Counterforce Health Team

Every day, groundbreaking medical devices sit unused in hospitals and clinics, not because of safety concerns, not due to lack of efficacy, but because of insurance denials. For medical technology companies, these denials represent far more than administrative inconveniences. They're silent profit killers that drain millions from bottom

The medical technology industry faces a critical challenge: even the most innovative devices struggle to reach patients due to complex insurance approval processes and frequent claim denials. According to the American Medical Association, healthcare providers report that prior authorization requirements and insurance denials significantly delay patient care, with some studies

We're proud to announce that Counterforce Health was recently featured in Stateline's groundbreaking investigative article "AI vs. AI: Patients deploy bots to battle health insurers that deny care." The piece, published by one of the nation's most respected sources for state policy

It is a defining moment for any founder when America’s most trusted news outlet turns its lens on the exact problem you have dedicated your life to solving. This evening, PBS News ran a major investigation into a silent crisis affecting millions of American families: the aggressive, often unchecked

The Evolving Role of the MA If you look at a job description for a Medical Assistant (MA) from ten years ago, the requirements were straightforward: phlebotomy, vital signs, patient intake, and basic scheduling. It was a clinical support role, designed to keep the patient flow moving. Fast forward to

A National Look at Insurance Denials and the Broken Prior Authorization System The Washington Post published a major investigative story about the chaos of insurance denials and prior authorization in America. The story, written by Lauren Sausser, begins with something seemingly simple: a tick bite. Maine resident Leah Kovitch was

Health insurance denials can feel like a devastating blow when you're already dealing with a serious medical condition. But according to groundbreaking research from Dr. Nancy Wei and Lauren Rhodess at the Mayo Clinic, artificial intelligence is revolutionizing how patients can fight back and win. In a comprehensive

Lisa K., a 71-year-old retired librarian, was dealing with a severe flare-up of Lupus and advanced Rheumatoid Arthritis (RA), which significantly impaired her mobility. Following a brief hospitalization, her rheumatologist ordered a few weeks of skilled home health care to help her manage complex medication injections and ensure safety while

David R., a 38-year-old college professor, suffered from chronic, debilitating migraines. After years of trying various oral medications with limited success and painful side effects, his neurologist prescribed a modern, highly effective CGRP inhibitor injection. The relief was immediate. However, when his insurance renewed, he was denied coverage. The insurer

Sarah T., a vibrant 58-year-old art gallery manager, was facing a recurrence of ovarian cancer. Her oncologist recommended a specialized chemotherapy regimen combined with a newly approved targeted therapy drug. This drug offered a significant survival advantage for her specific genetic markers. The financial blow landed hard: the insurer denied