Ep. 42 - Exposing the Cracks: Clawbacks, Denials, and the State of Healthcare with Dr. Nathaniel Lowen and Tracy Walker - 03/11/2025

In this eye-opening episode of Working Healthcare, Meredith Hirsh sits down for an in-studio interview with Dr. Nate Lowen and Tracy Walker to uncover the troubling realities of the American healthcare system. We delve into the controversial practices of insurance clawbacks—where insurers retroactively reclaim payments—and the widespread issue of erroneous claim denials impacting both patients and providers. With nearly one in five insured adults facing denied claims, the systemic dysfunction is undeniable. We dive into the fallout from the Change Healthcare cyberattack at its one-year anniversary, showcasing how it disrupted countless independent medical offices and left them scrambling for answers. Plus, hear about the alarming rise of AI-driven claim rejections, where automated systems deny care in seconds, often without human oversight. If you've ever felt frustrated or powerless against insurance companies, this episode will resonate with you. Tune in for a candid discussion about the urgent need for reform and what we can do to reclaim trust in our healthcare system. Subscribe now and join us every Tuesday for more insights into the complexities of healthcare!