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Showing 1901-1920 of 2,078 results for "out-of-network"

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Federal Officials Try Again To Bolster Plans For People With Medical Conditions

By Michelle Andrews July 5, 2011 KFF Health News Original

The administration sets a second premium reduction hoping to entice more enrollees.

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Appealing An Insurer’s Denial Is Often A Good Strategy

By Michelle Andrews June 20, 2011 KFF Health News Original

GAO finds most claims problems come from billing and eligibility issues, and beneficiaries often win when they appeal.

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Glossary

February 23, 2011 Page

The most important terms in health care policy, from A to Z. The main sources for this glossary are the Alliance for Health Reform and the Kaiser Family Foundation. Other sources include: U.S. Department of Health and Human Services, Agency for Healthcare Research and Quality, Internal Revenue Service, University of California, San Francisco, U.S. Department of Labor, […]

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Berwick: “I’ve Got The Back” Of Medicare Beneficiaries – The KHN Interview

By Mary Agnes Carey June 7, 2011 KFF Health News Original

Embattled CMS administrator says partnering with providers will improve care and reduce costs.

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Medicaid Managed Care Expands In California As State Adds Many Seniors And Disabled

By Christopher Weaver June 1, 2011 KFF Health News Original

Even critics of managed care are warming to the idea of including nearly 400,000 seniors and disabled person now receiving health care through the traditional Medi-Cal program. The shift to managed care begins today and will be phased in.

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Doctors In Small Practices Slow To Dump Paper Records

By Susan Jaffe, iWatch News July 7, 2011 KFF Health News Original

Despite carrots and sticks from the federal government, some physicians are leery about moving to electronic health records.

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Untouchable! Vets’ $52 Billion Health Care Plan

By Merrill Goozner, The Fiscal Times May 12, 2011 KFF Health News Original

The military is trying to figure out ways to slow down the rapidly rising cost of care and the Obama administration’s 2012 budget calls for the first changes since 1996.

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N.Y. Revoking Medicaid From One Clinic Network

August 11, 2011 Morning Briefing

The N.Y. Health Department moves against a network of clinics run by a former N.Y. state senator while federal officials threaten to cut off funds to a well-known public hospital in Texas. In other hospital news, Dartmouth-Hitchcock hospital system in New Hampshire announces buy-outs as it tries to deal with a $96 million deficit, and nurses at a nonprofit hospital in Quincy, Mass., object to the proposal to sell the facility to a for-profit company.

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Florida Legislature Passes Massive Medicaid Overhaul

By Jim Saunders, News Service of Florida May 8, 2011 KFF Health News Original

Arguing that the proposal will save tax dollars and improve patient care, Republican lawmakers Friday approved a massive overhaul of Florida’s Medicaid system.

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ACOs Spell Gold Rush For Health Care Consultants

By Bara Vaida April 2, 2011 KFF Health News Original

Hospitals, doctors scramble for outside help in deciphering how to capitalize on health law’s “accountable care organizations.”

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Letter From California: Exchange Board Has Daunting Task

By Hilary Abramson May 10, 2011 KFF Health News Original

The Golden State was the first to create a health care exchange under federal law. But setting up the online marketplace will take time — and money that the cash-strapped state might not have.

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Dispatch From Los Angeles: Cockroaches, Podiatrists And Fears About Medicaid’s Future (Guest Opinion)

By Jonathan Cohn May 11, 2011 KFF Health News Original

Located in one of the nation’s most medically underserved areas, St. John’s Well Child and Family Center is bracing for GOP-backed Medicaid cuts that the facility’s director says would be disastrous.

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The Real Impact Of Cutting Medicaid — Just When We Need It The Most (Guest Opinion)

By Harold Pollack May 5, 2011 KFF Health News Original

The recent policy debate surrounding the health care safety net seems predicated on the philosophy that we must sharply shrink government despite the accompanying human costs. That vision is most congenial to those who feel comfortable and safe without public help.

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Budget Office: GOP Medicare Plan Could Lead To Rationing

By Julie Rovner, NPR News April 7, 2011 KFF Health News Original

Remember all those allegations from Republicans that the Affordable Care Act would inevitably lead to health care rationing? It turns out the same might be true of the House GOP budget plan for Medicare.

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Minnesota GOP Between A Rock And Hard Place on Health Exchange Options

By Guy Gugliotta May 16, 2011 KFF Health News Original

GOP lawmakers generally oppose efforts to set up the insurance marketplaces called for in the health law – but they aren’t crazy about the alternatives either.

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Federal Medicaid Teams Deployed To Help States Cut Costs Get Mixed Reviews

By Christopher Weaver April 13, 2011 KFF Health News Original

Nearly half of the states have received some type of help, including 11 states with Republican governors.

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Under Health Law, Colonoscopies Are Free – But It Doesn’t Always Work That Way

By Harris Meyer April 25, 2011 KFF Health News Original

The billing can get complicated if doctors find a polyp during a screening: Some insurers

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Out Of Network ER Visits Won’t Cost More Under New Health Law

By Michelle Andrews July 20, 2010 KFF Health News Original

The health overhaul prohibits new insurance plans from charging higher copayments or coinsurance amounts for out-of-network emergency services or from imposing other coverage limitations that wouldn’t apply to in-network care.

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Medical Wonder: Meet the CEO Who Rebuilt a Crumbling California Hospital

By Russ Mitchell April 20, 2011 KFF Health News Original

Wright Lassiter is doing the seemingly impossible as CEO of the Alameda County Medical Center in Oakland, Calif.: He’s turned a mismanaged urban safety-net hospital system in one of America’s most violent cities into a model for other public hospitals by trimming costs — and did it while expanding services.

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Health Insurance Open Season Questions? Here Are Some Answers

November 10, 2010 KFF Health News Original

Readers of The Washington Post posed questions about potential taxes on insurance, how to pick a plan and the increase in costs and KHN’s Michelle Andrews provided answers.

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