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Showing 1321-1340 of 2,078 results for "out-of-network"

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For Substance Abusers, Recovery-Oriented Care May Show The Way To A Productive Life

By Taylor Sisk May 24, 2016 KFF Health News Original

Advocates emphasize peer support and community reintegration for people with behavioral health problems.

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Insurers Quitting Health Law Exchanges May Still Sell Plans To Individuals

By Michelle Andrews May 17, 2016 KFF Health News Original

KHN’s consumer columnist answers readers’ questions including whether recent announcements about plans pulling out of the health law’s exchanges could affect the access to coverage for consumers who don’t use those exchanges.

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Policy Shift By Nation’s Largest Insurer Could Leave Some With Unexpected Bills

By Jordan Shapiro, The St. Louis Post-Dispatch March 30, 2015 KFF Health News Original

UnitedHealthcare is no longer routinely paying for out-of-network emergency room physicians and other specialists even when they work for hospitals in the insurer’s network.

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Covered California Health Plan Rates To Jump 13.2 Percent In 2017

By Chad Terhune and Pauline Bartolone July 19, 2016 KFF Health News Original

A double-digit increase, which follows two years of moderate rate hikes, is likely to resonate across the country in debate over Obamacare.

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Hospital Deductibles Are For Admitted Patients Only

By Michelle Andrews August 4, 2015 KFF Health News Original

KHN consumer columnist Michelle Andrews also answers reader questions about how insurance-provider networks function and parents’ responsibility to provide coverage for children who are not yet 26.

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Beware: Your Insurer May Define A Health Emergency Differently Than You Do

By Robert Calandra, Philadelphia Inquirer June 22, 2015 KFF Health News Original

Once stabilized, you must transfer to an in-network hospital or you may be responsible for the entire cost of your care.

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Medicare’s Drug-Pricing Experiment Stirs Opposition

By Julie Appleby May 25, 2016 KFF Health News Original

A proposal to change the way Medicare pays for some drugs has set off intense reaction and lobbying — all tied to a common theme: How far should the government go in setting prices for prescription drugs?

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UnitedHealth Tries Boutique-Style Health Plan

By Phil Galewitz April 4, 2016 KFF Health News Original

Harken Health, a new UnitedHealthcare subsidiary, offers members free unlimited doctor visits and health coaches at 10 clinics in Chicago and Atlanta. 

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Fix For VA Health Snarls Veterans And Doctors In New Bureaucracy

By Quil Lawrence, NPR News and Eric Whitney, Montana Public Radio and Michael Tomsic, WFAE May 16, 2016 KFF Health News Original

A program that was supposed to help veterans see doctors closer to home more quickly is not fulfilling its promise.

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Urban Medicare Beneficiaries May See More Drug Savings This Year 

By Michelle Andrews February 19, 2016 KFF Health News Original

The Centers for Medicare & Medicaid Services says access to special, lower-cost pharmacies has improved for Medicare beneficiaries in urban areas.

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Most N.Y. Marketplace Plans Lack Any Coverage For Out-Of-Network Care

By Michelle Andrews March 17, 2015 KFF Health News Original

Except for a few insurers in Albany and the western part of the state, all the policies sold in the individual market are HMOs that will not pay anything toward routine expenses from doctors or hospitals not in their networks.

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Zooming In On Millennials

By Anna Gorman May 10, 2016 KFF Health News Original

Zoom, a medical group and insurer, is targeting millennials in Oregon and Washington with quick, accessible care as well as fitness, yoga and cooking classes.

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Pregnant Women Dumped By Covered California Into Medi-Cal, Without Notice Or Consent

By Emily Bazar May 3, 2016 KFF Health News Original

The problem won’t be fixed until September, though the state’s congressional delegation calls for quick action.

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Study Finds Almost Half Of Health Law Plans Offer Very Limited Physician Networks

By Michelle Andrews June 26, 2015 KFF Health News Original

More than 40 percent of the plans included less than a quarter of the doctors in the area, University of Pennsylvania researchers found.

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Medi-Cal Expands To Immigrant Children. Here’s How It Works.

By Emily Bazar April 4, 2016 KFF Health News Original

New law applies state’s low-income health care program to children in the U.S. illegally.

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Boston’s Heroin Users Will Soon Get A Safer Place To Be High

By Martha Bebinger, WBUR March 3, 2016 KFF Health News Original

A nonprofit group in Boston working with homeless people will convert a conference room and provide medical supervision for people after they have taken heroin.

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Medicare Plans Score Higher Ratings And Millions In Bonuses

By Phil Galewitz March 7, 2016 KFF Health News Original

The share of Medicare Advantage members enrolled in plans with high star ratings has almost doubled since 2013, earning bonuses for private insurers who offer them.

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Head Of California Exchange Scolds UnitedHealth For Blaming Woes On Obamacare

By Chad Terhune February 3, 2016 KFF Health News Original

Peter Lee, executive director of Covered California, says the giant insurer’s complaints about ACA exchanges are “total spin and unanchored in reality.”

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UNOS To Implement New Technology To Make Organ Donation More Seamless

June 14, 2016 Morning Briefing

The United Network for Organ Sharing will roll out a new platform that will be used in the operating room to accurately label, package and track organs, as well as create a comprehensive data exchange interface. In other health IT news, though the ease of telemedicine might be tempting, a good old fashioned doctor’s visit is sometimes what’s actually needed.

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N.H., Calif. Seek To Help Consumers Get Details On Health Care Prices

By Jordan Rau March 9, 2016 KFF Health News Original

New Hampshire is expanding its website that lists the cost of specific medical procedures to include dental treatments and 65 prescription drugs. California is expanding its report cards on large medical groups to include cost of medical services by an average patient.

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