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Showing 41-60 of 2,030 results for "out-of-network"

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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 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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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 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.

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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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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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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.

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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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KFF Health News' 'What the Health?': 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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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.

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A close up photograph of a pregnant woman's belly. There are orange tulips blurred in the foreground.

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.

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KFF Health News' 'What the Health?': 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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A photo of a gavel resting next to a stethoscope.

ER Doctors Vow to Pursue Case Against Envision Despite Bankruptcy

By Bernard J. Wolfson May 12, 2023 KFF Health News Original

The lawyer for an emergency physicians group says its lawsuit against Envision Healthcare should be allowed to proceed even though the company has filed for Chapter 11 protection.

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A Covid Test Costing More Than a Tesla? It Happened in Texas.

By Aneri Pattani September 30, 2021 KFF Health News Original

A patient from Dallas got a PCR test in a free-standing suburban emergency room. The out-of-network charge: $54,000.

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Readers Slam Hospital Monopolies and Blame the Feds for Understaffed Nursing Homes

December 6, 2023 KFF Health News Original

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

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Insurance Dispute Could Kick Nearly 200,000 Patients Out Of Network In NC

October 13, 2023 Morning Briefing

UNC Health and UnitedHealthcare are in the middle of a contract negotiation and said in a letter to patients that the two parties are far apart on reimbursement policies and rate increases. In other news, Kaiser Permanente has resumed contract talks with its workers.

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An Arm and a Leg: A ‘Payday Loan’ From a Health Care Behemoth

By Dan Weissmann June 6, 2023 Podcast

UnitedHealth Group is the largest health insurer in the United States. And it keeps growing. This has led some health care experts to call for antitrust regulation of this “behemoth” company.

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Congressional Doctors Lead Bipartisan Revolt Over Policy on Surprise Medical Bills

By Michael McAuliff November 17, 2021 KFF Health News Original

Congress last year shielded consumers from unexpected out-of-network charges, but hospitals and doctors have decried the arbitration plan put forward by the Biden administration for negotiating these bills as favoring insurers. More than 150 members of the House agree.

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