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Showing 101-120 of 2,068 results for "out-of-network"

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Donald Hammen, an 80 year old man, sits on the front steps to his house.

Older Americans Living Alone Often Rely on Neighbors or Others Willing To Help

By Judith Graham November 12, 2024 KFF Health News Original

Diverse networks of friends, former co-workers, neighbors, and extended family are often essential sources of support for older adults living alone. Often it is the elderly caring for the elderly.

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A photo of a scientist's gloved hands using a pipette to take a sample from a petri dish.

Beyond Ivy League, RFK Jr.’s NIH Slashed Science Funding Across States That Backed Trump

By Rae Ellen Bichell and Rachana Pradhan April 17, 2025 KFF Health News Original

A KFF Health News analysis underscores how the terminations have spared no part of the country, politically or geographically. Of the organizations that had grants cut in the first month, about 40% are in states President Donald Trump won in November.

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What the Health? From KFF Health News: The Campaign’s Final Days

October 31, 2024 Podcast

It’s the final days of the 2024 campaign, and Republicans are suddenly talking again about making changes to the Affordable Care Act if former President Donald Trump wins. Meanwhile, new reporting uncovers more maternal deaths under state abortion bans — and a case in which a Nevada woman was jailed after a miscarriage. Lauren Weber of The Washington Post, Shefali Luthra of The 19th, and Jessie Hellmann of CQ Roll Call join KFF Health News’ Emmarie Huetteman to discuss these stories and more. Also this week, KFF Health News’ Julie Rovner interviews Irving Washington, a senior vice president at KFF and the executive director of its Health Misinformation and Trust Initiative.

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Health Insurance Price Data: It’s Out There, but It’s Not for the Faint of Heart

By Julie Appleby July 27, 2022 KFF Health News Original

Health insurers and self-insured employer plans are now required to post their negotiated rates for almost every type of medical service. But navigating through the trove of information is no easy task.

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A photo of Robert F. Kennedy Jr. receiving a tour of a food distribution center. Shelves behind him show crates filled with orange bell peppers.

Meet the Florida Group Chipping Away at Public Benefits One State at a Time

By Katheryn Houghton and Samantha Liss May 8, 2025 KFF Health News Original

The Trump administration’s “Make America Healthy Again” platform has boosted the agenda of a conservative think tank that’s been working for more than a decade to reshape the nation’s public assistance programs.

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A digital illustration in pencil and watercolor. A mother, painted in lively pinks and golds with vibrant red hair, holds a ghostly, colorless outline of her baby, who is wrapped in medical bills.

Shattered Dreams and Bills in the Millions: Losing a Baby in America

By Lauren Weber September 23, 2022 KFF Health News Original

On top of fearing for their children’s lives, new parents of very fragile, very sick infants can face exorbitant hospital bills — even if they have insurance. Medical bills don’t go away if a child dies.

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A photo of a computer screen with HealthSherpa's website open. The screen shows the company logo and text that reads, "Find your most affordable health plan."

HealthSherpa and Insurers Team Up To Curb Unauthorized ACA Enrollment Schemes

By Julie Appleby July 16, 2024 KFF Health News Original

The initiative targets the biggest incentive driving fraudulent sign-ups and plan switches: the commissions that rogue agents or large call centers seek.

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An $80,000 Tab for Newborns Lays Out a Loophole in the New Law to Curb Surprise Bills

By Jay Hancock Photos by Heidi de Marco February 23, 2022 KFF Health News Original

The insurance company said that the birth of the Bull family’s twins was not an emergency and that NICU care was “not medically necessary.” The family’s experience with a huge bill sent to collections happened in 2020, but it exposes a hole in the new No Surprises law that took effect Jan. 1.

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A man and woman embrace outdoors amid flowers and trees. The woman is wearing a black zip up hoodie and the man is wearing a black cap.

Montana Creates Emergency ‘Drive-Thru’ Blood Pickup Service for Rural Ambulances

By Arielle Zionts June 17, 2024 KFF Health News Original

The network is aimed at helping rural patients, who face higher rates of traumatic injuries and death but may not live near a hospital with a stockpile of blood.

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Mental Health Therapists Seek Exemption From Part of Law to Ban Surprise Billing

By Julie Appleby February 3, 2022 KFF Health News Original

Some practitioners object to the way upfront cost estimates are designed, saying they could affect access to care and are burdensome. Other experts disagree.

