Betsy Wurzel welcomes back Neal K. Shah to Chatting with Betsy for an eye-opening discussion on health insurance denials and his new book, Insured To Death: How Health Insurance Screws Over Americans And How We Take It Back (Foreword by David Casarett, M.D.). Already a #1 Amazon Best Seller in Health Policy, Neal shares his personal journey with insurance claim denials during his wife’s cancer treatment, as well as stories from CareYaya clients who faced similar battles.
In this powerful interview, Betsy and Neal discuss how insurance companies are increasingly using AI to deny claims at alarming rates—one insurer jumped from a 1% denial rate to 15% with AI technology. Betsy also reflects on her own struggles with claim appeals, emphasizing the emotional and practical toll this system takes on patients and caregivers.
The conversation highlights a broken health care system where physicians are leaving due to burnout, leading to shortages and a heavier reliance on Physician Assistants and Nurse Practitioners. While valuable, they cannot replace the expertise of seasoned doctors. Neal outlines ways the system could improve and stresses the importance of knowing your rights when filing appeals—especially for elderly patients in facilities who often lack advocates and experience higher denial rates.
To address these challenges, Neal co-founded Counterforce Health, which provides free support for insurance appeals, and continues to lead CareYaya, a tech startup enhancing caregiving.
💡 Don’t miss Betsy Wurzel’s conversation with Neal K. Shah, shedding light on the impact of health insurance denials and what families can do. 🎵 Click here to listen…
About Neal K. Shah:
Neal K. Shah is CEO and Co-Founder of CareYaya and Co-Founder of Counterforce Health. A former hedge fund manager turned social entrepreneur, Neal works to improve patient advocacy and caregiver resources nationwide. His first guest appearance on Chatting with Betsy was in February 2025, where he introduced CareYaya and Counterforce Health.
Call to Action:
Betsy highly recommends listening to this interview and exploring Neal’s book, which offers invaluable resources for caregivers, families, and anyone struggling with insurance appeals.
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