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Showing 641-660 of 2,036 results for "out-of-network"

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Can Biden’s Plan to Remove Urban Highways Improve the Health of American Cities?

By Sarah DiGiulio July 15, 2021 KFF Health News Original

Pollution and noise from urban highways intersect with illness for neighbors. But “green” developments that replace them can displace the very families harmed in the first place.

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Enough to Wreck Their Rest: $10,322 for a Sleep Study

By Michelle Andrews May 27, 2021 KFF Health News Original

The University of Miami Health System charges a truck driver six times what Medicare would pay for an overnight test.

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Covid Was a Tipping Point for Telehealth. If Some Have Their Way, Virtual Visits Are Here to Stay.

By Noam N. Levey June 7, 2021 KFF Health News Original

Pressure is mounting on Congress and the Biden administration to make permanent pandemic-inspired rules that fueled telehealth growth. Some fear fraud and ballooning costs.

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Baby Blues: First-Time Parents Blindsided by ‘the Birthday Rule’ and a $207,455 NICU Bill

By Cara Anthony January 27, 2021 KFF Health News Original

Charlie Kjelshus needed neonatal intensive care for the first seven days of her life. The episode generated huge bills, and left her parents in a tangle of red tape that involved two insurers, two hospitals and two states.

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When Your Doctor Is Also A Lobbyist: Inside The War Over Surprise Medical Bills

By Rachana Pradhan February 12, 2020 KFF Health News Original

As lawmakers consider bills to protect patients against surprise medical bills, doctors have waged a stealth on-the-ground campaign to win over members of Congress. Here’s how they did it.

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illustration of lungs with covid

Organ Transplant Patient Dies After Receiving Covid-Infected Lungs

By JoNel Aleccia February 22, 2021 KFF Health News Original

The first confirmed U.S. case of SARS-CoV-2 being transmitted through an organ transplant has prompted calls for updated transplant protocols and additional testing of samples from deep within donor lungs.

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Patients Went Into the Hospital for Care. After Testing Positive There for Covid, Some Never Came Out.

By Christina Jewett November 4, 2021 KFF Health News Original

About 21% of patients diagnosed with covid during a hospital stay died, according to data analyzed for KHN. In-hospital rates of spread varied widely and patients had no way of checking them.

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California State Capitol Building in Sacramento

Unprecedented Lobbying Effort Scores Big Win for California Public Health

By Angela Hart July 2, 2021 KFF Health News Original

After years of unstable funding, California’s 2022-23 budget will include a dramatic new investment in public health. Insiders say a powerhouse lobbying campaign made all the difference.

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Crash Course: Injured Patients Who Sign ‘Letters of Protection’ May Face Huge Medical Bills and Risks

By Fred Schulte December 21, 2021 KFF Health News Original

The letters function as liens that “protect” spine surgery clinics while patients could be left with inflated medical bills and unexpected health risks.

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Patients Caught In Crossfire Between Giant Hospital Chain, Large Insurer

By Brian Krans February 6, 2020 KFF Health News Original

Insurance giant Cigna and San Francisco-based Dignity Health have failed to ink a 2020 contract, leaving nearly 17,000 patients in California and Nevada scrambling to find new health care providers. Meanwhile, Dignity faces financial and legal challenges while it strives to implement its merger with Catholic Health Initiatives, which created one of the nation’s largest Catholic hospital systems.

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California’s Reboot of Troubled Medi-Cal Puts Pressure on Health Plans

By Bernard J. Wolfson Photos by Heidi de Marco September 21, 2021 KFF Health News Original

The nine commercial insurers in Medi-Cal must reapply by submitting bids for new contracts. The state hopes the process will improve care for low-income residents and tighten accountability, something critics say has been missing.

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Seed Money: Black Entrepreneurs Hope Pandemic Gardening Boom Will Grow Healthier Eating

By Chandra Thomas Whitfield May 20, 2021 KFF Health News Original

Rapper DJ Cavem Moetavation is pushing beats and beets. A vegan, he’s selling seeds to encourage more people to eat healthier by growing their own food. His efforts are part of a national movement of Black-owned seed companies that merges pandemic-inspired gardening with efforts to expand healthier food options.

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Investors’ Deep-Pocket Push To Defend Surprise Medical Bills

By Rachel Bluth and Emmarie Huetteman September 11, 2019 KFF Health News Original

As lobbyists purporting to represent doctors and hospitals fight attempts to control surprise medical bills, it has become increasingly clear that the force behind the effort is not just medical professionals, but also investors from private equity firms.

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Colorado Will Pay Hospitals to Close Expensive Free-Standing ERs

By Phil Galewitz May 21, 2021 KFF Health News Original

The state, concerned about the high cost of care at these stand-alone facilities, is offering hospitals more Medicaid money if they convert them to other uses, such as primary care or mental health centers.

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Middle aged doctor working in hospital and taking care of patient - Covid-19

Time to Say Goodbye to Some Insurers’ Waivers for Covid Treatment Fees

By Julie Appleby April 26, 2021 KFF Health News Original

Insurers voluntarily set the charges aside earlier in the pandemic — but that means those same health plans can decide to reinstate them.

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Hospital Prices Just Got a Lot More Transparent. What Does This Mean for You?

By Julie Appleby January 5, 2021 KFF Health News Original

Under a rule that kicked in Jan. 1, hospitals are required to make public the prices they negotiate with insurers. That’s a lot more information than was previously required, which was only the posting of “chargemasters” — the hospital-generated list prices that few consumers or health plans actually pay.

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As Congress Works To Curb Surprise Medical Bills, N.Y.’s Fix Gets Examined

By Rachel Bluth November 5, 2019 KFF Health News Original

A USC-Brookings analysis finds that the New York plan to resolve disputes between providers and insurers without leaving patients on the hook might actually be driving up costs in the system.

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It’s Not Just You: Picking Health Insurance Is Hard. Here’s How To Be Smart About It.

By Dan Weissmann December 9, 2019 KFF Health News Original

It’s open enrollment season for health insurance. And choosing the best plan is tricky whether you have to buy insurance on your own or just figure out which plan to sign up for at work. Here’s what you need to know.

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Tech Companies Mobilize to Schedule Vaccine Appointments, But Often Fall Short

By Miranda Green February 11, 2021 KFF Health News Original

Techies and startups have thrown together vaccine appointment websites to address the chaotic rollout of covid shots. But software can’t replace vaccines, and for many people the sites are just another piece of the vaccination “Hunger Games.”

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As Patients Fell Ill With Covid Inside Hospitals, Government Oversight Fell Short

By Lauren Weber and Christina Jewett Photos by Heidi de Marco December 23, 2021 KFF Health News Original

A KHN investigation finds that hospitals with high rates of covid patients who didn’t have the diagnosis when they were admitted have rarely been held accountable due to multiple gaps in government oversight.

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