The Real Eisman Playbook The Broken US Healthcare System is Failing Millions of Americans with Warris Bokhari | The Real Eisman Playbook Episode 41
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Jan 12, 2026 Warris Bokhari, physician and founder of Claimable, dives into the U.S. healthcare crisis, spotlighting the staggering rates of insurance denials and the detrimental impact on patients. He discusses how his company leverages AI to assist with appeals, revealing that under 1% of patients challenge their denials. Warris also shares poignant stories of individuals harmed by delayed care and explores potential solutions, including breaking up monopolies and embracing transparent pricing models.
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Scale Of Claim Denials
- About 15–22% of submitted claims are initially denied, affecting roughly 70–90 million Americans each year.
- Many denials are overturned on appeal, revealing systemic denial practices rather than isolated errors.
Appeals Win Often If Filed
- Appeals overturn rates are high when pursued, often between 50% and 93% depending on dataset.
- Insurers count on patients not appealing, which lets many wrongful denials stand.
Request Claim Files And Escalate
- If you get denied, ask for your claim file immediately and appeal with documented clinical evidence and prior failures.
- Include regulators and plan executives in appeals to increase urgency and oversight.
