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AI Tool Fight Health Insurance Goes Viral, Empowering Everyone to Challenge Denied Claims

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Fight Health Insurance, a groundbreaking AI tool designed to simplify the daunting process of appealing health insurance claim denials, which is free-for-consumers, has struck a chord with the public, going viral across Reddit, YouTube, TikTok, and Instagram. The tool, born out of frustration with the bureaucracy of health insurance companies, is rapidly becoming a beacon of hope for individuals who feel powerless in the face of denied claims.

SAN FRANCISCO, Dec. 8, 2024 /PRNewswire-PRWeb/ — Fight Health Insurance, a groundbreaking AI tool designed to simplify the daunting process of appealing health insurance claim denials, which is free-for-consumers, has struck a chord with the public, going viral across Reddit, YouTube, TikTok, and Instagram. The tool, born out of frustration with the bureaucracy of health insurance companies, is rapidly becoming a beacon of hope for individuals who feel powerless in the face of denied claims.

“The response has been overwhelming,” said Holden Karau, the original creator of Fight Health Insurance. “I built this tool after my own battle with claim denials, and it’s heartening to see how many others it’s helping.”

On Reddit a post in the popular r/YouShouldKnow drawing thousands of upvotes and comments. Users praised its ability to simplify appeals, shining a light on frustrations with opaque insurance practices.

On YouTube and TikTok YourRichBFF, a trusted financial advice channel with a significant following, showcased the tool in a video emphasizing its consumer-friendly innovation. The top comment on YouTube summed up the public sentiment perfectly: “THIS! THIS is what AI should be used for! GOOD WORK!”

On Instagram responses to the SFStandard’s post also called out how confusing the process is and how AI can help “…..AI helps people so much who might not have a medical background. This is amazing!”

The Fight Against Claim Denials

According to KFF**, millions of Americans face denied claims and do not appeal them***. This free-for-consumer AI-driven tool equips users with tailored appeal letters, reducing the time, stress, and knowledge barrier of fighting back.

“The response has been overwhelming,” said Holden Karau, the original creator of Fight Health Insurance. “I built this tool after my own battle with claim denials, and it’s heartening to see how many others it’s helping.”

Consumers can visit https://fighthealthinsurance.com/ to learn more and start your appeal process today.

The virality of Fight Health Insurance highlights a growing concern: the increasing rate of claim denials combined with an opaque difficult to navigate process. A recent AHA***** report suggests that denial rates for Medicare Advantage plans may have risen by as much as 50% with over-all private insurance plans going up by 20%, impacting not just individuals but also hospitals and healthcare providers.

Expanding Support for Professionals

Recognizing the challenges faced by healthcare professionals****, Fight Health Insurance is developing a professional version tailored for doctors, therapists, and hospitals. Interested users can sign up for updates at https://www.fighthealthinsurance.com/pro_version. Some insurers are, allegedly, already using AI to deny claims, and we believe it’s time to level the AI playing field in healthcare.

About Fight Health Insurance

Fight Health Insurance https://www.fighthealthinsurance.com, is an AI-powered platform dedicated to helping challenge denied health insurance claims. Co-founded by someone who experienced firsthand the challenges of navigating insurance appeals and an experienced HealthTech Data Scientist, the tool simplifies the process, providing accessible, reliable support for needy consumers. You can sign up to be notified when our professional version is available and or follow us on LinkedIn to see how we’re growing.

References & notes:

* Users can pay $5 for Fight Health Insurance to send a fax, but can also print and submit the appeal independently.

** According to a KFF study in 2023 nearly 1 in 5 Adult Americans face health insurance claim denial in the last 12 months https://www.kff.org/affordable-care-act/issue-brief/consumer-survey-highlights-problems-with-denied-health-insurance-claims/# , Additionally, the KFF data suggests healthcare.gov denial rates averaged 17% in 2021 – https://www.kff.org/private-insurance/issue-brief/claims-denials-and-appeals-in-aca-marketplace-plans/.

