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Showing 141-160 of 2,044 results for "out-of-network"

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Readers and Tweeters Have Mental Health Care on Their Minds

February 24, 2022 KFF Health News Original

KHN gives readers a chance to comment on a recent batch of stories.

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A health insurance claim form on a clipboard. A black pen rests on top.

Covered California Hits Record Enrollment, but Key Subsidies in Jeopardy

By Claudia Boyd-Barrett January 23, 2025 KFF Health News Original

Enhanced federal subsidies and more state aid for out-of-pocket costs have made health insurance purchased through California’s marketplace more affordable. It’s unclear if the incoming Republican Congress will extend the enhanced subsidies beyond 2025.

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A photo of a sign advertising Covered California, the state's Affordable Care Act marketplace, in Los Angeles.

California’s Health Insurance Marketplace Braces for Chaos as Shutdown Persists

By Bernard J. Wolfson October 14, 2025 KFF Health News Original

Jessica Altman, the head of California’s Affordable Care Act health insurance marketplace, warns letters will be sent out this week with sky-high premiums unless Washington extends covid-era enhanced tax credits by then. Even if Congress acts later and rates are lower than feared, she says, shoppers could be scared off.

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A woman with short blonde hair stands in a park outdoors. She is wearing a striped t-shirt, jeans, a black cardigan and a silver cross around her neck

In California, Faceoff Between Major Insurer and Health System Shows Hazards of Consolidation

By Annie Sciacca February 19, 2024 KFF Health News Original

Even as Anthem Blue Cross and University of California Health announced a contract agreement this month, analysts say patients are increasingly at risk of being affected by such disputes.

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A photo of a woman walking with two kids on the sidewalk by a health clinic in California.

Health Clinic Workers Brush Up on Constitutional Protections as Immigration Raids Loom

By Jackie Fortiér February 26, 2025 KFF Health News Original

Clinic administrators describe anxiety about President Donald Trump’s move to allow immigration arrests inside health centers.

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KHN’s ‘What the Health?’: Congress Shelves Covid Funding for Now

March 10, 2022 KFF Health News Original

The Biden administration’s request for billions more in funding to fight covid-19 hit a snag on Capitol Hill this week, as Democrats objected to Republican demands that money allocated to states but not yet spent be reclaimed. Meanwhile, the big annual spending bill about to cross the finish line addresses other health policy changes, such as giving the FDA authority to regulate “synthetic” nicotine. Joanne Kenen of the Johns Hopkins Bloomberg School of Public Health and Politico, Rachel Cohrs of Stat, and Jessie Hellmann of Modern Healthcare join KHN’s Julie Rovner to discuss these issues and more. Plus, for extra credit, the panelists recommend their favorite health policy stories of the week they think you should read, too.

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Rear view of female nurse walking with senior man in corridor at nursing home

Nursing Homes and the AMA, Once Medicaid Defenders, Hang Back as GOP Mulls Big Cuts

By Noam N. Levey March 11, 2025 KFF Health News Original

The American Medical Association and the leading nursing home trade group both are lobbying Republicans in Congress on other priorities.

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Efforts To Curb ACA Enrollment Fraud Face Real-World Test

By Julie Appleby November 26, 2024 KFF Health News Original

The current Affordable Care Act open enrollment season is the first big test of new federal guardrails against fraud. The rules aim to head off unauthorized ACA plan enrollments or switches by rogue agents and entities looking to make money via enrollment commissions. Such sign-ups triggered more than 274,000 consumer complaints through August this year. […]

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A black and white cat gingerly approaches a bowl of milk or cream.

House Cats With Bird Flu Could Pose a Risk to Public Health

By Sarah Boden February 10, 2025 KFF Health News Original

The current strain of bird flu is spreading from wildlife and livestock to house cats. To keep pets healthy, many virologists and veterinarians say, house cats shouldn’t eat raw food and should be kept indoors. Despite no known cases of H5N1 transmission between cats and people, some public health agencies and virologists are warning cat owners to be mindful of the theoretical risks to the health of humans in their households if a pet gets sick.

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A male EMS hands a woman medication. In the background, a third woman looks on.

A Paramedic Was Skeptical About This Rx for Stopping Repeat Opioid Overdoses. Then He Saw It Help.

