Health Insurance

Insurer Agrees to Pay Millions for Failing to Fix Errors That Made It Harder for Customers to Get Mental Health Care

EmblemHealth will compensate customers who paid out of pocket for mental health care because they couldn’t secure an appointment with a provider listed as being in-network. It also pledged to take additional steps to fix its provider directory.

by Max Blau

February 19, 2026, 1:25 pm EST

Impact of Our Reporting

He Died Without Getting Mental Health Care He Sought. A New Lawsuit Says His Insurer’s Ghost Network Is to Blame.

by Max Blau

June 2, 2025, 5:00 am EDT
New Law Increases Oversight of Arizona Sober Living Homes

by Mary Hudetz

April 22, 2025, 6:00 am EDT
Insurers Failed to Comply With Mental Health Coverage Law, Department of Labor Report Finds

by Duaa Eldeib, Maya Miller, Annie Waldman and Max Blau

January 24, 2025, 6:00 am EST

Series

69 stories published since 2010

Inside the Free Clinic Caring for Those Who Can’t Afford the Only Hospital in Town

by Katie Campbell, Almudena Toral and Mauricio Rodríguez Pons

December 19, 2025, 6:00 am EST
He Vowed to “Protect the Unborn.” Now He’s Blocking a Bill to Expand Medicaid for Wisconsin’s New Moms.

by Megan O’Matz

November 17, 2025, 6:00 am EST
This Little-Known Appeal Could Force Your Insurer to Pay for Lifesaving Care. Here’s How to File It.

by Duaa Eldeib

October 7, 2025, 5:00 am EDT
“Just Let Me Die”: After Insurance Repeatedly Denied a Couple’s Claims, One Psychiatrist Was Their Last Hope

by Duaa Eldeib, photography by Sarah Blesener for ProPublica

September 10, 2025, 6:30 am EDT
Trump’s Rollback of Rules for Mental Health Coverage Could Lead More Americans to Go Without Care

by Maya Miller and Jeremy Kohler

August 18, 2025, 5:00 am EDT
Congress Is Pushing for a Medicaid Work Requirement. Here’s What Happened When Georgia Tried It.

by Margaret Coker, The Current

June 26, 2025, 6:00 am EDT
He Died Without Getting Mental Health Care He Sought. A New Lawsuit Says His Insurer’s Ghost Network Is to Blame.

by Max Blau

June 2, 2025, 5:00 am EDT
He Became the Face of Georgia’s Medicaid Work Requirement. Now He’s Fed Up With It.

by Margaret Coker, The Current

May 14, 2025, 5:05 am EDT
The Firm Running Georgia’s Struggling Medicaid Experiment Was Also Paid Millions to Sell It to the Public

by Margaret Coker, The Current

May 14, 2025, 5:00 am EDT
New Law Increases Oversight of Arizona Sober Living Homes

by Mary Hudetz

April 22, 2025, 6:00 am EDT
“Slow Pay, Low Pay or No Pay”

by T. Christian Miller

April 12, 2025, 5:00 am EDT
Georgia Touts Its Medicaid Experiment as a Success. The Numbers Tell a Different Story.

by Margaret Coker, The Current

February 19, 2025, 6:00 am EST
Insurers Failed to Comply With Mental Health Coverage Law, Department of Labor Report Finds

by Duaa Eldeib, Maya Miller, Annie Waldman and Max Blau

January 24, 2025, 6:00 am EST
Her Mental Health Treatment Was Helping. That’s Why Insurance Cut Off Her Coverage.

by Maya Miller and Duaa Eldeib

December 31, 2024, 5:00 am EST
Insurers Continue to Rely on Doctors Whose Judgments Have Been Criticized by Courts

by Duaa Eldeib and Maya Miller, with research by Kirsten Berg

December 30, 2024, 6:00 am EST
State Regulators Know Health Insurance Directories Are Full of Wrong Information. They’re Doing Little to Fix It.

by Max Blau

November 14, 2024, 12:01 pm EST
ProPublica’s Coverage of the Election Issues That Matter to Voters

by ProPublica

November 2, 2024, 6:00 am EDT
¿Está atrapado en el atraso por la acumulación de solicitudes en Texas para tener Medicaid y cupones de alimentos? ¿Conoce a alguien en esta situación? Ayúdenos a informar.

por Jessica Priest y Lomi Kriel, y Eleanor Klibanoff, The Texas Tribune

October 25, 2024, 1:46 pm EDT
A pesar de las constantes advertencias, Texas se apresuró a despojar a millones de personas de Medicaid

por Eleanor Klibanoff, The Texas Tribune, y Lomi Kriel

October 25, 2024, 1:45 pm EDT
“Not Medically Necessary”: Inside the Company Helping America’s Biggest Health Insurers Deny Coverage for Care

by T. Christian Miller, ProPublica; Patrick Rucker, The Capitol Forum; and David Armstrong, ProPublica

October 23, 2024, 1:30 pm EDT
Caught in Texas’ Medicaid and Food Stamp Application Backlog? Know Someone Who Is? Help Us Report.