*** KFF: https://www.kff.org/private-insurance/issue-brief/claims-denials-and-appeals-in-aca-marketplace-plans & https://www.kff.org/affordable-care-act/issue-brief/consumer-survey-highlights-problems-with-denied-health-insurance-claims/

**** Healthcare Finance News https://www.healthcarefinancenews.com/news/claims-denials-rise-complicating-revenue-collection-survey-finds American Hospital Association https://www.aha.org/advancing-health-podcast/2024-01-30-effects-medicare-advantage-rural-hospitals-st-bernards-healthcare , Rural Health https://www.ruralhealth.us/getmedia/44f3c191-6912-49e5-b3bc-03564e3775a6/2024-NRHA-Medicare-Advantage-policy-brief.pdf

***** https://www.aha.org/system/files/media/file/2024/09/Skyrocketing-Hospital-Administrative-Costs-Burdensome-Commercial-Insurer-Policies-Are-Impacting-Patient-Care.pdf

Media Contact

Holden Karau, Fight Health Insurance / Totally Legit Co, 1 202-938-3266, holden@fighthealthinsurance.com, https://www.fighthealthinsurance.com

View original content:https://www.prweb.com/releases/ai-tool-fight-health-insurance-goes-viral-empowering-everyone-to-challenge-denied-claims-302325638.html

SOURCE Fight Health Insurance / Totally Legit Co

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CORPORATE DIRECTORS CITE ECONOMIC CONDITIONS, REGULATORY REQUIREMENTS, CYBERSECURITY AND COMPETITION FOR TALENT AS TOP CONCERNS FOR 2025

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NACD’s “2025 Governance Outlook Report” Includes Boards’ Top Priorities and Trends and Governance Leaders’ Perspectives on Issues Changing Board Practices

WASHINGTON, Dec. 12, 2024 /PRNewswire/ — The National Association of Corporate Directors (NACD), the authority on boardroom practices representing more than 24,000 corporate directors, today released its “2025 Governance Outlook: Preparing for Risk, Taking Opportunities,” a forecast of trends and issues that directors and the companies that they serve are likely to face in the year ahead.  

The report cites that “rarely has the business environment both in the United States and globally seemed so promising and so unpredictable concurrently. Artificial intelligence (AI)-driven innovations are unleashing new opportunities, and business confidence levels about accelerating economic growth are soaring, with IPO and M&A markets poised to recover. At the same time, inflation risk may return due to a major US government reset, including tariffs, while geopolitical volatility is expected to persist.”  

“The trends and insights revealed in the ‘2025 Governance Outlook Report’ show that boards are focusing on the issues that NACD deems most important, including the evolving economic conditions, the war for talent and the impact of emerging technologies like generative AI. These factors, alongside regulatory changes and an evolving business landscape, will be at the top of board agendas throughout 2025 and impact how boards navigate their companies toward sustainable long-term success,” said Peter Gleason, NACD president and CEO.

Boards’ Top Five Issues to Balance in 2025 

The report highlights five significant dilemmas that many boards will face in navigating a volatile business landscape: balancing innovation with risk, determining the company’s role in social and political issues, managing short-term pressures while maintaining a long-term focus, addressing an expanding governance agenda and prioritizing subject-matter expertise versus general leadership skills in director recruitment.   

Building Long-Term Value: Insights from Leading Investors

The report also includes an article based on NACD conversations with equity market investors featuring 10 takeaways that Boards should consider to align governance practices with investor priorities.

For example, the 2025 capital markets landscape, characterized by volatility and uncertainty, will likely call for more dialogue between corporate boards and investors. Done right, this step helps ensure long-term value creation through effective governance, AI oversight, capital allocation, and shareholder engagement. 

Partner Insights 

Part two of the report captures insights and guidance from NACD partners — Aon, AWS, CAQ, Deloitte, FGS Global and KUNGFU.AI — on the following hot topics:  

Climate Change in 2025 — Navigating 2025 and Beyond (Aon)Reconciling Innovation and Security: A Director’s Guide (AWS)The Future of the Audit Committee: How Effectiveness Can Enhance Trust  (CAQ)Thinking about the Unthinkable — Crisis Scenario Planning and the Board (Deloitte)Navigating a New Wave of Reputational Risks (FGS Global)Tuning Corporate Governance for AI Adoption (KUNGFU.AI)

Note to Editors

The NACD Board Trends and Priorities Survey was conducted online from October 21 to November 14, 2024. The perspectives of more than 250 directors nationwide informed the report findings. 

