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Showing 81-100 of 1,995 results for "out-of-network"

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Suit by Doctors, Hospitals Seeks Change in How Arbitrators Settle Surprise Billing Cases

By Julie Appleby December 9, 2021 KFF Health News Original

The American Medical Association and American Hospital Association are not arguing to halt the law that protects patients from unexpected bills from providers they didn’t know were outside their insurance network. Instead, they want to change the rules for the mediators who will settle the dispute between insurers and providers.

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KFF Health News' 'What the Health?': The Open Enrollment Mixing Bowl

October 19, 2023 Podcast

Open enrollment for Medicare beneficiaries with private health plans began Oct. 15, to be followed Nov. 1 by open enrollment for Affordable Care Act plans. The selection for both is large — often too large to be navigated easily alone. And people who choose incorrectly can end up with unaffordable medical bills. Meanwhile, those on both sides of the abortion issue are looking to Ohio’s November ballot measure on abortion to see whether anti-abortion forces can break their losing streak in statewide ballot questions since the overturn of Roe v. Wade in 2022.

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Kids’ Mental Health Care Leaves Parents in Debt and in the Shadows

By Yuki Noguchi, NPR News October 19, 2022 KFF Health News Original

A youth mental health crisis and a shortage of therapists and other care providers who take insurance are pushing many families into financial ruin. But it’s rarely acknowledged as medical debt.

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Sean Deines sits at a table in his home with his wife, Rebekah, standing behind him with her hands on his shoulders.

The Case of the $489,000 Air Ambulance Ride

By Julie Appleby March 25, 2022 KFF Health News Original

Diagnosed with aggressive leukemia on a Western trip, a young man thought his insurance would cover an air ambulance ride home to North Carolina. Instead, questions about medical necessity left him with an astronomical bill.

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KHN’s ‘What the Health?’: The FDA Goes After Nicotine

June 23, 2022 KFF Health News Original

The FDA is using its power to regulate tobacco products — ordering the vaping device Juul off the market and announcing its intention to lower the amount of nicotine in cigarettes and other products. Meanwhile, the Supreme Court rules on Medicare and kidney dialysis, and Congress makes progress on legislation surrounding guns and mental health. Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico, and Rachel Cohrs of Stat join KHN’s Julie Rovner to discuss these issues and more. Also this week, Rovner interviews KHN’s Noam N. Levey about the new KHN-NPR project on the growing impact of medical debt.

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ER Doctors Call Private Equity Staffing Practices Illegal and Seek to Ban Them

By Bernard J. Wolfson December 22, 2022 KFF Health News Original

Doctors, consumer advocates, and some lawmakers are looking forward to a California lawsuit against private equity-backed Envision Healthcare. The case is part of a multistate effort to enforce rules banning corporate ownership of physician practices.

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Billing Arbitration Comes To An End After Changes To No Surprises Act

August 8, 2023 Morning Briefing

Last week, a court ruling saw parts of the surprise billing law vacated, and this has now resulted in the federal government stopping processing payment disputes between providers and insurers over out-of-network bills, Modern Healthcare reports. Axios notes insurers sometimes pay double for the same procedure versus Medicare Advantage prices.

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Kaiser Permanente Back in the Hot Seat Over Mental Health Care, but It’s Not Only a KP Issue

By Bernard J. Wolfson February 11, 2025 KFF Health News Original

Mental health workers on strike in Southern California say Kaiser Permanente is woefully understaffed, its therapists are burned out, and patients are often denied timely access to care. The insurer says it has largely fixed the problem. But across California and the nation, mental health parity is still not a reality.

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A person is out of focus on a hill in the foreground looking out at Los Angeles and billowing smoke from wildfires obscuring the view.

Public Health Risks of Urban Wildfire Smoke Prompt Push for More Monitoring

By Katharine Gammon April 8, 2025 KFF Health News Original

As the fires burned in Los Angeles, scientists and local air regulators deployed monitors to measure the levels of heavy metals, carcinogens, and other toxic substances released into the air when homes, buildings, and cars burned. They hope their efforts will inform ongoing cleanup efforts and protect the public in future fires.

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HealthSherpa and Insurers Team Up To Curb Unauthorized ACA Enrollment Schemes

By Julie Appleby July 16, 2024 KFF Health News Original

The initiative targets the biggest incentive driving fraudulent sign-ups and plan switches: the commissions that rogue agents or large call centers seek.

