Hospital gets $421m ‘landmark’ verdict after insurer found to underpay claims

The St Charles hospital sought only to be made whole for unpaid claims. Its doctors had refused to pass the uncovered costs of the procedures on to patients, and they plan to pay off patients' balances with the jury's award...

https://www.theguardian.com/us-news/2024/sep/29/louisiana-hospital-blue-cross-blue-shield-underpaying-claims

'Deny, deny, deny': By repeatedly rejecting claims, Medicare Advantage plans threaten rural hospitals and patients, say CEOs

Last year, a federal audit from 2013 was released showing that 8 of the 10 largest plans had submitted inflated bills to Medicare. As for the quality of care, the Medicare Payment Advisory Commission, a non-partisan agency of Congress, said in a March report that it could not conclude Medicare Advantage plans "systematically provide better quality" over regular Medicare. Even worse, because the plans routinely deny coverage for necessary care, they are threatening the existence of struggling rural hospitals nationwide,..

https://www.nbcnews.com/health/rejecting-claims-medicare-advantage-rural-hospitals-rcna121012

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

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

https://www.propublica.org/article/find-out-why-health-insurance-claim-denied

Black Homeowners Struggle to Get Insurers to Pay Claims - The New York Times

... "You can actually see a difference between a Caucasian family and an African-American, Hispanic or Asian family," Mr. Major said. "It's sort of known. It's not spoken about. It's a culture."...

https://www.nytimes.com/2020/12/29/business/black-homeowners-insurance-claim.html