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Showing 1141-1160 of 2,070 results for "out-of-network"

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Marketplace Confusion Opens Door To Questions About Skinny Plans

By Julie Appleby November 27, 2017 KFF Health News Original

Regulators are beginning to scrutinize claims by companies that their alternative plans help people meet Obamacare requirements.

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Guess Who Pays The Price When Hospital Giants Hire Your Private Practitioner?

By Jenny Gold September 8, 2017 KFF Health News Original

Gobbling up doctors’ independent practices is lucrative for hospital systems — but not necessarily a good deal for the physicians or consumers, critics say. Northern California is a case in point.

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In Oregon, End-of-Life Wishes Are Just A Click Away

By JoNel Aleccia October 10, 2017 KFF Health News Original

A new link creates two-way access to the state registry that documents the type of medical care sick and frail patients want — or refuse.

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Liquid Gold: Pain Doctors Soak Up Profits By Screening Urine For Drugs

By Fred Schulte and Elizabeth Lucas Photos by Heidi de Marco November 6, 2017 KFF Health News Original

With the nation’s opioid crisis, urine testing has become a booming business and is especially lucrative for doctors who operate their own labs, a Kaiser Health News investigation finds. And dozens of practitioners have earned “the lion’s share” of their Medicare income exclusively from urine drug screens.

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Enrollment News To Bank On: Obamacare Is Still Here So It’s Time For Coverage Checkup

By Michelle Andrews October 24, 2017 KFF Health News Original

Open enrollment for the federal health law’s marketplace plans begin Nov. 1. In most states, the sign-up period ends Dec. 15, about six weeks sooner than past years.

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Taking A U-Turn On Benefits, Big Employers Vow To Continue Offering Health Insurance

By Jay Hancock August 8, 2017 KFF Health News Original

Three years ago, only about a quarter of the nation’s large employers were very confident they would have a health plan in 10 years. That number has now risen to 65 percent.

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How Below-The-Radar Mergers Fuel Health Care Monopolies

By Jay Hancock September 5, 2017 KFF Health News Original

Most acquisitions by hospitals of physician practices are too small to trigger antitrust attention, study says. But a buying spree of “onesies and twosies” doctor practices has driven competition down and prices up.

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Breathing Fire: Health Is A Casualty Of Climate-Fueled Blazes

By John Upton, Climate Central and Barbara Feder Ostrov Photos by Heidi de Marco November 9, 2017 KFF Health News Original

As the planet warms, wildfires such as the latest disastrous blazes in Northern California have increased in frequency and scope. Beyond the environmental effects, people suffer health repercussions that can be disabling and even deadly.

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Florida Law Will Let Patients Get All Their Drug Renewals At The Same Time

By Michelle Andrews August 4, 2017 KFF Health News Original

The new law will help people with chronic conditions that require multiple prescriptions cut down on their shuttles to the drug store and could improve adherence to their drugs.

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Leap Of Faith: Will Health Care Ministries Cover Your Costs?

By Emily Bazar July 28, 2017 KFF Health News Original

Sharing ministries are based on biblical principles and are not the same as commercial insurance. They are not legally binding and may not cover some common medical expenses.

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Faring Better Than Many ACA Insurers, Molina Backs Health Law ‘Tuneup’

By April Dembosky, KQED March 2, 2017 KFF Health News Original

The health insurance company, which operates in 12 states plus Puerto Rico, grew out of a network of Southern California clinics founded in 1980. Molina’s track record of working with low-income patients has served it well under Obamacare.

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Medi-Cal Sued For Pushing Patients Into Managed Care Despite Judges’ Orders

By Emily Bazar August 10, 2017 KFF Health News Original

Advocates say California’s Medicaid program is violating its own rules by overturning decisions that would allow seriously ill patients to stay out of managed care and keep their doctors.

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How Narrow Is It? Gov’t Begins Test Of Comparison Tool For Health Plan Networks

By Michelle Andrews October 14, 2016 KFF Health News Original

This fall, the tool will be available in four states with hopes of expanding it to other states in the future.

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Medicare Bars New ‘Seamless Conversion’ Efforts For Some Seniors

By Susan Jaffe October 28, 2016 KFF Health News Original

Some insurers have been allowed to move customers on the health law’s marketplaces into their Medicare Advantage plans when they become eligible for Medicare, but seniors complain they didn’t always know it was happening.

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Big Hospital Network Cracks Down On The Right To Sue

By April Dembosky, KQED November 8, 2016 KFF Health News Original

Some networks of hospitals, doctors and medical services are now so dominant in their region that they can hike their prices and force patients to waive the right to sue when things go wrong.

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New On The Streets: Drug For Nerve Pain Boosts High For Opioid Abusers

By Carmen Heredia Rodriguez July 6, 2017 KFF Health News Original

Gabapentin, prescribed for epilepsy and nerve damage, is touted by federal health officials as an alternative to opioids for patients. But some are now abusing the drug.

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Enriched By The Poor: California Health Insurers Make Billions Through Medicaid

By Chad Terhune and Anna Gorman November 6, 2017 KFF Health News Original

Medicaid is rarely associated with getting rich. But some insurance companies are reaping spectacular profits off the taxpayer-funded program in California, even when the state finds their patient care is subpar.

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Congress Revamps Housing Program To Benefit Areas Where HIV Is Spreading

By Carmen Heredia Rodriguez August 7, 2017 KFF Health News Original

The small federal program once based funding on an area’s cumulative number of cases. It will now be more responsive to places where new outbreaks are occurring.

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Opioid Crisis Strains Foster Care System; Programs Aim To Keep Kids With Mom

By Shefali Luthra August 18, 2017 KFF Health News Original

One Kentucky program is eyed by other jurisdictions as a way to get addicted parents into recovery and help them care for their children at home.

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Stalking the ‘Unknown Enemy’: Doctors Turn Scope On Rare Diseases

By Anna Gorman Photos by Heidi de Marco April 20, 2017 KFF Health News Original

An NIH-funded network of hospitals uses advanced genetic science and nationwide collaboration to diagnose rare and sometimes undiscovered diseases.

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