2024 has been a transformative year for Allia Group, and more importantly, for the healthcare industry we’re fighting to support. Launching our IDR Managed Service brought a new level of simplicity and strategy to a complex process, helping providers recover what they’re owed faster and with less burden. Building our team with exceptional leaders like Justin Fitzdam as General Counsel elevated our ability to take on the most challenging cases and innovate solutions for providers nationwide. The premiere of The Strain Podcast with Eliot Listman and Jim Blakeman gave a voice to the critical conversations shaping the future of healthcare finance, featuring thought leaders and real-world insights from those on the front lines. (Huge thank you to our first guests Bob, Ron, Patrick, and Jennifer!) Litigation wins like the Indiana federal court ruling against United Healthcare sent a powerful message to insurers: providers deserve fair treatment, and the tide is turning. Every step we took this year created momentum for systemic change. Together with providers, we’re driving progress, advocating for fairness, and shaping a more sustainable healthcare system. Here’s to continuing the fight in 2025!
Allia Group
金融服务
Woodmere，New York 854 位关注者
Financing Healthcare Litigation: Purchasing and recovering underpaid insurance receivables
关于我们
Financing Healthcare Litigation: Battling insurers to recover out of network revenue by purchasing and recovering underpaid claims, with a primary focus on emergent care. Insurance carriers severely underpay non-contracting healthcare providers. This damages the economics of emergent care and reduces long-term access to care. That's why Allia Group is improving the business of healthcare by recovering revenue from out-of-network provider claims and financing litigation against insurers. Allia Group is a unique team of leading finance, legal, medical, and healthcare insurance experts that improve healthcare providers’ financial challenges. We have a 14-year track record based exclusively on the aggressive pursuit of insurance providers, including the largest national carriers, without any patient collection efforts.
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https://www.allia.group
Allia Group的外部链接
- 所属行业
- 金融服务
- 规模
- 11-50 人
- 总部
- Woodmere，New York
- 类型
- 私人持股
地点
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主要
获取路线
961 Broadway
Suite 105
US，New York，Woodmere，11598
Allia Group员工
动态
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For providers, maximizing reimbursements isn’t about following the same script year after year. It takes creativity, precision—and the right partners. When health systems face seemingly endless years of underpayments or emergency groups are pushed out-of-network, boilerplate appeals and billing practices can’t always recover what’s owed. That’s where Allia Group steps in. We combine legal expertise, data intelligence, and automation to pursue claims traditional workflows can’t touch. From managing IDR to bundled litigation, we help providers reclaim revenue and work towards long-term financial health. Looking to take control of your reimbursement strategy? ? Allia.group #healthcarefinance #revenuerecovery #reimbursements
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Wrongful claim denials aren’t just a paperwork issue—they cost lives. Cigna, Humana, and UnitedHealth Group are being sued for using AI to mass-deny claims, sending patients home too soon. Some never made it back. Let’s be clear: AI didn’t make these decisions—insurers did…and they’ll keep doing it unless providers fight back.
Cigna, Humana, and UnitedHealth Group are facing lawsuits for wrongfully rejecting claims with AI. Cigna alone allegedly denied 300,000 claims in just two months, spending 1.2 seconds per review. Patients died after being discharged too soon—because insurers put profits over care. Ultimately, AI didn’t make these decisions. Insurers did. Providers are forced to fight for every dollar while insurers use automation to deny, delay, and underpay. Learn more: https://lnkd.in/eMJvyAxq
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Rural hospitals are collapsing under the weight of chronic underpayment. When hospitals close, patients lose access to life-saving care while insurers keep profiting. Providers don’t have direct negotiating power, but they do have legal options. Allia Group helps rural providers fight back through litigation and bundled dispute resolution. Let’s talk about how to hold insurers accountable.? www.allia.group.
Rural hospitals are running out of time. 768 hospitals are at risk of closing. 315 could shut down within three years. Insurers know this…and they still underpay. Providing emergency care in rural areas costs more, not less. Fewer patients doesn’t mean lower expenses—staffing, equipment, and 24/7 readiness don’t come cheap, and private insurers refuse to pay rural hospitals enough to stay open. When hospitals close, communities suffer, patients lose access to care, local economies decline, and insurers keep pocketing profits. Learn more: https://lnkd.in/eCxDsjn6 Rural providers don’t have negotiating power—but they do have legal options. It’s time to fight for the payments insurers owe. Ask me how your healthcare practice can leverage collective power to maximize reimbursement with Allia Group’s bundled litigation model.
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IDR can lead to revenue recovery—but without the right strategy, it won’t work in your favor. 275,000+ disputes. Strict deadlines. Payers playing defense. Without automation, data-driven bidding, and legal expertise, providers lose money they’re owed. A Managed IDR Service flips the script. Stop letting insurers dictate the process—take control. Read our latest blog to discover how: https://lnkd.in/e-GrkWRE
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Blue Cross NC strengthens its grip on the healthcare system, allowing it to dictate reimbursement while also owning key parts of care delivery. Insurers are becoming both the referee and the player, and history shows that this kind of consolidation rarely benefits providers or patients. The industry must watch closely.
