All Episodes
|
189
|
Neal Shah

Podcast 189: Fighting Back Against Insurance Denials w/ Neal Shah

Sep 19, 2025

Episode Summary

Insurance denials are exploding, and they’re costing lives. In this episode of Health Care Rounds, host John Marchica sits down with Neal Shah, CEO of CareYaya and Counterforce Health, to unpack the broken insurance system and the AI-driven surge in claim rejections. Neal shares how his personal caregiving experiences shaped his mission, why most patients never appeal, and how new tools can help level the playing field for families, physicians, and hospitals.

Episode Notes

Insurance denials are exploding, and they’re costing lives.

In this episode of Health Care Rounds, host John Marchica sits down with Neal Shah, CEO of CareYaya and Counterforce Health, to unpack the broken insurance system and the AI-driven surge in claim rejections. Neal shares how his personal caregiving experiences shaped his mission, why most patients never appeal, and how new tools can help level the playing field for families, physicians, and hospitals.

================================================

🎙 ABOUT NEAL SHAH

America's Chief Elder Officer. CEO of CareYaya Health Technologies. Working hard to improve healthcare. Author of “Insured to Death: How Health Insurance Screws Over Americans - And How We Take It Back". Chairman of Counterforce Health.

After a successful career as a $250 million hedge fund manager, deeply personal caregiving experiences inspired a pivot to social entrepreneurship. Now, determined to transform care delivery through technology.

Building a rapidly-growing tech startup to expand access to affordable care. Pioneering cutting-edge AI applications to fundamentally elevate quality of life for those needing care. Motivated by creativity and humanitarian progress.

Leveraging experiences guiding multi-billion dollar investments to make an impact on improving care for our most vulnerable populations. Leading with both heart and analytical rigor. Wearing scrubs to elevate the important role of caregivers in our healthcare system.

Building unrivaled technical capabilities and strategic partnerships to establish CareYaya as America's leading launchpad for care innovation.

🎙 ABOUT HEALTH CARE ROUNDS

Health Care Rounds is a weekly podcast developed for health care leaders who are at the forefront of health care delivery and payment reform. Join Darwin Research Group founder and CEO John Marchica as he discusses the latest advancements in health care business news and policy developments.

CONNECT WITH US:

🌐 Visit us on the web

🌐 Follow Health Care Rounds on LinkedIn

🌐 Follow Darwin Research Group on LinkedIn

📺 Watch Health Care Rounds on YouTube

🎧 Listen on Apple Podcasts

🎧 Listen on Spotify

⚙️ Health Care Rounds is produced by Grippi Media

Recommended Next

Podcast 197: Making Health Care Costs Simple and Transparent w/ Mark Cuban, Co-Founder, Cost Plus Drugs
Podcast 196: Physician Leadership in a New Era of Health Care w/ Dr. Sowmya Viswanathan, Baycare
Podcast 195: Why Primary Care Is Under Strain w/ Dr. Greg Whisman, Chief Medical Officer, CareMore Health
Podcast 194: Why Health Care Reform Keeps Failing w/ Dr. David Shulkin
Podcast 193: The New Model for Specialty Pharmacy w/ Jigar Thakkar, PharmD
Podcast 192: Making Value-Based Care Work at Scale w/ David Carmouche, MD
Podcast 191: Curing Nursing Burnout Through Education w/ Dr. Adele Webb
Podcast 190: The New Rules of Health System Leadership w/ John D’Angelo, MD, FACEP

Recommended Content

Browse Library
INsights
January 14, 2026

Darwin's Our Take: Lilly’s ‘triple G’ candidate exceeds analysts’ expectations

Read More
INsights
January 5, 2026

Darwin's Our Take: FDA approves Novo Nordisk’s Wegovy pill

Read More
INsights
December 22, 2025

Darwin's Our Take: Another 9 drugmakers agree to most-favored-nation pricing on certain products

Read More
Stay Aware. Stay Informed.

Subscribe to Our Take

Sign up for Our Take Newsletter: highly curated, expert weekly strategic insights for health care executives.

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.