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Showing 1021-1040 of 2,078 results for "out-of-network"

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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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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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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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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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Alcohol-Linked Disease Overtakes Hep C As Top Reason For Liver Transplant

By Rachel Bluth January 22, 2019 KFF Health News Original

New research suggests that attitudes toward liver transplant candidates who have a history of alcohol abuse are softening.

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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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Trumpeted New Medicare Advantage Benefits Will Be Hard For Seniors To Find

By Susan Jaffe November 9, 2018 KFF Health News Original

Federal officials are hailing the introduction of services such as transportation to medical appointments, home-delivered meals and installation of wheelchair ramps as a way to keep beneficiaries healthy and avoid costly hospitalizations. But not many plans are offering the services in 2019.

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Nonprofit Dental Insurer Under Scrutiny For ‘Flagrant’ Spending

By Anna Maria Barry-Jester February 1, 2019 KFF Health News Original

Delta Dental of California, with more than 36 million enrollees across the country, is looking to buy a stake in a for-profit insurance company based in Oregon. Consumer advocates are calling on regulators to scrutinize the transaction, arguing that it is just the latest questionable move by the nonprofit dental insurer whose corporate practices may be out of step with its tax-exempt status.

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Analysis: Pulling Back Curtain On Hospital Prices Adds New Wrinkle In Cost Control

By Elisabeth Rosenthal January 28, 2019 KFF Health News Original

The Trump administration has ordered hospitals to reveal their prices. If patients and politicians pay attention, this could be a game changer for health care.

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Taken For A Ride? Ambulances Stick Patients With Surprise Bills

By Melissa Bailey Photos by Heidi de Marco November 27, 2017 KFF Health News Original

Public outrage over surprise medical bills prompted 21 states to pass consumer protection laws. But these laws largely ignore ambulance rides, which can leave patients stuck with hundreds or even thousands of dollars in bills.

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California Takes On Health Giant Over High Costs

By Chad Terhune and Ana B. Ibarra April 1, 2018 KFF Health News Original

The lawsuit is a bold move against Northern California’s dominant hospital chain, whose prices have drawn complaints for years. It has disputed such allegations in the past.

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Beyond Beltway’s ‘Medicare-For-All’ Talk, Democrats In States Push New Health Laws

By Sarah Varney February 14, 2019 KFF Health News Original

As calls for “Medicare-for-all” grow louder among Democrats in Congress, Democratic governors and mayors have been pushing ahead with urgency to corral medical costs and bring health care to those who remain uninsured.

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No Sweeteners Added To Tax Bill To Spread Use Of Health Savings Accounts

By Michelle Andrews December 19, 2017 KFF Health News Original

These accounts are exempt from taxes and linked to high-deductible health plans. Republicans tried last summer in their unsuccessful efforts to replace the health law to make the accounts more enticing for consumers, but they didn’t make those changes in the current tax bill.

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Even When Not In Rome, Eat A Mediterranean Diet To Cut Heart Disease Risk

By Rachel Bluth December 7, 2018 KFF Health News Original

New research not only confirms the heart health benefits of a Mediterranean-style diet, but also tracks these benefits over the long term.

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County By County, Researchers Link Opioid Deaths To Drugmakers’ Marketing

By Victoria Knight January 18, 2019 KFF Health News Original

A JAMA study looking at county-specific federal data finds that the more opioid-related marketing dollars spent in a county, the higher rates of doctors who prescribed those drugs, and ultimately, more overdose deaths.

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Feds Join Lawsuit Alleging Sutter Health Padded Revenue With False Patient Data

By Samantha Young December 14, 2018 KFF Health News Original

The whistleblower complaint says that Sutter, one of the largest health systems in the U.S., exaggerated how sick certain Medicare patients were in order to collect higher payments from the government-funded program.

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Surprise Ambulance Bills: A Consumer’s Guide

By Melissa Bailey November 27, 2017 KFF Health News Original

What to do if you get hit by an exorbitant ambulance bill — and how to avoid them in the first place.

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