Blue Cross Blue Shield of North Carolina’s latest move: controlling more of the system that pays it. Blue Cross Blue Shield NC’s restructuring under parent company CuraCor Solutions follows a growing trend among Blue plans nationwide. The stated goal? Greater flexibility to invest in new healthcare initiatives and compete with for-profit insurers. For providers, this shift raises red flags. Blue Cross NC’s recent acquisitions—urgent care clinics and third-party administrators—signal an effort to control more of the healthcare ecosystem. When insurers own the entities that both set reimbursement rates and process claims, it creates an inherent conflict of interest. If history is any indication, these restructurings tend to benefit insurers far more than patients or providers. We’ll be watching closely to see whether CuraCor Solutions truly drives better patient outcomes—or just better financial outcomes for Blue Cross NC. https://bit.ly/4ihHjUo #HealthInsurance #BCBS #ConsolidationTrends
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Underpayments add up. Fast. One denied claim might not sink your organization. But what about hundreds? Thousands? Insurers systematically underpay providers, counting on them to write it off as the cost of doing business. The result: Billions in lost revenue—money that should be funding patient care, staffing, and facility operations. How much are payers holding back from your organization? More than you think. With the right strategy, you can recover more. Don’t leave this money on the table. It’s time to fight back. Visit https://bit.ly/3XJzT3X and get started now.
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UnitedHealthcare is under federal investigation for inflating Medicare Advantage payments while making patient care harder to access. But let’s be clear. This isn’t an isolated incident. It’s part of a broader pattern of insurers exploiting the system while leaving providers and patients to suffer the consequences. The only way to change the game is to challenge these practices head-on. Let’s make them play fair.
The DOJ is investigating UnitedHealthcare for allegedly gaming the Medicare system, inflating diagnoses to increase taxpayer-funded payments while making it harder for patients to access care. In 2024 alone, Medicare Advantage overcharges cost taxpayers $83 BILLION. Meanwhile, patients face denials, delays, and endless prior authorizations…all while UnitedHealthcare and other payers rake in record revenue. Their response? Dismiss, deflect, deny. Providers know better. These aren’t mere “misconceptions.” Their business strategies are designed to squeeze every dollar out of the system. As more insurer bad behavior comes into the spotlight, it’s time for providers to fight back. You don’t have to take this lying down. Let’s take a page out of this playbook and hold insurers accountable! https://bit.ly/4ijZ3OR #UnitedHealthcare #MedicareAdvantage #BadPayerBehavior #HealthInsurance
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Insurers are making billions off vague denials and an appeals process designed to fail. With nearly 20% of in-network claims denied—and insurers refusing to explain why—it’s clear the system is rigged. You need a strategy to fight back. Allia Group helps providers take legal action to recover lost revenue and hold insurers accountable. It’s time to stop playing by their rules.
1 in 5 in-network claims are denied. Insurers won’t say why. A new KFF analysis confirms what providers and patients already know: denials are rampant, appeals are rare, and transparency is nonexistent. In 2023, insurers on HealthCare.gov denied nearly 20% of in-network claims, and an even more staggering 37% of out-of-network claims. Yet, when asked why, the most common response from insurers was simply “other.” Even worse? Only 1% of enrollees appealed their denied claims. And when they did, insurers upheld their decisions more than half the time. Though these numbers apply to patient claims, these same tactics are all-too-real for healthcare providers. At Allia Group, we work with providers to challenge these tactics head-on. Through data-driven litigation strategies, we help providers recover vital revenue from denied and underpaid claims—because insurers shouldn’t be allowed to profit by withholding legitimate payments. Providers can't afford to let insurance denials become the norm. It’s time to join together in the battle against big health insurance. Allia Group can help: https://lnkd.in/eu2DFYDk.
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Can you afford NOT to pursue underpayments? There’s a common misconception that litigation is too expensive for providers to pursue. In fact, according to a study from Burford Capital, 95% of healthcare finance and legal leaders believe that even large organizations benefit from avoiding its impact on their P&L. But here’s the reality: not litigating is what’s truly costly. Insurers count on providers giving up. They use delays, denials, and underpayments to drain resources and force providers to accept less than they’re owed. The result: billions in lost reimbursements while insurers report record profits. With Allia Group, providers don’t have to divert resources away from patient care. Our bundled litigation model aggregates claims across multiple providers, ensuring organizations of all sizes can hold insurers accountable while alleviating the burden of litigation costs. Learn how litigation finance levels the playing field by visiting https://bit.ly/4i8oqmI. #healthcarelitigation #underpayments #legalfinance
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