💡💡💡Machinify's Webinar Series: Unique Recipe to Win - Successful Payment Integrity Transformation with AI 💡💡💡 Each AI transformation at a payer's payment integrity program encompasses important subtleties, but there are clear commonalities in how to be successful. Join industry experts as they explain different delivery models and important KPIs to learn ways to embark on your AI transformation journey. Date: Wednesday, August 7th, 2024 Time: 12pm - 1pm ET VIRTUAL Sign up using the link here: https://bit.ly/3xG8DKb #paymentintegrity #healthcareadmin #healthcare #healthAI
Machinify, Inc.
Software Development
Palo Alto, California 4,588 followers
Bending the healthcare cost curve with AI.
About us
We develop software that helps people get the right medical care, at the right time, at the right price. The $4 trillion healthcare industry is the largest and most complex sector of the U.S. economy. It involves maze-like processes, arcane rules, a multi-party payment system... and the yearly processing of 7 billion health claims. Healthcare data is fragmented across industry players, stored in legacy systems, and is often unstructured and not machine-readable (think faxes). We started Machinify to leverage healthcare data at scale to drive down costs and improve outcomes. Our software platform leverages the latest advances in machine learning, large language models, data analytics, and cloud processing to solve previously intractable problems. Learn more about our products at www.machinify.com If you're excited by our mission we want to hear from you! Contact us at talent@machinify.com or apply directly to our open roles.
- Website
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http://www.machinify.com
External link for Machinify, Inc.
- Industry
- Software Development
- Company size
- 51-200 employees
- Headquarters
- Palo Alto, California
- Type
- Privately Held
- Founded
- 2016
- Specialties
- Machine Learning, Deep Learning, Large-scale Data Processing, Cluster Computing, Real-time predictions, NLP, and Data to Cash
Locations
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Primary
Get directions
818 Emerson St
Palo Alto, California, US
Employees at Machinify, Inc.
Updates
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Fantastic report by Healthcare Payment & Revenue Integrity Series (HPRI) about "Optimizing AI in Healthcare Payment Integrity." Some interesting takeaways: 1. 31% of payers say that clinical coding review holds the most promise for AI (28% in Data Mining, 24% in Complex Clinical Review). 2. 42% of payers say that investment in AI is a top focus of 2024 3. ROI & Impact: Many payers look for an ROI of 3 to 1 or AI technology that delivers 20% cost savings
In 2024, 72% of payers are focusing on pre-payment processes, aiming to improve error detection, automate claims, enhance efficiency, and reduce costs. And are using AI tools to do so! The HPRI Team recently surveyed some of the leading health plans working within payment integrity to highlight the rapid advancements and significant benefits of AI in healthcare payment integrity, emphasizing the need for strategic investment, robust implementation practices, and collaboration to optimize efficiency, reduce costs, and improve accuracy. Download your copy of the report here: https://hubs.ly/Q02DGS-v0 #HPRI #paymentintegrity #aiinhealthcare #aihealthcare #artificialintelligence #aireport
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Regulatory complexities, workforce shortages, and economic challenges are putting pressure on Medicare Advantage programs to improve operational efficiency, accelerate payments, and reduce costs. Healthcare Payment & Revenue Integrity Series (HPRI) highlighted two main takeaways for Medicare Advantage Plans from the U.S. Department of Health and Human Services (HHS) report: 1. Focus on High-Risk Codes: HHS identified that medical records 💉 very often did not support the high-risk diagnosis codes being given out, highlighting that this is an area to implement scrutiny 👁, training and potentially some form of technology 💻 to ensure these codes are valid. 2. Collaboration is Key 🔑 : This report has made it evident that MA plans need to ensure that their providers follow HCC requirements very closely when documenting📃🖋. The only way this can be achieved is through close collaboration 🤝 between plans and providers to ensure that coding training and education 👩🏫 can be implemented where necessary and beneficial. #paymentintegrity #HHS #medicareadvantage #healthcare https://lnkd.in/eSXnyxZA