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Surprise-Billing Rule ‘Puts a Thumb on the Scale’ to Keep Arbitrated Costs in Check

By Julie Appleby October 14, 2021 KFF Health News Original

Patients soon will not have to worry about the prospect of these often-costly unexpected bills, a federal law promises. Some experts say the new policy could also slow the growth of health insurance premiums.

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A man and woman embrace outdoors amid flowers and trees. The woman is wearing a black zip up hoodie and the man is wearing a black cap.

Montana Creates Emergency ‘Drive-Thru’ Blood Pickup Service for Rural Ambulances

By Arielle Zionts June 17, 2024 KFF Health News Original

The network is aimed at helping rural patients, who face higher rates of traumatic injuries and death but may not live near a hospital with a stockpile of blood.

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Patients Seek Mental Health Care From Their Doctor but Find Health Plans Standing in the Way

By Aneri Pattani June 8, 2022 KFF Health News Original

Despite a consensus that patients should be able to get mental health care from primary care doctors, insurance policies and financial incentives may not support that.

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Donald Hammen, an 80 year old man, sits on the front steps to his house.

Older Americans Living Alone Often Rely on Neighbors or Others Willing To Help

By Judith Graham November 12, 2024 KFF Health News Original

Diverse networks of friends, former co-workers, neighbors, and extended family are often essential sources of support for older adults living alone. Often it is the elderly caring for the elderly.

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A photo shows Dani Marietti with her friends sitting on the grass set up for a picnic. She is holding a sign that reads, "I got 99 problems, but tubes ain't one."

Post-‘Roe,’ People Are Seeking Permanent Sterilizations, and Some Are Being Turned Away

By Aaron Bolton, MTPR and Ellis Juhlin July 25, 2022 KFF Health News Original

Doctors in states where abortion is or could be banned say more patients are seeking permanent sterilization procedures, but some patients are reporting that providers are unwilling to operate on people of childbearing age.

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Readers and Tweeters Have Mental Health Care on Their Minds

February 24, 2022 KFF Health News Original

KHN gives readers a chance to comment on a recent batch of stories.

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KHN’s ‘What the Health?’: Congress Shelves Covid Funding for Now

March 10, 2022 KFF Health News Original

The Biden administration’s request for billions more in funding to fight covid-19 hit a snag on Capitol Hill this week, as Democrats objected to Republican demands that money allocated to states but not yet spent be reclaimed. Meanwhile, the big annual spending bill about to cross the finish line addresses other health policy changes, such as giving the FDA authority to regulate “synthetic” nicotine. Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico, Rachel Cohrs of Stat, and Jessie Hellmann of Modern Healthcare join KHN’s Julie Rovner to discuss these issues and more. Plus, for extra credit, the panelists recommend their favorite health policy stories of the week they think you should read, too.

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What RFK Jr. Isn’t Talking About: How To Make Vaccines Safer

By Arthur Allen June 25, 2025 KFF Health News Original

Vaccines are under fire from the top of the Trump administration. Federal programs to monitor them and make them safer have always been underfunded.

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KFF Health News' 'What the Health?': The Campaign’s Final Days

October 31, 2024 Podcast

It’s the final days of the 2024 campaign, and Republicans are suddenly talking again about making changes to the Affordable Care Act if former President Donald Trump wins. Meanwhile, new reporting uncovers more maternal deaths under state abortion bans — and a case in which a Nevada woman was jailed after a miscarriage. Lauren Weber of The Washington Post, Shefali Luthra of The 19th, and Jessie Hellmann of CQ Roll Call join KFF Health News’ Emmarie Huetteman to discuss these stories and more. Also this week, KFF Health News’ Julie Rovner interviews Irving Washington, a senior vice president at KFF and the executive director of its Health Misinformation and Trust Initiative.

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A photo of a scientist's gloved hands using a pipette to take a sample from a petri dish.

Beyond Ivy League, RFK Jr.’s NIH Slashed Science Funding Across States That Backed Trump

By Rae Ellen Bichell and Rachana Pradhan April 17, 2025 KFF Health News Original

A KFF Health News analysis underscores how the terminations have spared no part of the country, politically or geographically. Of the organizations that had grants cut in the first month, about 40% are in states President Donald Trump won in November.

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