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Showing 1481-1500 of 2,078 results for "out-of-network"

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Large California Insurers Invite Others To Join Data Network

By Anna Gorman August 6, 2014 KFF Health News Original

Now that two of California’s biggest health insurers have teamed up on a project to share patients’ digitized medical records, they are planning to invite other companies to join. The project will initially cover about 9 million Californians, making it possible for doctors and hospitals to quickly access patients’ medical histories and avoid unnecessary tests […]

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Consumer Guide On Health Law Enrollment: Is The Second Time The Charm?

By Mary Agnes Carey November 11, 2014 KFF Health News Original

Starting Nov. 15, consumers can sign up for health insurance on the federal or state health exchanges. Officials say they have worked out many of the technical problems that plagued last year’s enrollment.

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DEA: Vicodin, Some Other Pain Meds Will Be Harder to Get

By Michelle Andrews September 26, 2014 KFF Health News Original

The regulation, slated to take effect Oct. 6, is a response to the widespread misuse of these prescription medicines.

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Many Rural Hospitals Are Excluded From Government’s Push For Better Quality

By Jordan Rau September 30, 2014 KFF Health News Original

A quarter of the nation’s hospitals are exempt from penalties, quality bonuses and other payment reforms.

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Obamacare May Mean High Drug Costs For Floridians With HIV

By Nicholas Nehamas, Miami Herald October 31, 2014 KFF Health News Original

ACA insurance plans may not be cheaper — or even affordable — for those with HIV and AIDS because of high medication costs, according to patient advocates.

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Pacemakers Get Hacked On TV, But Could It Happen In Real Life?

By Daniela Hernandez and Julie Appleby November 18, 2014 KFF Health News Original

Concerns about the potential vulnerability of medical devices are getting the attention of regulators, health care providers and manufacturers.

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Disabled Vt. Senior Who Led Class Action Suit Sues Medicare — Again

By Susan Jaffe October 27, 2014 KFF Health News Original

The landmark settlement was supposed to be a victory for Medicare beneficiaries with chronic conditions and disabilities who had been denied coverage for skilled care because they didn’t meet “the improvement standard” — meaning they were unlikely to improve. But when Glenda Jimmo was denied coverage this spring for that same reason, her lawyers filed a second lawsuit.

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Burwell Meets The Press: Managing Expectations On Ebola, Healthcare.gov, ACA Year 2

By Mary Agnes Carey October 9, 2014 KFF Health News Original

http://admin.brightcove.com/js/BrightcoveExperiences.js brightcove.createExperiences(); We’re working on it. No matter what the topic – from improving consumers’ experience with healthcare.gov, the health law’s Medicaid expansion, narrow networks and even Ebola — Department of Health and Human Services Secretary Sylvia Mathews Burwell told reporters Thursday her agency is on it. During a breakfast with reporters sponsored by Kaiser […]

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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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