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Showing 1001-1020 of 2,070 results for "out-of-network"

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House To Probe Private Equity Firms’ Stakes In The Debate Over Surprise Medical Bills

September 17, 2019 Morning Briefing

The House Energy and Commerce Committee wants three private equity firms that own physician staffing companies to answer questions about their role in surprise medical bills. Hospitals sometimes contract out the staffing of their emergency room or other departments to these physician staffing companies, who then can send massive bills to patients because the staffing company might not be in their insurance network even though the hospital as a whole is.

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Blue Shield’s Trims To Out-Of-State Coverage Give Some Californians The Blues

By Barbara Feder Ostrov December 12, 2018 KFF Health News Original

To keep costs down, Blue Shield of California next year will scale back on a program allowing members to receive a wide range of care beyond the state’s borders. Customers with individual plans mostly won’t be able to get coverage out of state except for emergencies or other exceptional circumstances.  

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Sprained Your Ankle? The Cost Of A Brace Could Sprain Your Wallet.

By Michelle Andrews May 3, 2018 KFF Health News Original

Your health insurance might not cover items such as wheelchairs, walkers, crutches and braces, or you may have to deal with a supplier that has a contract with your insurer.

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Making Smarter Decisions About Where To Recover After Hospitalization

By Judith Graham April 11, 2019 KFF Health News Original

Older adults — and their families — often find it challenging and stressful to find the best facility. And they often end up in the wrong spot, new research shows.

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California Hospital Giant Sutter Health Faces Heavy Backlash On Prices

By Chad Terhune May 16, 2018 KFF Health News Original

In a case with possible national repercussions, the state’s attorney general has sued over alleged price gouging, and other legal and legislative challenges are afoot. Sutter is pushing back hard, denying anticompetitive behavior.

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When Needs Arise, These Older Women Have One Another’s Backs

By Judith Graham December 20, 2018 KFF Health News Original

Many women aging alone want to hold on to their independence. But, when illness or disability strikes, they often need assistance. A program in New York, Philadelphia and San Francisco offers numerous ways to help.

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Hope You’re Sitting Down: Hospital Charges $4,700 For A Fainting Spell

By Phil Galewitz January 28, 2019 KFF Health News Original

A 39-year-old man fainted after getting a flu shot at work, and a colleague called 911. He turned out to be fine, but the trip to the ER cost him his whole deductible.

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Does It Make Sense To Delay Children’s Vaccines?

By Bernard J. Wolfson March 20, 2019 KFF Health News Original

The renewed squabble over vaccinations obscures a large group of parents who aren’t anti-vaxxers but spread out their children’s vaccines at a more gradual pace than doctors recommend. Pediatricians warn that could leave small children vulnerable to disease.

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Is It A Feminist Right To Want More Sex? One Company Thinks A Pill Is The Answer

By Rachel Bluth May 10, 2019 KFF Health News Original

The savvy “Right to Desire” campaign relies on feminist messages and social media to raise patient awareness about low libido. Addyi, the only drug currently approved to treat it, has shown limited effectiveness.

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Refund On The Way To Latest ‘Bill Of The Month’ Patient

By Jordan Rau December 21, 2018 KFF Health News Original

Ski buff Sarah Witter will get $6,358.26 back from her hospital and insurer after a careful review of her bill following the KHN-NPR story on her case.

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Lonely? Anxious? Depressed? Maybe Your Dentist Can Help

By Ana B. Ibarra February 27, 2019 KFF Health News Original

An Oakland dental clinic has started screening its patients for depression, and referring them to a mental health counselor down the hall for immediate care if necessary. The program at Asian Health Services could be replicated elsewhere, and make help for mental health problems more accessible to hard-to-reach populations.

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As Hospitals Post Price Lists, Consumers Are Asked To Check Up On Them

By Steven Findlay March 8, 2019 KFF Health News Original

Most hospitals appear to be complying with the federal rule to post their prices online. Yet there is little follow-up by the government or industry and debate continues about whether the price lists are creating more confusion than clarity among consumers.

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Cancer’s Complications: Confusing Bills, Maddening Errors And Endless Phone Calls

By Anna Gorman February 27, 2019 KFF Health News Original

Carol Marley has pancreatic cancer — and dealing with its financial toll has become her full-time job.

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Bill Of The Month: A College Student’s $17,850 Drug Test

By Fred Schulte February 16, 2018 KFF Health News Original

Kaiser Health News, in collaboration with NPR, kicks off a series that will examine and decode your perplexing medical bills.

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Trump’s Pediatric Cancer Crusade A Drop In Bucket Compared With Past Presidential Pitches

By Victoria Knight February 8, 2019 KFF Health News Original

President Donald Trump wants Congress to allot $500 million over 10 years for pediatric cancer research. While it’s welcomed by researchers and advocates, it’s not a lot of money.

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Insurers Can Bend Out-Of-Network Rules For Patients Who Need Specific Doctors

By Michelle Andrews August 15, 2017 KFF Health News Original

Individuals who require very specialized care for their health are advised to make their case when a plan doesn’t cover their doctor.

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Anthem Beats Q2 Expectations But Worries About Medicaid Business Has Shares Sliding

July 25, 2019 Morning Briefing

The company’s medical-loss ratio, which represents the share of premiums paid out in claims, was 86.7% in the quarter, higher than the 85.8% that a consensus of analysts had anticipated, according to their research notes. In other health industry news: a social care network from CVS and Aetna, Tenet’s decision to spin off as a separate company, Bayer’s legal mess, and more.

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Growing Reliance On Charity, Crowd Funding To Pay For Medical Bills Means Stressed Patients, Inequities In Care

August 5, 2019 Morning Briefing

The new trend of relying on those strategies for those who are underinsured ends up giving an advantage to those with more resources, larger social networks and stories better suited to dramatic online appeals. “We shouldn’t be the solution,” said GoFundMe Chairman Rob Solomon. “We know we’ve become a kind of de facto safety net.… But we’re only scratching the surface of all the need out there.”

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That’s A Lot Of Scratch: The $48,329 Allergy Test

By Barbara Feder Ostrov October 29, 2018 KFF Health News Original

A California college professor never imagined that trying to figure out what was causing her rash could add up to such a huge bill.

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Pain Hits After Surgery When A Doctor’s Daughter Is Stunned By $17,850 Urine Test

By Fred Schulte February 16, 2018 KFF Health News Original

Elizabeth Moreno got hit with a $17,850 bill from a Texas lab after leaving a urine sample at her doctor’s office.

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