Tagged: payers
8 results
TachyHealth
TachyHealth is a UAE-based healthcare AI company that helps hospitals, clinics and insurers close the gap between clinical care and payment. Founded in 2018, it builds AI-driven tools for medical coding, claims review and auditing, and clinical decision support - branded AiCode, AiReview and AiGuide - aimed at reducing administrative burden, controllable revenue loss and claim denials while advancing value-based care across the Middle East and Africa. In October 2025 it raised a $5M Series A led by Saudi insurer Tawuniya.
Laguna Health
Laguna Health is a healthtech company building conversational AI for care teams. Its platform, anchored by the Laguna Companion co-pilot, the Laguna Insight analytics layer, and the LISA family of AI agents, listens to member calls, automates clinical documentation, and surfaces context so care managers - typically nurses - can spend less time on paperwork and more time supporting patients recovering after hospital stays. Founded in 2020 by Yoni Shtein and Yael Adam, the company serves health plans, payers, and virtual care organizations from offices in Tel Aviv and New York.
Arbital Health
Arbital Health is a San Francisco-based healthcare technology company that combines an AI-powered software platform with a bench of credentialed actuaries to help payers and providers design, monitor, reconcile, and adjudicate value-based and risk-based contracts. Founded in November 2023 by Travis May and Brian Overstreet, it positions itself as a neutral third-party infrastructure layer for the shift to value-based care, centralizing fragmented claims, benchmark, and contract data and automating actuarial calculations such as IBNR and MLR.
basys.ai
basys.ai is a Cambridge, Massachusetts healthcare technology company that builds enterprise-grade, domain-specific AI for health plans and payers. Founded in 2022 by Harvard health data science alumni Amber Nigam and Jie Sun, the company automates prior authorization, utilization management, and payment integrity, turning a process that can take days into decisions rendered in minutes - with plain-language rationales and hyperlinks to the exact policy criteria and clinical notes behind each decision. The platform is designed to encode a payer's own coverage policies so it can compare them against a patient's longitudinal record without requiring integration marathons or sensitive data handoffs.
evermore
evermore (formerly Soda Health) is a healthcare technology company that administers Smart Benefits, connecting people to the products and services they need - healthy food, OTC medications, transportation and more - when they need them. Its Smart Benefits Operating System adjudicates purchases at the item level in real time across more than 70,000 retail locations, helping Medicare Advantage, Medicaid and commercial payers manage supplemental benefits, close care gaps and improve outcomes. The company rebranded from Soda Health to evermore in October 2025 after closing an oversubscribed $50M Series B led by General Catalyst.
Clarify Health Solutions
Clarify Health Solutions is a San Francisco-based healthcare analytics company that maps hundreds of millions of patient journeys through its cloud-based Atlas Platform, helping payers, providers, and life sciences companies make smarter decisions about cost, care, and outcomes in the shift to value-based care.
Penguin Ai
Penguin Ai is a healthcare-native agentic AI platform built to chip away at the roughly $1 trillion in administrative waste choking U.S. healthcare. Founded by former chief data officers from UnitedHealthcare, Kaiser Permanente and Optum, the company ships Gwen, a build-your-own AI environment that turns plain-language prompts into containerized digital workers for prior auth, claims, coding and payment integrity.
Marina Kusserow
Marina Kusserow is an Operating Partner at Andreessen Horowitz (a16z) on the Bio+Health team, where she leads healthcare business development strategy across payers, providers, and large employers. A health policy graduate who cut her teeth at Oxeon Partners, then became Chief of Staff for Walmart Health's clinical delivery team, then tackled M&A at Unite Us, Marina now serves as connective tissue between a16z's portfolio companies and the broader healthcare ecosystem. She splits her time between New York City and Nashville, Tennessee.