Health Insurance
Why It’s So Hard to Find a Therapist Who Takes Insurance
Those who need therapy often have to pay out of pocket or go without care, even if they have health insurance. Hundreds of mental health providers told us they fled networks because insurers made their jobs impossible and their lives miserable.
Some Surprises in the No Surprises Act
A law to protect individual patients from sky-high medical bills has already helped millions of Americans but may result in higher health insurance premiums for all.
A Doctor at Cigna Said Her Bosses Pressured Her to Review Patients’ Cases Too Quickly. Cigna Threatened to Fire Her.
Cigna tracks every minute that its staff doctors spend deciding whether to pay for health care. Dr. Debby Day said her bosses cared more about being fast than being right.
Doctors With Histories of Big Malpractice Settlements Work for Insurers, Deciding If They’ll Pay for Care
Doctors working for health insurers can rule on 10,000 or more requests for care a year. At least a dozen were hired by major insurance companies after being disciplined by state medical boards or making multiple or outsized malpractice payments.
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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