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Showing 541-560 of 2,069 results for "out-of-network"

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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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Misleading Ads Driving People To Sign Up For Medicare Advantage Plans

November 7, 2022 Morning Briefing

Medicare beneficiaries are being warned to look out for deceptive Medicare Advantage marketing — some of which provides misleading information on savings or doctor networks and may not fit patients’ needs.

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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 closeup photo shows a child viewed from the front getting an eye exam with a phoropter. The large medical instrument obscures most of the child's face from view.

Children’s Vision Problems Often Go Undetected, Despite Calls for Regular Screening

By Colleen DeGuzman June 9, 2022 KFF Health News Original

Eye exams for children are required under federal law to be covered by most private health plans and Medicaid, and many states mandate school vision screenings. But a federal survey finds that a quarter of children and teens are still not getting the recommended tests.

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Readers and Tweeters Go to the Mat on Abortion Rights and Perceived Wrongs

June 2, 2022 KFF Health News Original

KHN gives readers a chance to comment on a recent batch of stories.

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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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NICU Bill Installment Plan: That’ll Be $45,843 a Month for 12 Months, Please

By Victoria Knight December 21, 2021 KFF Health News Original

After baby Dorian Bennett arrived two months early and spent more than 50 days in the neonatal ICU, his parents received a bill of more than $550,000 — despite having insurance. The Florida hospital had a not-so-helpful suggestion: monthly payments of more than $45,000 for a year.

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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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A wide shot photo shows Cameron Wright sitting in his bed at home in Denton, Texas. Posters and trinkets hang on the wall behind him.

The Families of Trans Kids in Texas Consider Their Options Amid Crackdown on Care

By Sandy West May 9, 2022 KFF Health News Original

After Texas limited transgender medical care for young people, patients are trying to figure out what’s next.

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A digital illustration in pencil and watercolor. Two parents, painted in a pale purple, are visible from the waist down and face away from the viewer. Their toddler stands between them, and they each hold one of the child’s hands. The trio are walking away from the viewer, into an unclear setting. They stand on a luminous maze that radiates out from the child’s feet.

‘So Rudderless’: A Couple’s Quest for Autism Treatment for Their Son Hits Repeated Obstacles

By Michelle Andrews July 21, 2022 KFF Health News Original

Amparo and Victor Rios began searching for answers about their son’s development when he didn’t hit some milestones after turning 2. Three years later, they are still trying to get their insurance to pay for expensive therapy to help him.

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A healthcare worker walks up to a car in a drive-through covid testing site.

Despite Losing Federal Money, California Is Still Testing Uninsured Residents for Covid — For Now

By Rachel Bluth April 25, 2022 KFF Health News Original

Federal funding that paid for covid testing, treatment, and vaccines for uninsured people has run out. While some states struggle to make up the difference, California is relying on other state and local programs to continue free testing.

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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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A photo shows Edward Green conversing with a doctor.

‘Separate and Unequal’: Critics Say Newsom’s Pricey Medicaid Reforms Leave Most Patients Behind

By Angela Hart October 12, 2022 KFF Health News Original

MLK Community Hospital in South Los Angeles is surrounded by poverty, homeless encampments, and food deserts. Even though California Gov. Gavin Newsom is funneling billions of taxpayer money into an ambitious initiative to provide some low-income patients with social services, hospital executives and other critics say it won’t improve access to basic care.

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A nurse pushes a gurney down a hallway inside of a hospital.

Feds Want a Policy That Advocates Say Would Let Hospitals Off the Hook for Covid-Era Lapses

By Lauren Weber July 7, 2022 KFF Health News Original

The pandemic disrupted all sense of normalcy for U.S. hospitals, so federal officials are proposing to pause financial penalties against the facilities and to block public access to key hospital safety data — such as the frequency of falls and sepsis — because of concerns that the data isn’t accurate enough. But consumer advocates are furious about the proposal.

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Two photos are shown side-by-side. On the left are Paulina Hijar and Gilbert Shepherd standing next to each other. On the right is a close up of a notepad with recorded overdoses.

Crowdsourced Data on Overdoses Pinpoints Where to Help

By Renuka Rayasam July 5, 2022 KFF Health News Original

University of Texas researchers are testing a program that would allow harm reduction groups to crowdsource data on fatal and nonfatal drug overdoses statewide. While the data relies on word of mouth, they say, it is more comprehensive than anything that exists now and can be used immediately to prevent overdoses.

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Critics Worry Government Surveillance of HIV May Hurt More Than It Helps

By Sam Whitehead July 20, 2022 KFF Health News Original

Some people living with HIV and some state health officials are raising concerns about part of the federal effort to end the HIV epidemic: a new technology that analyzes blood samples to find emerging outbreaks. The critics say it’s too invasive and stigmatizing and might not be more effective than older public health approaches.

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California Joins States Trying to Shorten Wait Times for Mental Health Care

By April Dembosky, KQED November 29, 2021 KFF Health News Original

In California, health insurers blame long waits for therapy appointments on workforce shortages, but state lawmakers say that’s an excuse. A new law requires insurers to reduce wait times for mental health appointments to no more than 10 business days.

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A billboard on the side of a building shows the Golden Gate Bridge with text next to it reading, "FAMOUS THE WORLD OVER FOR OUR BRAINS, BEAUTY AND, NOW, DIRT-CHEAP FENTANYL." Tree branches and a string of lanterns and lights are seen blurred in the foreground.

The New MADD Movement: Parents Rise Up Against Drug Deaths

By Rachel Scheier May 23, 2022 KFF Health News Original

People who have lost children to pills laced with fentanyl are demanding that lawmakers adopt stricter penalties and are pressuring Silicon Valley for social media protections. The movement harks back to the 1980s, when Mothers Against Drunk Driving activated a generation of parents.

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With Sexually Transmitted Infections Off the Charts, California Pushes At-Home Tests

By Rachel Bluth January 5, 2022 KFF Health News Original

A new law makes California the first state to require that health insurance plans, including Medicaid, cover home STI tests. But some details still need to be worked out.

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Surprising Swings In Momentum For Legislation On Surprise Medical Bills

By Rachel Bluth December 17, 2019 KFF Health News Original

A legislative compromise on how to curb unexpected out-of-network medical bills has made recent progress. But many insiders expect work to continue into 2020.

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