This is how they did it.
The Big Story
Wed. Nov 15, 2023
A Michigan law requires coverage of cancer drugs. One insurer came up with a “defensible” way to avoid paying for treatments that offered Forrest VanPatten his last chance for survival. “We crossed the line,” says a former executive.
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Uncovered
You likely have the right to access records that explain why your insurer denied your claim or prior authorization request. Use ProPublica’s free tool to generate a letter requesting your claim file from your health insurance company.
Blue Cross and Blue Shield denied payment for the proton therapy Robert “Skeeter” Salim’s doctor ordered to fight his throat cancer. But he was no ordinary patient. He was a celebrated litigator. And he was ready to fight.
I spoke with more than 50 insurance experts, patients, lawyers, physicians and consumer advocates about building a tool anyone could use to navigate insurance appeals. Nearly everyone said the same thing: Great idea. But almost impossible to do.

🚨 Impact Alert

This year, ProPublica has revealed undisclosed gifts and travel Supreme Court Justices Clarence Thomas and Samuel Alito have accepted from billionaire friends. Our stories have raised questions about influence and ethics at the nation's highest court. Now, for the first time in its 234-year history, the Supreme Court released a code of conduct governing the behavior of the country’s most powerful judges. We're continuing this watchdog reporting. Will you support our nonprofit newsroom's investigations?

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Experts say it is unclear if the new rules, which come after reporting by ProPublica and others revealed that justices had repeatedly failed to disclose gifts and travel from wealthy donors, would address the issues raised by the recent revelations.
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Virtual Event
Leonard Leo is a power broker who has reshaped America’s judiciary. We discuss Leo’s path to power, how he wields power and his ambitions beyond the court.
More From Our Newsroom
Railroad companies have penalized workers for taking the time to make needed repairs and created a culture in which supervisors threaten and fire the very people hired to keep trains running safely. Regulators say they can’t stop this intimidation.
A city law sought to prevent low-cost housing from turning into hotels, but some landlords rented to tourists anyway. That didn’t stop them from receiving city funds for a new temporary shelter program.
After ProPublica and New York Magazine revealed how the school ignored warnings about Robert Hadden, Columbia announced a number of major initiatives, including a settlement fund for survivors and an independent investigation.
Worker advocates say the federal agency’s patchwork of enforcement across the country is fundamentally unfair. Many don’t contact OSHA over safety incidents because they’ve heard so frequently that small farms can’t be investigated.
Counties are allowed to hold people awaiting court-ordered psychiatric treatment in jails only if the facilities meet safety and health standards, but there’s no funding to help them comply and no penalties if they don’t.
From 2020 to 2022, Maine’s state health department cited residential care facilities for dozens of resident rights violations and hundreds of other deficiencies. But it has imposed only one fine in response.
Before they died, Jennifer Kirk and Sue Sue Norton were both victims of domestic violence, but the men involved — the ex-mayor’s sons — faced few consequences despite a long history of similar allegations.
Scott Owen, who was considered an expert in helping struggling gay Latter-day Saint men, is accused of assaulting his patients.
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