Â鶹ŮÓÅ

Skip to main content

The independent source for health policy research, polling, and news.

Subscribe Follow Us
  • Trump 2.0

    Trump 2.0

    • Agency Watch
    • State Watch
    • Medicaid Watch
    • Rural Health Payout
  • Public Health

    Public Health

    • Vaccines
    • CDC & Disease
    • Environmental Health
  • Audio Reports

    Audio Reports

    • What the Health?
    • Health Care Helpline
    • Â鶹ŮÓÅ Health News Minute
    • An Arm and a Leg
    • Health Hub
    • HealthQ
    • Silence in Sikeston
    • Epidemic
    • See All Audio
  • Special Reports

    Special Reports

    • Bill Of The Month
    • The Body Shops
    • Broken Rehab
    • Deadly Denials
    • Priced Out
    • Dead Zone
    • Diagnosis: Debt
    • Overpayment Outrage
    • Opioid Settlement Tracking
    • See All Special Reports
  • More Topics

    More Topics

    • Elections
    • Health Care Costs
    • Insurance
    • Prescription Drugs
    • Health Industry
    • Immigration
    • Reproductive Health
    • Technology
    • Rural Health
    • Race and Health
    • Aging
    • Mental Health
    • Affordable Care Act
    • Medicare
    • Medicaid
    • Children’s Health

  • Emergency Room Boarding
  • Device Coverage by Medicare
  • Planned Parenthood Funding
  • Covid/Flu Combo Shot
  • RFK Jr. vs. Congress

TRENDING TOPICS:

  • Emergency Room Boarding
  • Device Coverage by Medicare
  • Planned Parenthood Funding
  • Covid/Flu Combo Shot
  • RFK Jr. vs. Congress

Morning Briefing

Summaries of health policy coverage from major news organizations

  • Email

Thursday, Feb 13 2025

Full Issue

Health Insurance Customers Who Appeal Their Claims Often Win

The Wall Street Journal reports that of the 850 million claims denied annually, less than 1% are appealed. Of that 1%, nearly three-quarters of appeals are approved. Also in the news: Washington Hospital workers avoid a strike; Walgreens explores its options for its health care clinic; and more.

After three years of doctors’ visits and $40,000 in medical bills didn’t cure their daughter’s rare condition, April and Justin Beck found a specialist three states away who offered a promising treatment. They set out before dawn last spring for the nine-hour drive to Arkansas Children’s Hospital in Little Rock, where Dr. Aravindhan Veerapandiyan explained how infusions of antibodies could help Emily, now 9 years old, and her misfiring immune system. (Wernau, 2/12)

Few people realize how worthwhile appealing a denied health-insurance claim can be. Insurers in the U.S. process more than five billion payment claims annually, federal figures show. About 850 million are denied, according to health-policy nonprofit Â鶹ŮÓÅ. Among the fewer than 1% of people who appeal, up to three-quarters are successful. Here are five things you can do to appeal a denied health-insurance claim. (Wernau and Mathews, 2/12)

More health industry updates —

Union workers at Washington Hospital have reached a contract, avoiding a strike. The union says the contract includes average raises of 12% over three years. UPMC Washington confirmed the three-year collective bargaining agreement with SEIU Healthcare has been ratified. (Behanna, 2/12)

VillageMD, the health care clinic chain backed by Walgreens Boots Alliance Inc., is working with Evercore Inc. for assistance as explores options that include a sale or restructuring of its operations, according to people with knowledge of the matter. The health care provider is also working with Alvarez & Marsal Inc. for operational help, said the people, who asked not to be identified discussing a private matter. (Basu, 2/12)

Tenet Healthcare's portfolio transformation toward ambulatory care is paying off. For-profit Tenet added nearly 70 new and acquired ambulatory surgery centers last year through its United Surgical Partners International business, CEO Dr. Saum Sutaria said on a Wednesday earnings call with investors. The health system plans to invest another $250 million this year into ambulatory care, including plans to add 10 to 12 de novo ASCs, he said. (Hudson, 2/12)

Fairview Health Services is not looking for a merger partner right now. Minneapolis-based Fairview said Wednesday it does not support merging with Duluth, Minnesota-based Essentia Health as part of a larger plan with the University of Minnesota to form a nonprofit entity that would boost financial support for the school. (Hudson, 2/12)

States' fight to clamp down on private equity deals in healthcare isn't over, despite recent setbacks. Proposed legislation in states including California, Connecticut and Minnesota fell flat last year, raising questions about future oversight efforts affecting private equity transactions. However, the new year brought renewed support for state legislation ranging from stricter reporting requirements to stipulations on certain operational models. (Hudson, 2/12)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
Newsletter icon

Sign Up For Our Newsletter

Stay informed by signing up for the Morning Briefing and other emails:

Recent Morning Briefings

  • Friday, April 24
  • Thursday, April 23
  • Wednesday, April 22
  • Tuesday, April 21
  • Monday, April 20
  • Friday, April 17
More Morning Briefings
RSS Feeds
  • Podcasts
  • Special Reports
  • Morning Briefing
  • About Us
  • Republish Our Content
  • Contact Us

Follow Us

  • RSS

Sign up for emails

Join our email list for regular updates based on your personal preferences.

Sign up
  • Editorial Policy
  • Privacy Policy

© 2026 Â鶹ŮÓÅ