by Jessica Priest and Lomi Kriel, and Eleanor Klibanoff, The Texas Tribune

September 26, 2024, 6:05 am EDT
Despite Persistent Warnings, Texas Rushed to Remove Millions From Medicaid. That Move Cost Eligible Residents Care.

by Eleanor Klibanoff, The Texas Tribune, and Lomi Kriel

September 26, 2024, 6:00 am EDT
Arizona Cracked Down on Medicaid Fraud That Targeted Native Americans. It Left Patients Without Care.

by Hannah Bassett, Arizona Center for Investigative Reporting, and Mary Hudetz, ProPublica, photography by Adriana Zehbrauskas, special to ProPublica

September 10, 2024, 5:00 am EDT
New Biden Administration Rules Aim to Hold Insurers Accountable for Mental Health Care Coverage

by Maya Miller and Annie Waldman

September 9, 2024, 1:45 pm EDT
What Mental Health Care Protections Exist in Your State?

by Annie Waldman and Maya Miller

August 27, 2024, 7:00 am EDT
Why It’s So Hard to Find a Therapist Who Takes Insurance

by Annie Waldman, Maya Miller, Duaa Eldeib and Max Blau, photography by Tony Luong, design by Zisiga Mukulu

August 25, 2024, 7:00 am EDT
Some Surprises in the No Surprises Act

by T. Christian Miller

June 28, 2024, 5:00 am EDT
A Doctor at Cigna Said Her Bosses Pressured Her to Review Patients’ Cases Too Quickly. Cigna Threatened to Fire Her.

by Patrick Rucker, The Capitol Forum, and David Armstrong, ProPublica

April 29, 2024, 5:00 am EDT
Health Plans Can’t Dodge Paying for Expensive New Cancer Treatments, Says Michigan’s Top Insurance Regulator

by Robin Fields and Maya Miller

January 9, 2024, 8:00 am EST
Doctors With Histories of Big Malpractice Settlements Work for Insurers, Deciding If They’ll Pay for Care

by Patrick Rucker, The Capitol Forum, and David Armstrong and Doris Burke, ProPublica

December 15, 2023, 6:00 am EST
Representatives Propose Ban on Insurers Charging Doctors a Fee to Be Paid Electronically

by Cezary Podkul

December 12, 2023, 6:00 am EST
Health Insurers Have Been Breaking State Laws for Years

by Maya Miller and Robin Fields

November 16, 2023, 7:00 am EST
Insurance Executives Refused to Pay for the Cancer Treatment That Could Have Saved Him. This Is How They Did It.

by Maya Miller and Robin Fields

November 15, 2023, 5:00 am EST
You Have a Right to Know Why a Health Insurer Denied Your Claim. Some Insurers Still Won’t Tell You.

by Maya Miller, with additional reporting by Ash Ngu

November 8, 2023, 7:05 am EST
Find Out Why Your Health Insurer Denied Your Claim

by Ash Ngu and Maya Miller

November 8, 2023, 7:00 am EST
“Where Is There to Go?” He Needs Gender-Affirming Surgery, but His State Is Fighting to Deny Coverage.

by Aliyya Swaby

September 14, 2023, 5:00 am EDT
The Hidden Fee Costing Doctors Millions Every Year

by Cezary Podkul

August 14, 2023, 5:00 am EDT
Congressional Committee, Regulators Question Cigna System That Lets Its Doctors Deny Claims Without Reading Patient Files

by Patrick Rucker, The Capitol Forum, and Maya Miller and David Armstrong, ProPublica

May 16, 2023, 5:30 pm EDT
The Shadowy Financial Empire Built Around Liberty HealthShare Is Showing Signs of Strain

by J. David McSwane and Ryan Gabrielson

May 15, 2023, 5:00 am EDT
Coverage of Gender-Affirming Care Is an Unequal Patchwork

by Aliyya Swaby

May 12, 2023, 11:00 am EDT
Health Insurance Claim Denied? See What Insurers Said Behind the Scenes.

by Maya Miller, ProPublica, with additional reporting by Patrick Rucker, The Capitol Forum, and David Armstrong, ProPublica

May 10, 2023, 5:00 am EDT
This Georgia County Spent $1 Million to Avoid Paying for One Employee’s Gender-Affirming Care

by Aliyya Swaby and Lucas Waldron

March 19, 2023, 5:00 am EDT
How Obamacare Enabled a Multibillion-Dollar Christian Health Care Cash Grab

by J. David McSwane and Ryan Gabrielson

March 9, 2023, 6:00 am EST
A Christian Health Nonprofit Saddled Thousands With Debt as It Built a Family Empire Including a Pot Farm, a Bank and an Airline

by Ryan Gabrielson and J. David McSwane, graphics by Kolin Pope

February 25, 2023, 5:00 am EST
UnitedHealthcare Tried to Deny Coverage to a Chronically Ill Patient. He Fought Back, Exposing the Insurer’s Inner Workings.

by David Armstrong, ProPublica; Patrick Rucker, The Capitol Forum; and Maya Miller, ProPublica

February 2, 2023, 5:00 am EST
Do You Have Insights Into Dental and Health Insurance Denials? Help Us Report on the System.

by David Armstrong, Patrick Rucker and Maya Miller

August 18, 2022, 8:00 am EDT