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Thank you Black Book Market Research LLC for highlighting Machinify, Inc. as having the #1 #AI solution rated by payers. Machinify is constantly iterating and improving it’s AI capabilities, while keeping a strong focus on transparency and safety. Our goal is to meet the payment integrity needs of ALL payers and are excited about the future! #AHIP #AHIP2024 #paymentintegrity
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Last night, Machinify, Inc. hosted an event following #AHIP2024 that was fantastic! Looking forward to continuing those discussions throughout the rest of #AHIP and please swing by Booth 2014 to learn more about how your payment integrity programs can be transformed saving you $100Ms! #paymentintegrity #healthcare #payers
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🔥🔥 🔥 #AHIP2024 Has Arrived 🔥🔥 🔥 Machinify, Inc. is excited to be sponsoring AHIP 2024! We look forward to meeting with hundreds of health care leaders across leading #payers to discuss ways to infuse the latest in #AI to transform your #healthcare administration! If you're attending, please reach out to us via LinkedIn or message Justin Fink and we'd love to set up a time to meet from June 11 - 13! We're at Booth 2014, come find us and grab a cup!
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Machinify, Inc. reposted this
Take a look at the most recent newsletter by World Business Outlook, highlighting the latest industry news and updates from: Wipro Cisco AT&T NRL Mortgage Evolent Philippines Machinify, Inc. SAP WalkMe™ Fusion92 Experian Only on LinkedIn! Click on the news in accessibility mode to read the full article. #consultingservices #omnichannelstrategy #Mortgage #operationalexcellence #Artficialintelligence #clinicalresearch #DigitalAdoption #elearningplatform #connectivityprovider #DataAnalytics #wbo
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🔥🔥🔥 LESS THAN 1 WEEK UNTIL #AHIP2024 🔥🔥🔥 We are excited to be attending #AHIP this year where we will be at Booth 2014!!! 🚨🚨🚨 Event Alert: Machinify, Inc. is hosting an exclusive social event for healthcare executives at The Venetian on Tuesday, June 11th to network and discuss ways payers are utilizing new technology to revolutionize healthcare administration! Please join Cigna Healthcare, Highmark Inc., Florida Blue, WellSense Health Plan, and more by signing up here to reserve your spot: https://bit.ly/4aMn2Si If you're unable to attend the social, send over a message and we can meet at the conference to discuss how you're looking at ways to transform your healthcare administration!
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Today, we are excited to announce that Evolent will be acquiring the Machinify Auth app to further transform prior authorizations. The app will enable Evolent to streamline clinical reviews across all specialty conditions, benefiting health plans, clinicians, and members alike. We are excited to partner with Evolent in bringing the power of Machinify Auth to Evolent’s large footprint of payers. Machinify will continue to innovate on Machinify's Healthcare AI-Led Operating System (HAL OS) and deliver our Payer Application Suite for claims administration, including Machinify Audit and Machinify Pay. Our team is dedicated to advancing the healthcare payments infrastructure for more than 50 million lives alongside our payer partners. To learn more, read the full blog post here: https://lnkd.in/eJ89PKSU
Machinify Spins Out Auth App to Evolent in Strategic Deal
machinify.com
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🔥🔥 🔥 #AHIP2024 IS LESS THAN 2 WEEKS AWAY 🔥🔥 🔥 Machinify, Inc. is excited to be sponsoring AHIP 2024 in Las Vegas! We are looking forward to meet with hundreds of other health care leaders across leading #payers to discuss ways to infuse the latest in #AI to transform your #healthcare administration! If you're attending, please reach out to us via LinkedIn or message Justin Fink and we'd love to set up a time to meet from June 11 - 13! We're at Booth #: 2014! https://hubs.li/Q02ldnCs0
AHIP 2024
ahip.org