What We Do

We offer a comprehensive range of healthcare consulting and patient advocacy services tailored to meet the unique needs of our clients. Our services include:

The No Surprises Act (NSA), effective January 1, 2022, protects patients from unexpected medical bills by prohibiting balance billing for emergency services and non-emergency services provided by out-of-network providers at in-network facilities. It ensures that patients are only responsible for in-network rates and establishes a process for resolving disputes between insurers and providers over out-of-network charges. The law promotes transparency, requiring providers to inform patients about network status and costs in advance.

As of 2023, over 100 million Americans—about 41% of adults—carry medical debt, totaling more than $195 billion. This crisis affects even insured individuals, with 25% of them burdened by debt. Low-income and racial minority communities, particularly Black and Hispanic Americans, are disproportionately impacted. Medical debt not only leads to financial hardship, including delaying care, but is also a major cause of personal bankruptcy and contributes to mental health issues like anxiety and depression. While measures like the No Surprises Act offer some relief, challenges persist, particularly in debt collection and access to financial assistance.

Healthcare insurance claim denials affect 10-20% of all claims, causing major financial strain. Denials often stem from administrative errors, preauthorization issues, disputes over medical necessity, including erroneous payer denials. Providers lose billions annually, while administrative costs total $300 billion per year. For patients, denials lead to unexpected out-of-pocket costs and significant stress. Although 50-70% of denials are reversed through appeals, the process is complex and time-consuming. Rising denials, fueled by stricter insurer policies and automated systems, exacerbate healthcare inefficiencies and impact both financial stability and mental health.