By Lauren Peace, Tampa Bay Times March 25, 2024 KFF Health News Original

For years, addiction response teams have traveled around Florida to connect people who have overdosed with resources and recovery centers. Now, a handful have a new tool in their kit: buprenorphine, which can help prevent the cravings and withdrawal symptoms that lead to more drug use.

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Hacking at UnitedHealth Unit Cripples a Swath of the US Health System: What to Know

By Darius Tahir Updated March 1, 2024 Originally Published February 29, 2024 KFF Health News Original

Change Healthcare, a firm recently bought by insurance giant UnitedHealth Group, reportedly suffered a cyberattack. The company processes 14 billion transactions annually, including payments and requests for insurance authorizations.

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A row of three vials with a syringe sticking out of the third.

Trump Administration Is Ending Multiple HIV Vaccine Studies, Scientists and Officials Say

By Céline Gounder and Alexander Tin, CBS News June 3, 2025 KFF Health News Original

The cuts will shutter two major HIV vaccine research efforts, and a National Institutes of Health senior official said the agency has been instructed not to issue any more HIV vaccine research funding in the next fiscal year, with few exceptions.

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A photo of a chalkboard with "open enrollment" written on it surrounded by a stethoscope.

Medicare Enrollees Can Switch Coverage Now. Here’s What’s New and What to Consider.

By Julie Appleby October 16, 2023 KFF Health News Original

Fall is the time when enrollees in the federal program for older people and people with certain disabilities can make changes to their health and drug plans. The decision can be complicated, but here are some key points to keep in mind.

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A photo of the exterior of Grinnell Health Care Center.

For-Profit Companies Open Psychiatric Hospitals in Areas Clamoring for Care

By Tony Leys April 1, 2024 KFF Health News Original

State institutions and community hospitals have closed inpatient mental health units, often citing staffing and financial challenges. Now, for-profit companies are opening psychiatric hospitals to fill the void.

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Biden’s Got a New Set of Orders for Obamacare. Is It His Last?

By Julie Appleby December 1, 2023 KFF Health News Original

The Biden administration has issued its latest official wish list for Obamacare insurance plans, potentially one of the last major Affordable Care Act health policy efforts in the president’s first term. Changes on tap for 2025? For one, the administration wants states that run their own ACA marketplaces to crack down on what’s called “network […]

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Two vials of Fluorouracil. The liquid inside the glass vials are clear.

Overdosing on Chemo: A Common Gene Test Could Save Hundreds of Lives Each Year

By Arthur Allen March 26, 2024 KFF Health News Original

The FDA and some oncologists have resisted efforts to require a quick, cheap gene test that could prevent thousands of deaths from a bad reaction to a common cancer drug.

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Four people are in frame walking past a sign with white lettering on a red background reading "Emergency Entrance" and "Emergency Department Chest Pain Center" each with arrows pointing right. One person carries a handwritten sign that reads "Keep ICE Out of Hospitals."

California Faces Limits as It Directs Health Facilities To Push Back on Immigration Raids

By Claudia Boyd-Barrett October 30, 2025 KFF Health News Original

California now has a law requiring hospitals and clinics to improve patient privacy and have clear protocols for handling requests by immigration agents. Legal experts say the state can’t fully protect immigrant patients, because federal authorities are allowed in public places, including hospital lobbies, general waiting areas, and parking lots.

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A photo of a woman seen from behind working in a medical setting on a laptop.

Whistleblower Accuses Aledade, Largest US Independent Primary Care Network, of Medicare Fraud

By Fred Schulte March 5, 2024 KFF Health News Original

A recently unsealed lawsuit alleges Aledade Inc. developed billing software that boosted revenues by making patients appear sicker than they were.

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A photo of a young man in silhouette. He is looking at his phone.

The National Suicide Hotline For LGBTQ+ Youth Shut Down. States Are Scrambling To Help.

By Annie Sciacca August 19, 2025 KFF Health News Original

LGBTQ+ youth lost dedicated support on the 988 Suicide & Crisis Lifeline in July at a critical time. Advocates say mental health issues are rising in that population amid hostility from the Trump administration.

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U.S. President Joe Biden is standing at a presidential podium in front of a seated audience in the White House.

Biden Wants States to Ensure Obamacare Plans Cover Enough Doctors and Hospitals

By Julie Appleby December 6, 2023 KFF Health News Original

The regulatory proposal was announced Nov. 15 and is likely one of the last major ACA policy efforts of the president’s first term.

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