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Medicare

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Out-of-network "surprise bills" are a growing problem. Patients think they're staying in their coverage network only to receive a bill for thousands of dollars after a procedure from, say, an anesthesiologist who wasn't included in their plan. So far, proposed solutions have proven controversial.

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Medicare levies penalties against hospitals in an effort to reduce the number of infections patients pick up at these facilities.

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Hospitals are penalized by Medicare for high readmission rates, but does this system really encourage better healthcare?

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Created by the Affordable Care Act to cut costs and improve quality, Medicare’s penalty programs disproportionately impact hospitals serving the sickest and poorest patients.

Picture of Kellie  Schmitt

People with insurance are significantly more likely to be diagnosed with a chronic condition than uninsured people. That means that as the number of insured grows, the health system will have to cope with an influx of patients newly diagnosed with conditions such as diabetes and high blood pressure.

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Tradeoffs are a recurring theme when it comes to Obamacare plans — lower premiums often come with a smaller range of doctors to choose from, as a new database bears out. But as earlier research has shown, the relation between the size of physician networks and quality of care is, well, complicated.

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Some state lawmakers are trying help Californians by expanding the number of Medi-Cal providers following the explosive growth of the state's health plan for the poor under the Affordable Care Act. California's Medicaid program now serves almost a third of the state's population.

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The Affordable Care Act has expanded health care access to millions of Americans, but also placed new demands on the health care delivery system. Here are five key trends that are helping bring more effective care to more patients in a post-reform world.

Picture of Daniel Chang

Why won’t Florida adopt Medicaid expansion? The Florida Senate has proposed a plan, but House leaders and Gov. Rick Scott oppose any Medicaid expansion because they say they don’t trust the federal government to keep its promise to pay for covering more Floridians.

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Without Medicaid expansion, South Florida’s low-income residents have found out the hard way that the healthcare safety net designed to catch people before they hit bottom is no substitute for insurance.

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