked in People With Dark Skin.

By Sandy West August 5, 2022 KFF Health News Original

Black people and those with high levels of melanin in their skin have long been left out of efforts to combat skin cancer. Historically neglected both by sunscreen manufacturers and a medical community lagging in diversity and cultural competency, many people with dark skin tones have not been informed about sun safety or how to monitor their skin for damage or cancer.

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A photo shows Danilo Manimtim standing outside in front of green bushes.

His-and-Hers Cataract Surgeries, But His Bill Was 20 Times as Much

By Angela Hart Photos by Heidi de Marco June 27, 2022 KFF Health News Original

Whether a simple operation is performed under the auspices of a hospital or at an independent surgery center can make a huge difference in cost.

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Patrick Green is seen on the left squatting and holding a bottle to a tap that siphons wastewaster. Excess sludge flows into a bucket underneath the tap.

Health Officials See Bright Future in Poop Surveillance

By Anna Maria Barry-Jester March 24, 2022 KFF Health News Original

Sewage surveillance is proving so useful in mapping covid trends that many public health officials say it should become standard practice in tracking infectious diseases. Whether that happens will depend on the nation’s ability to make it viable in communities rich and poor.

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A photo shows a crowd of pro-abortion activists holding signs and banners outside the Georgia Capitol.

A Post-‘Roe’ World in Georgia Will Mean More Restrictions — And More Political Battles

By Sam Whitehead June 24, 2022 KFF Health News Original

Abortion will almost certainly face new restrictions in Georgia. Patients will have a harder time finding services, and providers will have to figure out how to navigate the new landscape. Meanwhile, abortion opponents see the moment as an opportunity to put further restrictions on the procedure.

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A photo shows a nursing assistant brushing a patient's teeth in a hospital.

Hospital-Acquired Pneumonia Is Killing Patients. Yet There Is a Simple Way to Stop It.

By Brett Kelman July 12, 2022 KFF Health News Original

Hospital-acquired pneumonia not tied to ventilators is one of the most common infections that strike within health care facilities. But few hospitals take steps to prevent it, which can be as simple as dutifully brushing patients’ teeth.

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What the Health? From KFF Health News: Our 300th Episode!

June 1, 2023 Podcast

When KFF Health News’ “What the Health?” podcast launched in 2017, Republicans in Washington were engaged in an (ultimately unsuccessful) campaign to “repeal and replace” the Affordable Care Act. The next six years would see a pandemic, increasingly unaffordable care, and a health care workforce experiencing unprecedented burnout. In the podcast’s 300th episode, host and chief Washington correspondent Julie Rovner explores the past and possible future of the U.S. health care system with three prominent “big thinkers” in health policy: Ezekiel Emanuel of the University of Pennsylvania, Jeff Goldsmith of Health Futures, and Farzad Mostashari of Aledade.

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Last Thing Patients Need During Pandemic: Being Last to Know a Doctor Left Network

By Michelle Andrews July 27, 2020 KFF Health News Original

Health plan network changes occur all the time as doctors retire, relocate or leave networks. Unfortunately, patients may be the last to find out about such changes because there are often few requirements that either providers or insurers inform them.

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What the Health? From KFF Health News: Au Revoir, Public Health Emergency

February 2, 2023 Podcast

The Biden administration this week announced it would let the covid-19 public health emergency lapse on May 11, even as the Republican-led House was voting to immediately eliminate the special authorities of the so-called PHE. Meanwhile, anti-abortion forces are pressuring legislators to both tighten abortion restrictions and pay for every birth in the nation. Margot Sanger-Katz of The New York Times, Rachel Roubein of The Washington Post, and Victoria Knight of Axios join KHN’s chief Washington correspondent Julie Rovner to discuss these issues and more. Also this week, Rovner interviews Hannah Wesolowski of the National Alliance on Mental Illness about the rollout of the national 988 suicide prevention hotline.

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A long line of people facing away from the camera are lined up outside of a building.

Fighting Monkeypox, Sexual Health Clinics Are Underfunded and Ill-Equipped

By Liz Szabo and Lauren Weber July 19, 2022 KFF Health News Original

Sexual health clinics are scrambling to properly track, test, and treat hundreds of monkeypox patients. So far, it isn’t going well.

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