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Showing 1081-1100 of 2,078 results for "out-of-network"

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A Late-Life Surprise: Taking Care Of Frail, Aging Parents

By Judith Graham August 23, 2018 KFF Health News Original

More and more older adults, age 60 and older, care for their elderly parents and face physical, emotional and financial stress.

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What Explains The Rising Overdose Rate Among Latinos?

By Martha Bebinger, WBUR May 17, 2018 KFF Health News Original

Opioid addiction is often portrayed as a white problem, but overdose rates are now rising faster among Latinos and blacks. Cultural and linguistic barriers may put Latinos at greater risk.

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Choice Of Bay Area For AIDS Conference Exposes Tension Among Activists

By Jocelyn Wiener April 24, 2018 KFF Health News Original

Numerous advocacy groups oppose the recent decision to hold the 2020 International AIDS conference in San Francisco and Oakland, and some argue it shouldn’t be in the U.S. at all. Those who support the decision say the predominantly liberal politics of the region make it an ideal venue for sending a message about the Trump administration’s perceived retreat from leadership on AIDS.

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Podcast: KHN’s ‘What The Health?’ Campaign Promises Kept, Plus ‘Nerd Reports’

May 24, 2018 KFF Health News Original

In this episode of KHN’s “What the Health?” Julie Rovner of Kaiser Health News, Margot Sanger-Katz of The New York Times, Sarah Kliff of Vox and Alice Ollstein of Talking Points Memo discuss a proposed administration regulation that seeks to separate Planned Parenthood from federal family planning funds, the final congressional passage of legislation aimed at helping those with terminal illnesses obtain experimental medications, and new government reports on the uninsured and federal health spending. Also, Rovner interviews KHN’s Liz Szabo about the May “Bill of the Month.”

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The High Cost Of Hope: When The Parallel Interests Of Pharma And Families Collide

By Emily Kopp and Jay Hancock September 7, 2018 KFF Health News Original

Desperate for help in finding a lifesaving drug for a fatal genetic disease, families banded together to fund early research and then worked with drug companies on clinical trials and marketing. Yet, this small patient advocacy group is stunned by pharma’s pricing.

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Surprise Medical Bills And Balance Billing: ‘It’s A System Totally Rigged Against Patients’

November 20, 2017 Morning Briefing

Patients who do all the right things to go to an in-network hospital can still get stuck with thousands of dollars of surprise medical bills because the doctor treating them is out of network. The Houston Chronicle investigates why that is.

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‘Nightmare Bacteria’ Stalk U.S. Hospitals

By Liz Szabo April 3, 2018 KFF Health News Original

The Centers for Disease Control and Prevention found antibiotic-resistant bacteria whose spread has “outpaced” efforts to contain them.

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Looking For Lower Medicare Drug Costs? Ask Your Pharmacist For The Cash Price.

By Susan Jaffe May 30, 2018 KFF Health News Original

Sometimes a drug plan’s copayment is higher than the cash price, and under a little-known federal rule, pharmacists have to tell Medicare beneficiaries that — but only if they ask.

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Insurers Fall Short In Catching And Reporting Medicaid Fraud, Inspectors Find

By Chad Terhune July 12, 2018 KFF Health News Original

Medicaid has struggled for years with poor oversight and billions lost to improper payments. A new report finds that despite their fraud-fighting rhetoric, Medicaid managed-care companies are not as rigorous as they should be in ensuring the integrity of the Medicaid payment system.

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Texas Clinics Busting Traditional Silos Of Mental And Physical Health Care

By Caroline Covington July 5, 2018 KFF Health News Original

Efforts to provide care that integrates physical and mental health services are spreading, partly because untreated mental health conditions negatively affect physical health and escalate health care costs.

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Pfizer Settles Kickback Case Related To Copay Assistance For $24M

By Sydney Lupkin May 24, 2018 KFF Health News Original

The drugmaker agreed to a settlement with the Justice Department over allegations that it funneled copay assistance money through a foundation to Medicare patients.

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What Happens If You’re Forced To Switch Health Plans When You’re Sick?

By Pauline Bartolone August 25, 2017 KFF Health News Original

State lawmakers in California have an answer: legislation that would require your new insurer to keep paying for your current doctors even if they’re not in the network.

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When Erratic Teenage Behavior Means Something More

By Emily Bazar June 13, 2018 KFF Health News Original

Teenagers can be volatile and moody, but there are some specific signs that separate typical adolescent behavior from potentially serious mental health problems.

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Trump Vows (Again) To Lower Drug Prices But Skeptics Doubt Much Will Change

By Sarah Jane Tribble and Liz Szabo May 11, 2018 KFF Health News Original

President Donald Trump’s much-awaited speech about slashing drug costs was long on rhetoric but short on specifics that will reduce prices.

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The Training Of Dr. Robot: Data Wave Hits Medical Care

By John McQuaid February 14, 2018 KFF Health News Original

Algorithms and other technologies are moving from research labs to hospitals and clinics to predict and combat disease.

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Doling Out Pain Pills Post-Surgery: An Ingrown Toenail Not The Same As A Bypass

By Julie Appleby June 22, 2018 KFF Health News Original

As the opioid epidemic rages, a Johns Hopkins surgeon and researcher is leading an effort to curb overprescribing by offering procedure-specific guidelines to ensure that post-surgical patients leave the hospital with enough, but not too much, pain medication.

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Hoping To See Your Doctor Via Telemedicine? Here’s A Quick Guide.

By Steven Findlay May 9, 2018 KFF Health News Original

All private health plans, Medicare, state Medicaid programs and the VA now cover some e-visits — albeit with restrictions.

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Lax Oversight Leaves Surgery Center Regulators And Patients In The Dark

By Christina Jewett and Mark Alesia, USA Today Network August 9, 2018 KFF Health News Original

A Kaiser Health News and USA Today Network investigation finds that a hodgepodge of state rules governing outpatient centers allow some deaths and serious injuries to go unexamined. And no rule stops a doctor exiled by a hospital for misconduct from opening a surgery center down the street.

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Large Mass. Health Care System Drops Out Of Networks Being Planned For Medicaid

August 18, 2017 Morning Briefing

UMass Memorial Health Care said it will continue to care for MassHealth patients but it won’t join in the accountable care organizations being formed as the state revamps Medicaid. Meanwhile, a California health care system is moving some of its Medicaid patients to clinics instead, and Utah formally submits a request to the federal government for a limited Medicaid expansion for some homeless people.

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A Baby Was Treated With A Nap And A Bottle Of Formula. The Bill Was $18,000.

By Jenny Gold and Sarah Kliff, Vox July 2, 2018 KFF Health News Original

An ER patient can be charged thousands of dollars in “trauma fees” — even if they weren’t treated for trauma.

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