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Showing 941-960 of 2,069 results for "out-of-network"

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Podcast: KHN’s ‘What The Health?’ See You In Court!

August 16, 2018 KFF Health News Original

In this episode of KHN’s “What the Health?” Julie Rovner of Kaiser Health News, Alice Ollstein of Talking Points Memo, Margot Sanger-Katz of The New York Times and Kimberly Leonard of the Washington Examiner talk about a spate of lawsuits involving the Affordable Care Act, as well as the latest in state and federal efforts regarding the Medicaid program for the poor.

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Lost on the Frontline

By The Staffs of KHN and The Guardian August 10, 2020 KFF Health News Original

“Lost on the Frontline” is an ongoing project by Kaiser Health News and The Guardian that aims to document the lives of health care workers in the U.S. who died from COVID 19, and to investigate why so many are victims of the disease.

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Americans More Likely Than Swedes To Fill Prescriptions For Opioids After Surgery

By Julie Appleby September 4, 2019 KFF Health News Original

New research published in JAMA Network Open quantified for the first time international differences in doctors’ prescribing habits and patients’ use of these highly addictive painkillers.

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Firing Doctor, Christian Hospital Sets Off National Challenge To Aid-In-Dying Laws

By JoNel Aleccia Photos by Heidi de Marco August 30, 2019 KFF Health News Original

In Colorado case, the right to aid a cancer patient’s death runs up against faith-based hospital policies. As more states have passed laws, about 1 in 6 acute care beds nationally is in a hospital that is Catholic-owned or -affiliated.

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The Eye-Popping Price Tags On Life-Saving Air Ambulance Rides Are Spiking Despite States’ Efforts To Rein In Costs

March 22, 2019 Morning Briefing

Sixty-nine percent of the 20,700 air ambulance transports–which cost up to $40,600–taken in 2017 by privately insured patients were out of network, meaning that the costs may not be fully covered, a Government Accountability Office report finds. And it will only get worse: Companies have hiked their prices by 60 percent, despite states’ efforts to put controls in place. In other health care costs news: the price tag on treating sepsis, surprise medical bills, and what the U.S. is spending on health care.

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Group Aligned With GOP House Leadership To Pump $4M Into Fighting Pelosi’s Drug Pricing Bill

January 8, 2020 Morning Briefing

The American Action Network, which received $2.5 million from PhRMA in 2018, derided House Speaker Nancy Pelosi’s drug pricing plan as socialism. The group is trying to build support for the House Republicans’ plan, which would not allow price negotiation but does cap out-of-pocket costs for seniors on Medicare.

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Pharma Cash Rolls Into Congress To Defend An Embattled Industry

By Emmarie Huetteman and Jay Hancock and Elizabeth Lucas August 27, 2019 KFF Health News Original

Congress has a variety of reforms in mind that could roil the drugmaking business and potentially slash prices.

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Could A So-Called Baseball-Style Of Arbitration Work As A Solution To Settling Surprise Medical Bills?

February 8, 2019 Morning Briefing

One possible way to solve the debate over how to end surprise medical billing disputes is make it a loser pays system with a neutral arbitrator. Each side would submit a price, and the arbiter chooses one. Both sides are bound by the decision, while patients’ charges for out-of-network care are limited to what they would owe to in-network providers. By forcing an arbiter to pick an offer, rather than forging a compromise, both parties are, in theory, encouraged to moderate their bids.

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KHN’s ‘What The Health?’: Dems Debate Health Care

June 27, 2019 KFF Health News Original

Democratic presidential candidates disagreed on how to fix health care in their first debate Wednesday, although they all called for boosting insurance coverage and lowering prices. Meanwhile, the Trump administration is keeping health care in the news, too, with a new plan to make medical prices more available to the public. Stephanie Armour of The Wall Street Journal, Rebecca Adams of CQ Roll Call and Anna Edney of Bloomberg News join KHN’s Julie Rovner to discuss this, plus the latest in news about bipartisan progress on catch-all legislation to address “surprise” medical bills. Plus, Rovner interviews NPR’s Jon Hamilton about the latest KHN-NPR “Bill of the Month” installment.

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Taken For A Ride: After ATV Crash, Doctor Gets $56,603 Bill For Air Ambulance Trip

By Alison Kodjak, NPR News September 26, 2018 KFF Health News Original

After an accident in an all-terrain vehicle crushed a doctor’s left arm, he was whisked by air ambulance to the closest trauma center for specialized care. Soon he was fighting over the $56,603 bill.

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DIY Tech Gives People More Freedom In Managing Diabetes

By Heidi de Marco August 19, 2019 KFF Health News Original

People with diabetes say they’ve been waiting for years for better technology to manage their chronic condition. Tired of waiting, some tech-savvy, do-it-yourselfers are constructing their own devices using open-source programming instructions.

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Biden Calling ACA A ‘Breakthrough’ For Mental Health Parity Only Highlights Gaps

By Shefali Luthra July 11, 2019 KFF Health News Original

Did the Affordable Care Act create equal coverage of mental and physical health? Seems true on paper but not always in practice.

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A Brush With A Notorious Cat, My Rabies Education And The Big Bill That Followed

By Caitlin Hillyard August 20, 2019 KFF Health News Original

An encounter with a cat led to rabies shots and provided yet another illustration of how confusing, contrary and expensive the American health care system is.

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Doctors Can Change Opioid Prescribing Habits, But Progress Comes In Small Doses

By Julie Appleby and Elizabeth Lucas August 14, 2019 KFF Health News Original

Research out Wednesday indicates that guidelines are making strides in cutting back the number of pain pills doctors offer after specific types of surgeries.

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Trump Thinks Testing Is No Longer A Problem, But Governors Beg To Disagree

March 31, 2020 Morning Briefing

President Donald Trump said in a phone call with governors that he hadn’t heard about testing concerns in weeks. “It would be shocking to me that if anyone who has had access to any newspaper, radio, social networks or any other communication would not be knowledgeable about the need for test kits,” Washington Gov. Jay Inslee said about the president’s comments. Meanwhile, The New York Times takes a deep dive into the lost month where testing flaws set the country back in its efforts to contain the outbreak. Meanwhile, companies race to put out a fast test, but the virus may be moving even faster.

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How Obamacare, Medicare And ‘Medicare For All’ Muddy The Campaign Trail

By Shefali Luthra May 13, 2019 KFF Health News Original

A talking point used by House Speaker Nancy Pelosi refers to all three of these distinct concepts in a way that could magnify public misperceptions.

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If Your Insurer Covers Few Therapists, Is That Really Mental Health Parity?

By Jenny Gold November 30, 2017 KFF Health News Original

Behavioral care was four times more likely to be out-of-network than medical or surgical care, an analysis by Milliman shows.

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Politicians Hop Aboard ‘Medicare-For-All’ Train, Destination Unknown

By Elisabeth Rosenthal and Shefali Luthra October 22, 2018 KFF Health News Original

Candidates are charging toward midterm elections on a platform of single-payer and universal coverage rhetoric. Yet “Medicare-for-all” and single-payer mean different things to different people.

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Feds Want To Show Health Care Costs On Your Phone, But That Could Take Years

By Fred Schulte May 7, 2019 KFF Health News Original

Giving consumers more knowledge about the costs of care has long been desired, but administration officials cautioned it could take two years or more for useful data to appear in a phone app.

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Where Tourism Brings Pricey Health Care, Locals Fight Back

By Julie Appleby August 9, 2019 KFF Health News Original

Residents in Colorado ski resort country found relief from high insurance premiums and high hospital costs by joining forces and negotiating prices directly with the local hospital.

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