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David Armstrong

I investigate health care.

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What I Cover

I investigate health care. This includes pharmaceutical and medical device makers; researchers and providers; major hospitals and academic medical centers; and the health insurance industry.

My Background

I joined ProPublica in March 2018, and I have reported on the flawed science employed by experts testifying in child abuse cases, the fundraising practices of St. Jude Children’s Research Hospital and the ways in which health insurers deny care. Previously, I was the senior enterprise reporter for STAT, where I wrote about abuses in the addiction treatment industry, the rise of fentanyl and the recruiting of college football players with histories of concussions. At The Wall Street Journal, I was part of the team awarded the 2002 Pulitzer Prize for breaking news reporting on the attacks of Sept. 11. As a staff reporter at The Boston Globe, my investigation with colleagues of safety flaws in escalators won the George Polk Award and the Investigative Reporters and Editors award.

Why Do Americans Pay More for Prescription Drugs?

Drug companies in the U.S. face few restraints on what to charge for their products. A bipartisan bill would penalize those companies that sell their drugs at higher prices than the average of the prices in other wealthy nations.

The Price of Remission

When I was diagnosed with cancer, I set out to understand why a single pill of Revlimid cost the same as a new iPhone. I’ve covered high drug prices as a reporter for years. What I discovered shocked even me.

Uncovered

“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.

Uncovered

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.

Uncovered

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.

Uncovered

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.

Uncovered

Health Insurance Claim Denied? See What Insurers Said Behind the Scenes

Learn how to request your health insurance claim file, which can include details about what your insurer is saying about you and your case.

Uncovered

How Cigna Saves Millions by Having Its Doctors Reject Claims Without Reading Them

Internal documents and former company executives reveal how Cigna doctors reject patients’ claims without opening their files. “We literally click and submit,” one former company doctor said.

Uncovered

Do You Have Insights Into Dental and Health Insurance Denials? Help Us Report on the System.

Insurers deny tens of millions of claims every year. ProPublica is investigating why claims are denied, what the consequences are for patients and how the appeal process really works.

St. Jude’s Unspent Billions

St. Jude Stashed Away $886 Million in Unspent Revenue Last Year

New documents show that St. Jude Children’s Research Hospital’s reserves grew to $7.6 billion, as other children's cancer nonprofits struggled to raise cash.