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Showing 1161-1180 of 2,078 results for "out-of-network"

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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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How To Ease The Financial Pain Of High-Deductible Health Plans

By Emily Bazar May 3, 2017 KFF Health News Original

You might save money on premiums with a high-deductible health plan only to find you’re spending more on the back end. These tips will help you minimize your expenses for medical treatment and prescriptions.

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7 Tips To Help Avoid Costly Health Plan Enrollment Headaches

By Michelle Andrews November 1, 2016 KFF Health News Original

Despite fears of rising costs and fewer insurers on the health law’s marketplaces, consumers can find the best deals by carefully evaluating plans and checking out the fine print.

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A Long And Winding Road: Kicking Heroin In An Opioid ‘Treatment Desert’  

By Brian Rinker August 11, 2017 KFF Health News Original

Heather Menzel thought returning to her rural California hometown was the answer to her addiction problems. Then she discovered the town had no medical treatment options for her — but plenty of heroin.

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As Seniors Get Sicker, They’re More Likely To Drop Medicare Advantage Plans

By Fred Schulte July 6, 2017 KFF Health News Original

Medicare Advantage plans offer good value and aim to keep patients healthy but sicker people are far more likely to quit because they can’t get the care they need.

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Health Law Targets Women’s Preventive Services, But It Offers Help To Men, Too

By Michelle Andrews October 4, 2016 KFF Health News Original

A number of preventive services used by both men and women are now available at no cost to consumers.

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Major Employers Decry Sutter Health’s Tactics In Dispute Over Prices

By Chad Terhune April 7, 2016 KFF Health News Original

Sutter Health, with dominant market share in Northern California, is insisting that employers sign arbitration agreements or face sharply higher out-of-network rates.

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Mom’s Policy, Medicaid Or A Health Exchange Plan: What’s A Grad To Do?

By Michelle Andrews May 3, 2017 KFF Health News Original

The federal health law has opened up new options for young adults but it can sometimes be confusing. A quick guide to the choices.

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In Texas, People With Mental Illness Find Work Helping Peers

By Lauren Silverman, KERA July 13, 2017 KFF Health News Original

Peer support, well-known in addiction treatment, is gaining ground for people with serious mental illness. Texas and 35 other states are training and paying peer support specialists to help bridge a gap in mental health treatment.

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Watchdog Group Asks Judge To Halt Anthem’s Attempt To Switch Consumers’ Health Plans

November 14, 2016 Morning Briefing

Anthem is moving to shift 500,000 Californians to plans that offer no coverage for out-of-network care.

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Hospitals Say They’re Being Slammed By Drug Price Hikes

By Sydney Lupkin October 11, 2016 KFF Health News Original

In a report out Tuesday, hospital groups said drug prices have skyrocketed since 2013, triggering a huge increase in what hospitals spend on pharmaceuticals.

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ER Patients Have One In Four Chance Of Getting Out-Of-Network Doctor

November 17, 2016 Morning Briefing

A new study looks at how patients are being blind-sided by thousands of dollars worth of surprise medical bills after emergency care. “It’s the equivalent of going to a restaurant, paying the check and getting a bill six months later from one of the cooks,” says Zack Cooper, the study’s co-author.

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Going For $1 An Ounce: The Burgeoning Trade In Mothers’ Milk

By Eryn Brown Photos by Heidi de Marco April 24, 2017 KFF Health News Original

As a fountain of nonprofit milk banks emerge, one woman’s abundant supply can fill another’s yawning demand. But critics fear that poor women will sell start selling their milk for survival, depriving their own babies of vital nutrients.

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