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Showing 41-60 of 1,995 results for "out-of-network"

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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 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 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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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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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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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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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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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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Biden’s Blanket Statement — ‘No More Surprise Billing’ — Doesn’t Quite Cover It

By Victoria Knight March 1, 2022 KFF Health News Original

The president used broad language to say that Americans no longer needed to worry about surprise bills, but there are exceptions to the new law that could cost unsuspecting consumers.

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A digital illustration in ink and watercolor. A worried woman looks through a mirror-like medical bill at her alternate self, who is happily pregnant. The background around the pregnant woman is a warm, radiating gold, while the background around the worried woman is a dark, cool blue.

Even When IVF Is Covered by Insurance, High Bills and Hassles Abound

By Phil Galewitz Illustration by Oona Zenda May 4, 2022 KFF Health News Original

Only 15 states require insurance to cover in vitro fertilization, a common path to parenthood for people who have trouble getting pregnant. And even for those whose insurance covers IVF, the expensive procedures and required drugs can lead to unexpected bills.

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At Urgent Care, He Got 5 Stitches and a Big Surprise: A Plastic Surgeon’s Bill for $1,040

By Rachana Pradhan August 2, 2021 KFF Health News Original

The Biden administration is weighing how to treat urgent care clinics as part of broad regulations banning surprise, out-of-network medical bills. At the heart of the matter: What counts as an emergency?

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A woman is seen holding a bill in her hands while talking on the phone with a distraught expression. The camera shows her from a birds-eye view with a notebook and pen on the table beside her.

How to Avoid Surprise Bills — And the Pitfalls in the New Law

By Dan Weissmann March 16, 2022 KFF Health News Original

The No Surprises Act offers protection from many surprise medical bills — but that protection may be only as good as a patient’s knowledge of the law and ability to make sure it’s enforced. Here’s what you need to know.

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A photo shows a hand typing on a laptop, colored with blue and red light.

Even Well-Intended Laws Can’t Protect Us From Inaccurate Provider Directories

By Bernard J. Wolfson July 26, 2022 KFF Health News Original

State and federal laws require health plans to offer accurate lists of participating doctors and facilities, but consumers still struggle to get timely appointments with providers.

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Adventist, Blue Shield Contract Talks May Affect Many Californians

December 11, 2023 Morning Briefing

Contract negotiations between Adventist Health and Blue Shield of California fell through last week, and now the San Francisco Chronicle is warning thousands of Californians may have to pay out-of-network medical costs at their nearest hospital.

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A photo shows a stethoscope resting on a computer keyboard.

Want a Clue on Health Care Costs in Advance? New Tools Take a Crack at It

By Julie Appleby January 3, 2023 KFF Health News Original

Another effort to make upfront cost comparisons possible in an industry known for its opaqueness: an online tool for consumers to get some idea of what they may pay for medical care.

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