Counterforce Health Team

In mid-May 2025, United Healthcare found itself at the center of a reported Department of Justice (DOJ) criminal investigation into its Medicare Advantage business practices. This development came just days after CEO Andrew Witty's sudden resignation and the company's suspension of its 2025 financial forecast, leaving

When Jessica received a denial letter for her specialized migraine treatment, she didn't just face a medical setback—she encountered a dramatically different appeals process than her sister in another state. "I was shocked to discover that my options in Florida were completely different from my sister&

"Your medication request has been denied." These six words strike fear into the hearts of millions of Americans every year. For patients who depend on specialty medications to manage serious health conditions, this denial can feel like having the rug pulled out from under them. The medication that

Sarah stared at the insurance denial letter in disbelief. Her doctor had recommended a specialized treatment for her chronic condition—a treatment that had finally offered hope after years of suffering. Yet here was her insurance company, claiming it wasn't "medically necessary." What Sarah didn'

Amanda Chen was sitting in her gynecologist's office when she received the news: her insurance had denied coverage for the endometriosis surgery her doctor had deemed medically necessary. It wasn't the first denial she'd faced—over the past year, her insurer had rejected claims

The Secret Power Imbalance in Self Funded Plans When your health insurance claim is denied, you're not just fighting an insurance company—you're challenging a complex legal framework that few patients understand. And if you're among the 65% of American workers covered by a

The Growing Medicare Advantage Denial Crisis The numbers are alarming. According to a groundbreaking Office of Inspector General (OIG) investigation, Medicare Advantage denial rates have nearly doubled since 2020, creating an unprecedented crisis for millions of seniors and disabled Americans who depend on these plans for their healthcare. The investigation

The Surprise Medical Bill Crisis: Understanding Out-of-Network Denials You did everything right. You checked that the hospital was in-network before your procedure. You verified your insurance coverage. You even called your insurer to confirm benefits. Then the bills arrived. Suddenly, you're facing thousands of dollars in out-of-network charges.

The Insurance Denial Crisis, Shocking Numbers You Need to Know In today's healthcare landscape, a disturbing trend continues to unfold. Nearly one in five insurance claims (19%) submitted for in-network services are denied, according to the most recent analysis of HealthCare.gov marketplace plans. For out-of-network claims, the

Your doctor has recommended rhinoplasty to address your breathing difficulties, repair structural damage, or correct a congenital abnormality. You've submitted the claim to your insurance company with hope and expectation—only to receive that dreaded denial letter. This scenario plays out thousands of times each year across America,