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Showing 561-580 of 2,036 results for "out-of-network"

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Low Wages and Pandemic Gut Staffing Support for Those With Disabilities

By Andy Miller September 24, 2021 KFF Health News Original

Group homes and facilities that serve people with intellectual and developmental disabilities were hurting for staffers before the pandemic. Now the nationwide job crunch and pandemic pressures are making it even worse.

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Covered California’s Insurance Deals Range From ‘No-Brainer’ to Sticker Shock

By Bernard J. Wolfson December 21, 2021 KFF Health News Original

Families of four with incomes of less than about $40,000 a year can pay no premiums and have low deductibles. For some others, health insurance in 2022 will cost more than in 2021 — in some cases, significantly more.

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Medicare Patients Win the Right to Appeal Gap in Nursing Home Coverage

By Susan Jaffe January 28, 2022 KFF Health News Original

If federal officials accept a court’s decision, some patients will get a chance to seek refunds for their nursing home and other expenses.

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Youthful Advisers Help Shape a Mental Health Program for Their Peers

By Mark Kreidler October 4, 2021 KFF Health News Original

Officials are enthusiastic about the Allcove initiative, modeled on an Australian program. But it will need to show effectiveness and find funding.

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Headed Away to School? Here’s What Students With Health Issues Need to Know

By Sandy West August 24, 2021 KFF Health News Original

College and grad students with chronic health conditions as common as asthma and diabetes may need to clear hurdles to make sure their health needs are covered by insurance if they go to school far from home.

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UVA Health Still Squeezing Money From Patients — By Seizing Their Home Equity

By Jay Hancock October 19, 2020 KFF Health News Original

The University of Virginia promised reforms but has stopped short of announcing them, while hospital giant VCU Health has freed tens of thousands from property liens.

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Money Flows Into Addiction Tech, But Will It Curb Soaring Opioid Overdose Deaths?

By Brian Rinker March 21, 2022 KFF Health News Original

Experts are concerned that flashy Silicon Valley technology won’t reach those most in need of treatment for substance use disorders.

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California Vaccine Mandate Extends to Aides for People With Disabilities

By Jackie Fortiér, LAist October 6, 2021 KFF Health News Original

Even though they perform the same intimate tasks as nursing home and hospital workers, in-home health aides initially were left out of California’s vaccine mandate. They must be fully vaccinated by Nov. 30.

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One Defensive Strategy Against Surprise Medical Bills: Set Your Own Terms

By Julie Appleby February 11, 2020 KFF Health News Original

By writing in payment limits when signing hospital forms, patients might have leverage in negotiations over disputes that arise from surprise medical bills.

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North Carolina Treasurer Took On the Hospitals. Now He’s Paying Political Price.

By Jordan Rau October 26, 2020 KFF Health News Original

The state hospital association has endorsed Dale Folwell’s opponent after the treasurer sought to force them to accept lower reimbursements from the state employees’ health plan.

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Watch: Out-Of-Network Outrage After A $540K Charge For Dialysis

July 25, 2019 KFF Health News Original

CBS This Morning covers the highest KHN-NPR Bill of the Month yet: more than half a million dollars for just 14 weeks of kidney dialysis in Montana.

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ERs Are Swamped With Seriously Ill Patients, Although Many Don’t Have Covid

By Kate Wells, Michigan Public October 29, 2021 KFF Health News Original

Certain patients who couldn’t get in to see a doctor earlier in the pandemic, or were avoiding the covid risks inside hospitals, have become too sick to stay away. Many ERs now struggle to cope with an onslaught of demand.

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Pandemic-Fueled Shortages of Home Health Workers Strand Patients Without Necessary Care

By Judith Graham February 3, 2022 KFF Health News Original

Home health and hospice agencies are experiencing extreme worker shortages, which means they can’t provide services to all the patients seeking care.

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Jaw Surgery Takes a $27,119 Bite out of One Man’s Budget

By Phil Galewitz August 27, 2021 KFF Health News Original

A Seattle patient discovers the hard way that you can still hit a lifetime limit for certain types of care. And health plans can vary a lot from one job to the next, even if the insurer is the same.

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‘Injections, Injections, Injections’: Troubling Questions Follow Closure of Sprawling Pain Clinic Chain

By Anna Maria Barry-Jester and Jenny Gold February 22, 2022 KFF Health News Original

In May 2021, Lags Medical Centers, one of California’s largest chains of pain clinics, abruptly closed its doors amid a cloaked state investigation. Nine months later, patients are still in the dark about what happened with their care and to their bodies.

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Restoring a Sense of Belonging: The Unsung Importance of Casual Relationships for Older Adults

By Judith Graham August 2, 2021 KFF Health News Original

Relationships with people you know only superficially can help develop a sense of belonging and provide motivation to engage in activities. Research has found that older adults who have a broad array of “weak” as well as “close” ties enjoy better physical and psychological well-being and live longer than people with less diverse social networks.

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Pharmacies Face Extra Audit Burdens That Threaten Their Existence

By Markian Hawryluk August 6, 2021 KFF Health News Original

Pharmacy benefit managers have curtailed in-person audits of pharmacy claims during the pandemic, switching to virtual audits done by computer. That has markedly increased the number of claims they can review — and the chances for payment denials — squeezing pharmacies and bringing in more cash for the benefit companies.

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Your Out-of-Pocket Health Care Costs Need Not Be a Mystery

By Bernard J. Wolfson November 15, 2021 KFF Health News Original

A new California law requires health insurance companies to notify consumers how much remains on their deductibles and how close they are to their annual out-of-pocket spending limits.

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As Big Pharma and Hospitals Battle Over Drug Discounts, Patients Miss Out on Millions in Benefits

By Sarah Jane Tribble and Emily Featherston, InvestigateTV November 16, 2021 KFF Health News Original

The number of pharmacies dispensing 340B discounted drugs soared to more than 31,000 this year. Drugmakers struck back by halting some discounts. Hospitals say they are losing millions of dollars — and cutting back services to patients — as a result.

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Telemedicine Abortions Offer Cheaper Options but May Also Undermine Critical Clinics

By Amy Littlefield September 3, 2021 KFF Health News Original

A change in FDA rules during the pandemic has let women receive the drugs needed for a medical abortion by mail after a telemedicine appointment. While some abortion rights advocates hail the move, others note that these services, which are often cheaper than going to a clinic, could siphon away patients needed to keep those brick-and-mortar facilities operating.

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