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Showing 681-700 of 2,078 results for "out-of-network"

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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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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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COVID-19 Bonanza: Stimulus Hands Health Industry Billions Not Directly Related To Pandemic

By Fred Schulte March 30, 2020 KFF Health News Original

Congress retreats on long-planned cost cuts to benefit the health care industry with a grab bag full of incentives.

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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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KHN’s ‘What The Health?’: Fact-Checking President Trump’s State Of The Union

February 6, 2020 KFF Health News Original

President Donald Trump spent a good deal of time on health issues in his State of the Union address, but not everything he said checks out. Meanwhile, Iowa Democrats heading into the caucuses said health is their top issue, but it’s hard to see how that played out in their actual choices. Margot Sanger-Katz of The New York Times, Kimberly Leonard of the Washington Examiner and Alice Miranda Ollstein of Politico join KHN’s Julie Rovner to discuss this and more. Also, Rovner interviews KHN’s Julie Appleby and NPR’s Selena Simmons-Duffin about the latest “Bill of the Month” feature.

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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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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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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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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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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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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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The Air Ambulance Billed More Than His Surgeon Did For A Lung Transplant

By Anna Almendrala November 6, 2019 KFF Health News Original

After Tom Saputo underwent double lung transplant surgery in 2018, he was stunned by a surprise bill of more than $11,000 for the 27-mile air ambulance ride to the hospital. State and federal proposals would crack down on extreme air ambulance charges, including a new California law that will limit how much some patients pay for air ambulance rides.

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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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Nurses and Docs at Long Beach Center ‘Consider It an Honor’ to Care for Migrant Children

By Stephanie Stephens June 21, 2021 KFF Health News Original

Health care workers find it easy to empathize with Central American children after their painful journeys to the U.S.

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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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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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Lady Gaga and J.Lo Sell ‘Well’ Building Seal, But It’s a Payday, Not a PSA

By Michael McAuliff May 26, 2021 KFF Health News Original

A company sees the pandemic as an opportunity to push its ‘Well’ seal. It would like the indoor wellness logo to become as ubiquitous as the LEED green building halo — and make a profit, too.

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Putting A Face To Surprise Bills: Among Specialists, Plastic Surgeons Most Often Out-Of-Network

By Michelle Andrews May 6, 2019 KFF Health News Original

Many plastic surgeons don’t participate in health plans, even when providing emergency care at a hospital. Too often that catches patients off guard.

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