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Dr. Bhavin Shah, who wears a dress shirt and tie, stands beside his wife, Sunita Kalsariya, who wears a black cardigan over a white patterned shirt. They are in an office room next to a window, and look towards the camera.

A Billing Expert Saved Big After Finding an Incorrect Charge in Her Husband’s ER Bill

By Bram Sable-Smith October 25, 2022 KFF Health News Original

A medical billing specialist investigated her husband’s ER bill. Her sleuthing took over a year but knocked thousands of dollars off the hospital’s charges — and provides a playbook for other consumers.

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Rx For Clarity: Calif. Considers Bilingual Drug Labels

By April Dembosky, KQED July 30, 2014 KFF Health News Original

Every Saturday morning, a steady stream of Chinese and Vietnamese patients line up at the Paul Hom Asian Clinic in Sacramento, Calif. Most of them speak little to no English. Patient assistance director Danny Tao says people come here to get free medical consultations and drug prescriptions. But, he says that when patients take those […]

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Pedestrians are seen walking in front of the U.S. Capitol in Washington.

What the Federal ‘No Surprises Act’ Means in California

By Bernard J. Wolfson January 26, 2022 KFF Health News Original

The new federal law will provide protection against surprise medical bills for between 6 million and 7 million Californians who are not covered under state law.

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A photo of a woman in a medical office filling out a form.

The Quiet Collapse of America’s Reproductive Health Safety Net

By Céline Gounder Updated October 30, 2025 Originally Published October 30, 2025 KFF Health News Original

The HHS office that administers the Title X family planning program has been effectively shut down. And with cuts to federal funding for other family health programs, expected Medicaid cuts, and the potential lapse of ACA subsidies, health leaders fear they are seeing the biggest setback to U.S. reproductive care in half a century.

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A gloved hand holds a magnifying glass to a miniature model of the human body focusing on the gastrointestinal system.

Betting on ‘Golden Age’ of Colonoscopies, Private Equity Invests in Gastro Docs

By Emily Pisacreta and Emmarie Huetteman May 27, 2022 KFF Health News Original

An aging population in need of regular cancer screenings has driven private equity companies, seeking profits, to invest in many gastroenterology practices and set up aggressive billing practices. Steep prices on routine tests are one consequence for patients.

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A photo of a woman leading a group of older adults in a game with hand bells.

As Federal Health Grants Shrink, Memory Cafes Help Dementia Patients and Their Caregivers

By Lydia McFarlane, WVIA June 10, 2025 KFF Health News Original

Memory cafes are small social gatherings for individuals with memory loss and their caregivers. The events are cheap to run and can offer measurable benefits. Memory loss experts say they may become an even more important tool in the face of federal cuts to health programs.

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Olympic Dream Dashed After Bike Crash and Nightmare Medical Bill Over $200K

By Samantha Young July 29, 2021 KFF Health News Original

A bicyclist from California competed in a Pennsylvania race that could have landed him in this month’s Tokyo Olympics. Instead, a crash on the velodrome track landed him in two hospitals where his out-of-state, out-of-network surgeries garnered huge bills.

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Billing Arbitration Comes To An End After Changes To No Surprises Act

August 8, 2023 Morning Briefing

Last week, a court ruling saw parts of the surprise billing law vacated, and this has now resulted in the federal government stopping processing payment disputes between providers and insurers over out-of-network bills, Modern Healthcare reports. Axios notes insurers sometimes pay double for the same procedure versus Medicare Advantage prices.

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What the Health? From KFF Health News: Trump 2.0

November 8, 2024 Podcast

As Donald Trump readies for his return to the White House — with the backing of a GOP majority in the Senate and, possibly, the House — the entire health care industry is waiting to see what happens next. Clearly on the agenda: the future of abortion and reproductive rights, Medicare, Medicaid, the Affordable Care Act, and public health’s infrastructure. Rachel Cohrs Zhang of Stat and Alice Miranda Ollstein of Politico join KFF Health News’ Julie Rovner to discuss these stories and more. Also this week, Rovner interviews KFF Health News’ Jackie Fortiér, who reported and wrote the latest KFF Health News-Washington Post “Bill of the Month” feature, about a 2-year-old who had a very expensive run-in with a rattlesnake.

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Listen: How the New ‘No Surprises’ Law Tackles Unexpected Medical Bills

January 5, 2022 KFF Health News Original

Years in the making, a new federal law against surprise medical bills took effect Jan. 1.

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