About NACD 

The National Association of Corporate Directors (NACD) is the leading member organization for corporate directors who want to expand their knowledge, grow their network and maximize their potential. For more than 47 years, NACD has helped boards and the business community elevate their performance and create long-term value. Our leadership continues to raise standards of excellence and advance board effectiveness at thousands of member companies.  

Press Contacts
Shannon Bernauer
sbernauer@nacdonline.org
(571) 367-3688

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SOURCE National Association of Corporate Directors

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Researchers at Medical College of Wisconsin Advance Treatments for Hip, Knee Replacements

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MR imaging technology developed with GE HealthCare has the potential to improve imaging metal implants that may enable earlier detection of implant failure

MILWAUKEE, Dec. 12, 2024 /PRNewswire/ — Amid a growing number of joint replacement procedures in the U.S., technology developed by researchers at the Medical College of Wisconsin (MCW) is being used in GE HealthCare magnetic resonance imaging (MRI) scanners to more accurately identify failing implants used in hip and knee replacements. This includes particulate debris that is sometimes created because of damaged or worn-out implants rubbing against bone matter.

The technology, known as HyperMAVRIC SL, allows for quick and accurate scanning of soft tissue where the presence of implants can significantly influence image clarity. As a result, clinicians can get quick and accurate visualization of premature failure of joint replacement procedures, potentially enabling improved diagnoses and outcomes.

As the American population continues to age, more than 2 million hip and knee replacement procedures are expected to be performed annually in the U.S. by 2030.

“The growing number of joint replacement procedures and orthopedic metallic implants underscores the necessity for advanced imaging solutions that can keep pace with clinical demands,” said Jason Polzin, General Manager, MR Applications Platform and Research Technologies at GE HealthCare. “The initial innovation of MAVRIC (multi-acquisition variable resonance image combination) revolutionized MR imaging around metallic implants. And the technology behind HyperMAVRIC not only enhances workflow efficiency by reducing scanning time by identifying and then tailoring the acquisition to the patient’s implant material, but also improves quality of images in the presence of metal implants.”

Kevin Koch, PhD, Director of the Center for Imaging Research at MCW, led the research team that developed an advanced version of MAVRIC (i.e. HyperMAVRIC) and collaborated closely with GE HealthCare to incorporate it into a commercialized product.

Early detection of failing joint replacement procedures is instrumental to achieve successful patient outcomes, which makes obtaining clear and accurate images in these cases crucial for improving the effective clinical care of patients.

“The ability to accurately image around metal implants is no longer a luxury but a necessity in modern medicine,” Dr. Koch said. “HyperMAVRIC offers a solution that not only addresses current clinical needs, but also opens the door to future advancements in imaging technology, ensuring we can continue to improve patient care in the years to come.”

Standard radiography and MR imaging can have limitations when it comes to providing accurate readings of soft tissue near metal joint implants that produce irregular magnetic fields that adversely impact the imaging process. HyperMAVRIC can reduce such irregularities to produce a clear image of the soft tissue area.

View original content:https://www.prnewswire.com/news-releases/researchers-at-medical-college-of-wisconsin-advance-treatments-for-hip-knee-replacements-302330634.html

SOURCE Medical College of Wisconsin

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Diverse Virus Populations Coexist on Single Strains of Gut Bacteria

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Viral “Social Lives” Key to Developing Treatments for Bacterial Infections

NEW YORK, Dec. 12, 2024 /PRNewswire/ — Viruses that infect and kill bacteria, called phages, hold promise as new treatment types for dangerous infections, including strains that have become resistant to antibiotics. Yet, virologists know little about how phages persist in the populations of bacterial cells they infect, hampering the development of phage therapies.

Published online December 12 in the journal Science, a new study offers the first evidence that a single bacterial species—the host of the phage—can maintain a diverse community of competing phage species. Led by researchers at NYU Grossman School of Medicine, Oxford, and Yale University, the study showed that several phage species coexist stably on a population of a genetically uniform strain of E. coli, a bacterial species that colonizes the human gut and includes disease-causing variants.

The researchers found that, despite competition between the viruses, different phage species preferred slower or faster growing cells that randomly appeared in the population. In this way, each phage species was able to find a separate niche on the same host, leading to stable coexistence. Lack of local access to nutrients (starvation), for instance, may slow the growth of some cells to preserve scarce resources. In the current study, two species of phage, labeled N and S, co-existed because N was more fit to survive in fast-growing bacterial cells, while phage S was better in slow-growing cells.

