surgical-care

(4)
Company
The Surgeons Who Taught Software to Argue With Insurance Companies
Health · Ai · Saas

The Surgeons Who Taught Software to Argue With Insurance Companies

Prior authorization is the paperwork chokepoint that delays surgeries and burns out staff. ClinicalBox built an AI that does the arguing - reading the chart, matching the policy, and building the case in about a minute.

prior-authorization · healthtechRead →
Company
Avant-garde Health
Health · Saas · Ai

Avant-garde Health

Avant-garde Health is a Boston-based healthcare data analytics company whose CareMeasurement platform helps hospitals, ambulatory surgery centers and physicians measure the true cost, quality and processes of surgical care - then turn those insights into measurable savings and better patient outcomes. Founded in 2014 out of value-based care research at Harvard Business School, the company applies Time-Driven Activity-Based Costing (TDABC) across EMR, financial, claims and patient-reported outcomes data to reveal what was previously invisible inside the operating room and the care pathway around it.

healthcare-analytics · value-based-careRead →
Legend
Derek Haas
Founder · Executive · Operator

Derek Haas

Derek Haas is the founder and CEO of Avant-garde Health, a Boston healthtech company that helps hospitals and surgeons see the true cost and quality of the care they deliver. He calls himself the black sheep of a family full of doctors. Instead of practicing medicine, he turned Harvard Business School research with professors Michael Porter and Bob Kaplan into a company that put a price tag and an outcome score on every surgical episode. He has co-authored nine Harvard Business Review articles and built a software platform, CareMeasurement, that now spans surgical and procedure-based care.

derek-haas · avant-garde-healthRead →
Legend
Sach Jain
Founder · Executive · Operator

Sach Jain

Sach Jain is the Founder & CEO of Carrum Health, a San Francisco-based value-based care platform that connects self-insured employers with top-tier hospitals and surgical centers through bundled payment arrangements. Founded in 2014 after Jain's frustration with America's fee-for-service healthcare system, Carrum Health has raised $96M in total funding and now covers 90% of the US population through a network that includes Mayo Clinic, Cleveland Clinic, Johns Hopkins, and Stanford. With a background spanning IIT Delhi, University of Chicago Booth, investment banking at Bank of America Merrill Lynch, and healthcare consulting at Booz & Company, Jain built Carrum to solve a systemic problem: employers spending $20,000+ per employee annually on health benefits with up to a 10x pricing variation for identical procedures.

healthcare · value-based-careRead →