STAT July 31, 2019
Diane Archer and Richard Eskow

When two Boeing 737 Max airplanes crashed within the span of six months of each other, killing 346 people, black box recorders helped investigators find the cause. A similar kind of black box should be available to alert regulators, lawmakers, or the public to deaths due to health insurance company behavior.

Available evidence reveals that some commercial health insurance companies routinely fail to meet the health care needs of enrollees, although it’s impossible to know the full extent of the problem without more data. These companies hide their black box recorders — their internal records — even when they’re required by law to disclose them.

Insurance-related casualties will never create headlines the way airplane deaths do. They happen one at...

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