From in-app customer support to private AI, CafeX keeps returning to one awkward enterprise problem: the systems you depend on rarely work together as well as the people who use them.

After two decades making live media feel effortless, the 100ms co-founder is applying the same instincts - low latency, careful handoffs, and relentless edge-case testing - to the conversations that move patients through care.
100ms builds voice-first AI agents for U.S. healthcare operations. Founded in 2020 as a low-code live video and audio infrastructure platform, the company pivoted to healthcare, applying its real-time communications expertise to automate patient access workflows - benefits verification, prior authorization, referral intake, scheduling, and intake - so care teams spend less time on phones and patients start treatment faster. Its agents are built to be HIPAA-compliant, with clinical safety guardrails and human escalation.
Alexey Aylarov is the CEO and co-founder of Voximplant, a Voice AI orchestration and cloud communications platform (CPaaS) powering 30,000+ customers and 2+ billion calls annually. A VoIP engineer turned serial entrepreneur, he spent 20+ years in telecommunications before building Voximplant into an enterprise-grade platform combining serverless infrastructure with AI-driven voice and video communications. Based in Sunnyvale, California, he co-founded the company in 2013 alongside Sergey Poroshin and Andrey Kovalenko, guiding it to profitability in under two years and through a $30M Series C raise in 2021.