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How the Insurance Industry Denies Coverage to Patients

Health insurers reject millions of claims for treatment every year in America. Corporate insiders, recordings and internal emails expose the system and its harm.

Impact of Our Reporting


Michigan Lawmaker Introduces Bill Requiring State Health Plans to Cover Cutting-Edge Cancer Treatments

After ProPublica reported on a Michigan insurer that wouldn’t cover a cancer patient’s last-chance treatment, a state lawmaker introduced a measure compelling health plans to cover a new generation of advanced cancer therapies.


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.


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.

A Doctor at Cigna Said Her Bosses Pressured Her to Review Patients’ Cases Too Quickly. Cigna Threatened to Fire Her.

After Promising to Make Government Health Care Data More Accessible, the Biden Administration Now Wants to Clamp Down

Doctors With Histories of Big Malpractice Settlements Work for Insurers, Deciding If They’ll Pay for Care

Health Insurers Have Been Breaking State Laws for Years

Insurance Executives Refused to Pay for the Cancer Treatment That Could Have Saved Him. This Is How They Did It.

You Have a Right to Know Why a Health Insurer Denied Your Claim. Some Insurers Still Won’t Tell You.

Find Out Why Your Health Insurer Denied Your Claim

Big Insurance Met Its Match When It Turned Down a Top Trial Lawyer’s Request for Cancer Treatment

I Set Out to Create a Simple Map for How to Appeal Your Insurance Denial. Instead, I Found a Mind-Boggling Labyrinth.

How Often Do Health Insurers Say No to Patients? No One Knows.

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

ProPublica and The Capitol Forum Win April Sidney Award

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

UnitedHealthcare Tried to Deny Coverage to a Chronically Ill Patient. He Fought Back, Exposing the Insurer’s Inner Workings.

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