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Showing 61-80 of 2,044 results for "out-of-network"

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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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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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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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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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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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Instead of Selling, Some Rural Hospitals Band Together To Survive

By Arielle Zionts September 9, 2025 KFF Health News Original

Independent and rural hospitals are collaborating with their neighbors to shore up their finances instead of joining larger health systems to stay afloat.

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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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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 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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A photo of a Dollar General parking lot with a mobile health clinic van.

What Mobile Clinics in Dollar General Parking Lots Say About Health Care in Rural America

By Sarah Jane Tribble October 4, 2023 KFF Health News Original

Dollar General’s pilot mobile clinic program has been touted by company officials, rural health experts, and analysts as a model that could help solve rural America’s primary care shortage. But its Tennessee launch has been met with local skepticism.

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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 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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A photo of a clipboard resting horizontally on a table with a piece of paper that reads, "Medicare Advantage." In front of it are an open pill bottle spilled yellow capsules, a stethoscope, and a pen.

When Hospitals Ditch Medicare Advantage Plans, Thousands of Members Get To Leave, Too

By Susan Jaffe April 28, 2025 KFF Health News Original

Breakups between health providers and Advantage plans are increasingly common. The Centers for Medicare & Medicaid Services has allowed whole groups of patients to leave their plans.

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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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Three photos are shown side-by-side. From left to right are a photo of a covid vaccine; a photo of a covid rapid test; a photo of Paxlovid.

Era of ‘Free’ Covid Vaccines, Test Kits, and Treatments Is Ending. Who Will Pay the Tab Now?

By Julie Appleby February 10, 2023 KFF Health News Original

Insurers, employers, and taxpayers will all be affected as drug manufacturers move these products to the commercial market.

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A photo of a mother and her young child outside of their home.

ER’s Error Lands a 4-Year-Old in Collections (For Care He Didn’t Receive)

By Daniel Chang March 29, 2023 KFF Health News Original

A Florida woman tried to dispute an emergency room bill, but the hospital and collection agency refused to talk to her — because it was her child’s name on the bill, not hers.

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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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What the Health? From KFF Health News: Underinsured Is the New Uninsured

September 14, 2023 Podcast

The percentage of working-age adults with health insurance went up and the uninsured rate dropped last year, the U.S. Census Bureau reported this week. There isn’t much suspense about which way the uninsured rate is now trending, as states continue efforts to strip ineligible beneficiaries from their Medicaid rolls. But is the focus on the uninsured obscuring the struggles of the underinsured? Margot Sanger-Katz of The New York Times, Sarah Karlin-Smith of the Pink Sheet, and Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico join KFF Health News’ Emmarie Huetteman to discuss these issues and more.

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A photo of a health technician running a blood test.

As the Trump Administration and States Push Health Data Sharing, Familiar Challenges Surface

By Sarah Kwon September 23, 2025 KFF Health News Original

Despite billions of tax dollars and two decades of effort invested in improving health care data sharing, Americans’ medical records often remain siloed, leading to duplicate testing, increased costs, and wasted time for patients and doctors.

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