The designers of phage therapies hope to avert the problem in treatment with antibiotics, where a certain drug kills bacteria but leaves alive the fraction that by chance are the most resistant to that drug’s mechanism of action. These survivors are a major concern because they have become resistant to available treatments.

“Knowing how more than one kind of phage can survive over time on a single bacterium could help in designing next-generation phage cocktails,” said first study author Nora Pyenson, PhD, a post-doctoral scholar in the lab of co-author Jonas Schluter, PhD, of the Institute of Systems Genetics at NYU Langone Health. “For example, each phage species might attack the bacterium in a different part of its lifecycle and enabling the whole population to be killed before resistance to the treatment evolves.”

“No phage therapies have yet become standard treatments for bacterial infections, either because in past attempts a single phage did not kill all the targeted bacteria or because the bacteria evolved to be resistant, similar to the evolution of antibiotic resistance,” adds Dr. Pyenson. 

Labs are already testing phage treatments as an alternative to antibiotics. A co-author of the current paper, Paul Turner, PhD, at Yale University, for instance, leads a clinical trial that uses phages against the species Pseudomonas aeruginosa, which can contribute to severe inflammation in the lungs of patients with cystic fibrosis. Dr. Schluter’s lab is studying the role of phages in the gut ecosystem of humans and mice that could shape future therapies for infections like Salmonella. A main goal is to anticipate the impact of phage administration and design phage therapies that, unlike current versions that must be tailored to a single patient, work universally across many patients.

Importance of Phage Ecology

Understanding species diversity is a fundamental question in ecology and evolutionary biology. A major factor enabling diversity, from birds to plants to bacteria, is that species find ways to coexist while still competing for resources. However, viruses were not traditionally thought of in this “social” context.

The current research team experimentally tested the long-held assumption that the genetic diversity of bacteria limits the diversity of viral species. This led to an expectation that one phage type would outcompete all others to be the lone survivor. However, just as multicellular organisms host a wide array of bacterial species within their microbiome, the new results show that a single bacterial strain can, itself, host a diverse community of phage species.

“Our study contributes to the burgeoning field of studying the social lives of viruses,” adds Dr. Pyenson. “We often think of viruses purely in terms of their impact on the host, but they also exist in the context of other viral species. These phage communities show how diversity emerges even among the simplest bits of biology.”

Interestingly, the presence of a diverse population of bacteria in the human gut is a sign of health, as the diverse set of species (microbiome) is better able to resist attempts at dominance by any invading, disease-causing species. By the same token, the population of viruses occupying the bacteria that live in the gut is also emerging as an important regulator of health, with abnormal phage mixes thought to contribute to conditions like sepsis.

“This work represents a shift in our understanding of phage ecology,” said Dr. Schluter, also a professor in the Department of Microbiology at NYU Langone. “Thanks to Nora’s work, which she carried through a pandemic and across four labs, we can now begin to understand the evolution of phages when they are in community with diverse viral species and how this shapes their role in health and disease.”

Along with Drs. Pyenson and Schluter at NYU Langone, and Dr. Turner at Yale, study authors were Asher Leeks and Odera Nweke in the Department of Ecology and Evolutionary Biology at Yale University; Joshua Goldford in the Division of Geological and Planetary Sciences at the California Institute of Technology in Pasadena; Kevin Foster in the Department of Biology at the University of Oxford; and Alvaro Sanchez of the Institute of Functional Biology & Genomics, CSIC & University of Salamanca in Spain. Drs. Foster and Sanchez were corresponding authors alongside Dr. Pyenson.

Funding for parts of the work was through the Life Science Research Foundation and the Simons Foundation provided to Dr. Pyenson, and through a New Innovator Award to Dr. Schluter (DP2AI164318) from the National Institute of Autoimmune and Infectious Diseases, part of the National Institutes of Health.

Contact: Gregory Williams, gregory.williams@nyulangone.org

View original content to download multimedia:https://www.prnewswire.com/news-releases/diverse-virus-populations-coexist-on-single-strains-of-gut-bacteria-302330342.html

SOURCE NYU Langone Health System

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