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Showing 1481-1500 of 2,070 results for "out-of-network"

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Miami-Dade County, Like Many Employers, Denied Tools To Trim Health Costs

By Daniel Chang, Miami Herald September 19, 2014 KFF Health News Original

As the Florida county negotiates health insurance changes with labor unions, it isn’t allowed to know the prices its own insurance plan administrator negotiates with providers, even though it’s self-insured and the claims are paid with taxpayer dollars.

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Letters To The Editor: The Health Insurance Affordability Gap; What’s Ahead For The Health Law; Doctor Burnout; Medicare Advantage Payment Rates

April 10, 2014 KFF Health News Original

Letters to the Editor is a periodic KHN feature.

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How Obamacare Went South In Mississippi

By Sarah Varney October 29, 2014 KFF Health News Original

In the country’s unhealthiest state, the failure of Obamacare is a group effort.

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Got Insurance? You Still May Pay A Steep Price For Prescriptions

By Julie Appleby October 13, 2014 KFF Health News Original

These high-priced medications are often shifted to the top tiers of drug plans, so consumers dealing with cancer, multiple sclerosis, HIV and other complicated diseases can end up paying thousands of dollars for their prescriptions.

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San Francisco Politician: ‘I Take A Pill Called Truvada’

By Lisa Aliferis, KQED September 18, 2014 KFF Health News Original

This story is part of a partnership that includes KQED, NPR and Kaiser Health News. It can be republished for free. (details) In an effort to combat stigma that has arisen around a treatment that prevents HIV, a San Francisco elected official announced publicly Wednesday that he is taking the medicine. City Supervisor Scott Wiener […]

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In South Florida And The Nation, Health Care Costs Often Are Shrouded In Secrecy

By Daniel Chang, Miami Herald September 15, 2014 KFF Health News Original

Like many employers across the country, Miami-Dade County isn’t allowed to know the prices its own insurance administrators negotiate with healthcare providers, even though the county is self-insured and workers’ claims are paid with taxpayer dollars.

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North Carolinian Credits Early Cancer Diagnosis To New Health Coverage

By Ann Doss Helms, The Charlotte Observer October 20, 2014 KFF Health News Original

In March, after Kimberly Tonyan got health insurance through the Affordable Care Act exchange, she spoke at a news conference urging others to enroll. Her 11-year-old twins stood at her side in Raleigh, N.C. “You have nothing to lose,” the Cornelius woman said, “but your life.” Little did she know. This copyrighted story comes from […]

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Rise Of Catholic Insurance Plans Raises Questions About Contraceptive Coverage

By Julie Rovner September 17, 2014 KFF Health News Original

Insurers try to avoid conflict with church positions on contraception by using third parties to provide coverage.

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Enrolling People In Obamacare Who Have No ‘Concept Of Insurance’

By Marissa Evans September 3, 2014 KFF Health News Original

An agency that ministers to immigrant and Arab-American community in Dearborn, Michigan, faces challenges enrolling some people in health coverage.

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Veterans’ Needs ‘Should Drive Where They Get Their Care’

By Mary Agnes Carey July 14, 2014 KFF Health News Original

As Congress and the VA look to ease long wait times by sending more patients to outside providers, Dr. Ken Kizer, a former VA undersecretary for health, discusses how such an effort could play out.

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Indiana, Several Other States Look To Expand Medicaid Next Year

By Phil Galewitz September 2, 2014 KFF Health News Original

This KHN story can be republished for free. (details) Who’s next? With the long-awaited deal to expand Medicaid finally struck last week between Pennsylvania and the Obama administration, 27 states and the District of Columbia have adopted a key coverage plank of the Affordable Care Act. And the momentum continues to grow in Republican-led states […]

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Reno Finds Medicaid Expansion Tough Hand To Play

By Phil Galewitz October 28, 2014 KFF Health News Original

The community saw its Medicaid enrollment nearly double under the health law, and many new enrollees are experiencing long waits for care.

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How Much To Deliver A Baby? Charges Vary Widely by Hospital

By Roni Caryn Rabin January 16, 2014 KFF Health News Original

Hospital charges for labor and delivery vary so widely from one California medical center to another that some facilities charge women eight to 11 times more than others, according to a new study. Comparing nearly 110,000 uncomplicated births and Caesarean sections, researchers found the lowest charge for a vaginal birth involving an average woman was […]

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Most Insurance Exchanges Just Got Bigger. Covered California Is Getting Smaller.

By Dan Diamond, California Healthline August 21, 2014 KFF Health News Original

Several experts, however, credited the exchange with one big win: Creating more options for shoppers.

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Washington’s $10 Billion Search For Health Care’s Next Big Ideas

By Jay Hancock August 11, 2014 KFF Health News Original

A little-known office tests ways to improve care, but some wonder whether its achievements will match its budget.

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Has Health Law Helped Young People Get Mental Health Treatment? Maybe

By Maanvi Singh, NPR News August 18, 2014 KFF Health News Original

Mental health issues like depression, anxiety and substance abuse often start in adolescence, then peak in young adulthood. But for young people who don’t have steady jobs or stable paychecks, getting help can be tough. A popular provision of the Affordable Care Act that took effect in 2010 aimed to make it easier for young […]

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New York Consumers Frustrated By Insurance Delays

By Fred Mogul, WNYC January 14, 2014 KFF Health News Original

Last weekend, Rob Cuillo had a severe stomach bug, and he began thinking it might be time for a trip to the emergency room near his home on Long Island. “I was sick as a dog,” he said. “I was so dehydrated, I was thinking if this goes on another day I might need an […]

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The Latest In Medical Convenience: ER Appointments

By Anna Gorman and Victoria Colliver July 3, 2014 KFF Health News Original

Hospitals around the country are allowing patients to wait at home rather than endure hours in crowded emergency rooms. Warning: It’s not for life-threatening cases, and you could be bumped for someone sicker.

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With First Open Enrollment Season Behind Them, States Move Ahead — Though Slowly

April 28, 2014 Morning Briefing

Marketplace reports on the lessons learned by states operating their own online health insurance exchanges and how these experiences will affect the year ahead. In related news, the Colorado exchange reports that it’s on track to meet its goal for this year while New York health officials say they will not require out-of-network coverage on next year’s Affordable Care Act plans.

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Boeing, Health Care Providers Join Forces In Bid To Curb Costs

By Lisa Stiffler, Seattle Times June 17, 2014 KFF Health News Original

The aerospace giant is teaming with accountable care organizations to save themselves money by taking the “middle men” — insurers — out of their health care equation.

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