Health Insurance
“Slow Pay, Low Pay or No Pay”
Blue Cross authorized mastectomies and breast reconstructions for women with cancer but refused to pay the full doctors’ bills. A jury called it fraud and awarded the practice $421 million.
Georgia Touts Its Medicaid Experiment as a Success. The Numbers Tell a Different Story.
Only 6,500 participants have enrolled in a program that has cost taxpayers more than $86 million — a warning for other states looking to impose restrictions on Medicaid in a second Trump presidency.
Local Reporting Network
Her Mental Health Treatment Was Helping. That’s Why Insurance Cut Off Her Coverage.
Providers, patients and even some federal judges say progress-based insurance denials harm patients at key moments of mental health treatment.
Insurers Continue to Rely on Doctors Whose Judgments Have Been Criticized by Courts
In dozens of cases ProPublica reviewed, judges found that some doctors working for these companies engaged in “selective readings” of medical evidence and “shut their eyes” to medical opinions opposing their conclusions.
Impact of Our Reporting
New Law Increases Oversight of Arizona Sober Living Homes
The legislation follows a ProPublica and Arizona Center for Investigative Reporting investigation on a $2 billion Medicaid fraud scheme that targeted Native Americans seeking drug and alcohol treatment.
Insurers Failed to Comply With Mental Health Coverage Law, Department of Labor Report Finds
The probe found widespread noncompliance and violations of federal law in how health plans and insurers cover mental health care, echoing the findings of a recent ProPublica investigation.
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.
Series
Series: America’s Mental Barrier: How Insurers Interfere With Mental Health Care
What We’re Watching
During Donald Trump’s second presidency, ProPublica will focus on the areas most in need of scrutiny. Here are some of the issues our reporters will be watching — and how to get in touch with them securely.
Learn more about our reporting team. We will continue to share our areas of interest as the news develops.
Sharon Lerner
I cover health and the environment and the agencies that govern them, including the Environmental Protection Agency.
Andy Kroll
I cover justice and the rule of law, including the Justice Department, U.S. attorneys and the courts.
Melissa Sanchez
I report on immigration and labor, and I am based in Chicago.
Jesse Coburn
I cover housing and transportation, including the companies working in those fields and the regulators overseeing them.
If you don’t have a specific tip or story in mind, we could still use your help. Sign up to be a member of our federal worker source network to stay in touch.
We’re trying something new. Was it helpful?
