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Showing 41-60 of 2,068 results for "out-of-network"

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A photo of the Supreme Court's exterior at sunrise.

The Supreme Court Just Limited Federal Power. Health Care Is Feeling the Shockwaves.

By Stephanie Armour July 1, 2024 KFF Health News Original

A Supreme Court ruling restricting federal power will likely have seismic ramifications for health policy. A flood of litigation — with plaintiffs like small businesses, drugmakers, and hospitals challenging regulations they say are too expensive or burdensome and not authorized by law — could leave the country with a patchwork of disparate health regulations.

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A photo of Governor Gavin Newsom during a press conference taken from the side. On the wall behind him is California's state seal.

California Expands Paid Sick Days and Boosts Health Worker Wages

By Don Thompson October 25, 2023 KFF Health News Original

Gov. Gavin Newsom signed legislation expanding paid sick leave to five days, extending bereavement leave to miscarriages and failed adoptions, and approving an eventual $25-an-hour health care minimum wage. Still, in a possible sign of national ambitions, the Democrat vetoed free condoms in schools and refused to decriminalize psychedelic mushrooms.

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What the Health? From KFF Health News: The Supreme Court vs. the Bureaucracy

January 18, 2024 Podcast

The Supreme Court this week heard oral arguments in a case that could radically alter the way federal agencies — including the Department of Health and Human Services — administer laws passed by Congress. A decision in the case is expected this spring or summer. Meanwhile, the Biden administration is struggling over whether to ban menthol cigarettes — a move that could improve public health but also alienate Black voters, the biggest menthol users. Joanne Kenen of Johns Hopkins University and Politico Magazine, Lauren Weber of The Washington Post, and Rachel Cohrs of Stat join KFF Health News chief Washington correspondent Julie Rovner to discuss these issues and more. Also this week, Rovner interviews Darius Tahir, who reported and wrote the latest KFF Health News-NPR “Bill of the Month” feature about a lengthy fight over a bill for a quick telehealth visit.

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Readers Balk at ‘Gold Standard’ of Autism Treatment

January 20, 2026 KFF Health News Original

KFF Health News gives readers a chance to comment on a recent batch of stories.

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A photo of a man sitting at a desk indoors.

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.

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A photo of Mary Lou Retton posing for a photo outside of SiriusXM's studios.

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.

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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.

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A photo of a woman sitting for a portrait outside.

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.

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An exterior photograph of the UF Health emergency and urgent care facility in Jacksonville, Florida.

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.

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A photo of a woman handing over an insurance card.

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.

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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.

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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.

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An unrecognizable mental health professional takes notes while sitting across from a patient.

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.

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Medical documents on a clipboard are resting on a table or desk with a stethoscope and pen in sunlight.

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.

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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.”

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A photo of a laptop screen on GoFundMe's medical fundraising webpage. Text on the screen reads, "Get help with medical fundraising."

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.

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A photo of a father handing a popsicle to his young son inside an apartment.

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.

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‘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.

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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.

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What the Health? From KFF Health News: The GOP Circles the Wagons on ACA

November 20, 2025 Podcast

Republicans are solidifying their opposition to extending pandemic-era subsidies for Affordable Care Act plans and seem to be coalescing around giving money directly to consumers to spend on health care. Meanwhile, HHS Secretary Robert F. Kennedy Jr. continues to leave his mark on the agency, with the CDC altering its website to suggest childhood vaccines could play a role in causing autism. Paige Winfield Cunningham of The Washington Post, Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico Magazine, and Shefali Luthra of The 19th join KFF Health News’ Julie Rovner to discuss those stories and more. Also this week, Rovner interviews Avik Roy.

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