Health Insurance
State Regulators Know Health Insurance Directories Are Full of Wrong Information. They’re Doing Little to Fix It.
State agencies say they’re holding insurers accountable for errors in provider directories. But ProPublica found that the actual actions taken so far do not match the regulators’ rhetoric.
ProPublica’s Coverage of the Election Issues That Matter to Voters
ProPublica avoids horse race coverage of the election, instead deeply exploring issues that voters care about, like immigration, abortion, health care, the economy, extremism and education.
“Not Medically Necessary”: Inside the Company Helping America’s Biggest Health Insurers Deny Coverage for Care
When companies like Aetna or UnitedHealthcare want to rein in costs, they turn to EviCore, whose business model depends on turning down payments for care recommended by doctors for their patients.
Caught in Texas’ Medicaid and Food Stamp Application Backlog? Know Someone Who Is? Help Us Report.
Your stories will help our team identify the root causes of the issues and do journalism in the public interest.
Impact of Our Reporting
Health Plans Can’t Dodge Paying for Expensive New Cancer Treatments, Says Michigan’s Top Insurance Regulator
After ProPublica reported on a health insurer that refused to cover the only medicine that could save a cancer patient’s life, Michigan insurance regulators clarified that, by law, many plans must pay for any clinically proven treatments.
Representatives Propose Ban on Insurers Charging Doctors a Fee to Be Paid Electronically
After a ProPublica investigation examined how giant insurers and their intermediaries are imposing fees on doctors and hospitals for electronic payment, a bipartisan group of lawmakers has introduced a bill to end the practice.
Congressional Committee, Regulators Question Cigna System That Lets Its Doctors Deny Claims Without Reading Patient Files
The probes follow an investigation by ProPublica and The Capitol Forum that Cigna allows its doctors to reject hundreds of thousands of claims a month.
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