4.7 • 1.4K Ratings
🗓️ 31 July 2025
⏱️ 23 minutes
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0:00.0 | It's the Brian Larry Show on WNYC. |
0:13.0 | Good morning again, everyone. |
0:14.8 | We're going to talk now about something that health insurance doesn't do more often than it used to not do it. I think that's |
0:24.6 | English. It's an experience that's becoming more and more common at the pharmacy counter. |
0:30.4 | According to a new report in the New York Times, private health insurers are denying claims |
0:35.8 | for prescription drugs at a higher rate now than they were a decade ago. |
0:41.4 | Maybe you saw the story that came out a few days ago and joining us with insights from her reporting is Sarah Cliff, investigative health care reporter for the New York Times. |
0:50.9 | Hi, Sarah. Welcome back to WNYC. |
0:53.2 | Yeah, thanks for having me. |
0:55.5 | For people who missed your article, and we'll open up the phones for people's personal experiences to help you report the story |
0:59.9 | further. But can you give us a quick recap of the big takeaways? Sure, and I'm sure we'll get |
1:05.3 | plenty of experiences because this is a pretty common experience in our health care system. The |
1:09.5 | big takeaways, we've worked with a large health data company, Komodo Health, to analyze about 4 billion health insurance claims |
1:16.1 | from private insurers over the past decade, which is often a black box. And what we saw was pretty |
1:22.0 | startling. We saw a jump in denials by private insurers of 25% between 2016 and 2023. |
1:30.2 | One thing I do want to say from the outset is some of these denials get resolved. |
1:34.3 | Not all of these claims mean someone doesn't go home with their prescription, |
1:37.1 | but they do indicate there is this growing friction in our health care system, |
1:42.3 | you know, between a drug getting prescribed by a doctor |
1:45.5 | and a patient receiving that drug. |
1:48.1 | Certain drugs, certain classifications of drugs. |
1:52.6 | Yeah, there's a few, you know, it was a little difficult to get that granular, you know, |
... |
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