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It’s Called an Urgent Care Emergency Center — But Which Is It?

By Renuka Rayasam June 24, 2024 KFF Health News Original

Suffering stomach pain, a Dallas man visited his local urgent care clinic — or so he thought, until he got a bill 10 times what he’d expected.

Lose Weight, Gain Huge Debt: NY Provider Has Sued More Than 300 Patients Who Had Bariatric Surgery

By Fred Schulte April 20, 2023 KFF Health News Original

The private equity-backed practice has been known to demand more than $100,000 in charges or penalties. One patient is fighting back.

Mary Lou Retton’s Explanation of Health Insurance Takes Some Somersaults

By Julie Appleby January 12, 2024 KFF Health News Original

The gold-medal gymnast’s explanation of why she remained uninsured has health policy experts doing mental gymnastics — because it makes little sense.

The Big Squeeze: More Enrollees and Smaller Networks Plague Some ACA Plans

By Julie Appleby April 6, 2023 KFF Health News Original

Despite record enrollment in health insurance plans under the Affordable Care Act, some consumers who bought coverage and agents who helped them do so have had a tough start to the new year: Many say it’s hard to find an in-network doctor or hospital.

What the Health? From KFF Health News: Newly Minted Doctors Are Avoiding Abortion Ban States

May 9, 2024 Podcast

For the second year in a row, medical school graduates across specialties are shying away from applying for residency training in states with abortion bans or significant restrictions, according to a new study. Meanwhile, Medicare’s trustees report that the program will be able to pay its bills longer than expected — which could discourage Congress from acting to address the program’s long-term financial woes. Lauren Weber of The Washington Post, Joanne Kenen of the Johns Hopkins University schools of nursing and public health and Politico Magazine, and Anna Edney of Bloomberg News join KFF Health News’ Julie Rovner to discuss these stories and more.

Urgent Care or ER? With ‘One-Stop Shop,’ Hospitals Offer Both Under Same Roof

By Phil Galewitz August 2, 2024 KFF Health News Original

Hospitals in several states are partnering with a private equity-backed company to offer combined emergency and urgent care in a single building. But patients may not realize prices vary between the two services — often by a lot.

Medicare Expands the Roster of Available Mental Health Professionals

By Judith Graham November 3, 2023 KFF Health News Original

Medicare is expanding access to mental health counselors and marriage and family therapists come Jan. 1. But the belief that seniors who suffer from mental health problems should just grin and bear it remains a troubling barrier to care.

Tiny, Rural Hospitals Feel the Pinch as Medicare Advantage Plans Grow

By Sarah Jane Tribble October 23, 2023 KFF Health News Original

More than half of seniors are enrolled in private Medicare Advantage plans instead of traditional Medicare. Rural enrollment has increased fourfold and many small-town hospitals say that threatens their viability.

A Father Dreamed of a Home for His Family. Medical Debt Nearly Pushed Them Onto the Streets.

By Noam N. Levey September 11, 2023 KFF Health News Original

As cities like Denver struggle to make homes more affordable, medical debt keeps housing out of reach for millions of Americans.

‘An Arm and a Leg’: Know Your ‘No Surprises’ Rights

By Dan Weissmann February 2, 2022 KFF Health News Original

The No Surprises Act protects patients from surprise out-of-network bills. But there are caveats. For instance, these protections apply only to care in a hospital. This episode breaks it all down.

GoFundMe Has Become a Health Care Utility

By Elisabeth Rosenthal February 12, 2024 KFF Health News Original

Resorting to crowdfunding to pay medical bills has become so routine, in some cases health professionals recommend it.

What the Health? From KFF Health News: The State of Federal Health Agencies Is Uncertain

March 6, 2025 Podcast

The Supreme Court opined for the first time that Trump administration officials may be exceeding their authority to reshape the federal government by refusing to honor completed contracts, even as lower-court judges started blocking efforts to fire workers, freeze funding, and cancel ongoing contracts. Meanwhile, public health officials are alarmed at the Department of Health and Human Services’ public handling of Texas’ widening measles outbreak, particularly the secretary’s less-than-full endorsement of vaccines. Lauren Weber of The Washington Post, Joanne Kenen of the Johns Hopkins University School of Public Health and Politico Magazine, and Stephanie Armour of KFF Health News join KFF Health News’ Julie Rovner to discuss these stories and more.

Inaccurate Provider Listings May Become Legal Headache For Insurers

December 12, 2024 Morning Briefing

Anthem Blue Cross Blue Shield of New York is facing a class-action lawsuit that alleges that the insurer intentionally includes out-of-network providers in its lists. The insurance industry will be watching closely as others have been accused of promoting “ghost networks.”

Survey Shows Health Care Workers Use More AI At Home Than At Work

June 4, 2025 Morning Briefing

This holds true across the board for nurses and physicians. Also in industry news: Orlando Health holds its second mental health conference; A judge denies a motion to dismiss lawsuits accusing Claritev of colluding with insurers to reduce pay for out-of-network providers; and more.

An Anesthesiology Practice’s Busy Day in Court Collecting on Surprise Bills

By Jay Hancock December 23, 2021 KFF Health News Original

Legislative crackdowns on out-of-network bills haven’t kept specialists from hitting patients with unexpected charges running into thousands of dollars.

An Arm and a Leg: Mental Health ‘Ghost Networks’ — And a Ghostbuster

By Dan Weissmann May 11, 2023 Podcast

What should you do when your search for an in-network mental health care provider comes up empty? Abigail Burman has some expertise to share.

Readers and Tweeters Are Horrified by Harm Tied to Dental Device

March 31, 2023 KFF Health News Original

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

Patients Get Stranded Out of Network as Insurer-Hospital Contract Talks Fall Apart

By Andy Miller November 17, 2021 KFF Health News Original

As hospital systems and insurers adjust to the pandemic, their contract negotiations grow increasingly fraught. Contracts for in-network care are ending without a new deal, leaving patients suddenly with out-of-network bills or scrambling to find new in-network providers.

With More People Giving Birth at Home, Montana Passed a Pair of Laws to Make It Easier

By Keely Larson July 12, 2023 KFF Health News Original

The state now requires Medicaid to cover midwife services and has expanded the list of prescription drugs midwives can administer.

What the Health? From KFF Health News: Biden Budget Touches All the Bases

March 10, 2023 Podcast

Very little in the proposed budget released by the Biden administration is likely to become law, particularly with Republicans in charge of the U.S. House. Still, the document is an important statement of the president’s policy priorities, and it’s clear health programs are among those he feels are important. Meanwhile, five women who were denied abortions when their pregnancies threatened their lives are suing Texas. Shefali Luthra of The 19th, Victoria Knight of Axios, and Margot Sanger-Katz of The New York Times join KHN’s Julie Rovner to discuss these issues and more. Also this week, Rovner interviews Harris Meyer, who reported and wrote the two latest KHN-NPR “Bill of the Month” features. Both were about families facing unexpected bills following childbirth.

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