Machinify

Machinify

AI-driven solutions for healthcare administration

About Machinify

Simplify's Rating
Why Machinify is rated
B-
Rated D+ on Competitive Edge
Rated A on Growth Potential
Rated B on Rating Differentiation

Industries

AI & Machine Learning

Healthcare

Company Size

51-200

Company Stage

Series A

Total Funding

$15.2M

Headquarters

Palo Alto, California

Founded

2016

Overview

Machinify provides AI-driven solutions aimed at improving decision-making processes in the healthcare industry. Its products help health plans, payers, and providers optimize their operations, particularly in areas like claims processing and utilization management. The applications are hosted on an AI server and can be quickly deployed, allowing clients to see immediate returns on investment. This quick deployment is essential for healthcare organizations that need to enhance efficiency amid financial pressures. Machinify differentiates itself by focusing on real-world problems and delivering measurable results, with a strong commitment to customer satisfaction. The company's goal is to empower healthcare organizations to manage their data-driven decisions more effectively and improve their overall operational performance.

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Simplify's Take

What believers are saying

  • AI-driven automation in healthcare claims processing is gaining significant traction.
  • The healthcare AI market is projected to reach $45.2 billion by 2026.
  • Machinify's AI solutions reduce administrative costs and improve patient care access.

What critics are saying

  • Integration challenges with Evolent Health could disrupt Machinify's operations.
  • Slow adoption of new technologies in healthcare may hinder Machinify's rapid deployment.
  • Reliance on a few large clients poses a risk if they switch providers.

What makes Machinify unique

  • Machinify leverages AI to optimize healthcare decision-making and administrative processes.
  • The company offers rapid deployment of AI applications for immediate ROI in healthcare.
  • Machinify's AI platform addresses the entire healthcare claims lifecycle efficiently.

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Funding

Total Funding

$15.2M

Below

Industry Average

Funded Over

2 Rounds

Notable Investors:
Series A funding typically happens when a startup has a product and some customers, and now needs funding to scale. This money is usually used to grow the team, expand marketing, and improve the product. Venture capital firms are frequently the main investors here.
Series A Funding Comparison
Below Average

Industry standards

$15M
$8.2M
Discord
$10M
Machinify
$15M
Canva
$100M
GitHub

Benefits

Medical, dental, & vision

Flexible work environment

Generous PTO

Competitive salary

Equity

401(k)

Sponsorship

Generous L&D Reimbursement policy

Growth & Insights and Company News

Headcount

6 month growth

0%

1 year growth

0%

2 year growth

0%
PE Hub
Jan 10th, 2025
New Mountain Capital to acquire healthcare tech firm Machinify

New Mountain Capital has agreed to acquire Machinify, a Palo Alto, California-based provider of artificial intelligence-powered software focused on healthcare payments.

Hit Consultant
Nov 11th, 2024
Payment Integrity In Healthcare: Challenges And Solutions

Prasanna Ganesan, CEO, MachinifyWhether you work in healthcare or are just a patient who has interacted with the healthcare system, it shouldn’t surprise you to read that healthcare costs have been going up and are expected to continue to do so into 2025 burdening all stakeholders. Despite the obvious need to cut wasted healthcare spending, research suggests that the industry as a whole isn’t very good at it, with administrative spending being one of the biggest culprits. One study found that nearly one-third of excess U.S. healthcare spending is on administrative expenses. Today, the backbone of healthcare administration is claims processing. Despite the structure of a claim being standardized, the processing path that each claim follows is antiquated, with many inefficient, expensive, or error-prone steps being embedded within. The question is why? First, the rules around medical coding, billing, and payment can be intricate and ambiguous, resulting in varied interpretations and decisions from one claim to another, undermining consistency in the reimbursement process. Second, claims adjudication processes rely on an arcane mix of inflexible old technology and a lot of duct tape resulting in an inability to keep pace with the evolving needs of modern healthcare reimbursement

Hit Consultant
Jun 4th, 2024
Evolent Acquires Machinify’S Ai-Driven Medical Authorization Solution

– Evolent Health, Inc. (NYSE: EVH), a leader in improving health outcomes for patients with complex conditions, announced today an agreement to acquire key assets from Machinify, including the exclusive license to their AI-powered platform, Machinify Auth.– Additionally, certain Machinify employees will join Evolent. Both companies plan to establish a long-term services agreement to ensure smooth integration and ongoing platform development. This innovative technology aims to revolutionize Evolent’s specialty condition management platform by leveraging advanced machine learning and data analytics.Transforming Specialty Condition Management with AI:Machinify Auth utilizes cutting-edge artificial intelligence to streamline clinical workflows and enhance the quality and efficiency of clinical reviews for various specialty conditions. Evolent plans to integrate Machinify’s team, software applications, and AI capabilities into its industry-leading platform. This acquisition is expected to benefit health plans, clinicians, and members alike.This powerful combination will be integrated into Evolent’s platform to automate clinical workflows, leading to:Increased Efficiency: Evolent believes the integration of scalable AI will significantly improve efficiency by automating tasks and reducing manual data collection and analysis

PR Newswire
Jun 4th, 2024
Evolent Signs Agreement To Acquire Artificial Intelligence Utilization Management Products And Team From Machinify

Machinify solution seeks to accelerate the efficiency, quality, and clinical value of Evolent's specialty condition management platform through AI-enabled clinical workflow automationMachinify technology leverages the latest advances in applied machine learning, large language models and data analyticsAcquisition expected to benefit health plans, clinicians, and membersWASHINGTON, June 4, 2024 /PRNewswire/ -- Evolent Health, Inc. ("Evolent" or "the Company"), (NYSE: EVH) a company focused on achieving better health outcomes for people with complex conditions, today announced it has entered into an agreement to acquire certain assets of Machinify and the exclusive, perpetual and royalty-free license of Machinify Auth, a proven software platform that leverages the latest advances in artificial intelligence to increase the clinical quality, speed and consistency of the clinical reviews for all specialty conditions. Evolent plans to integrate the Machinify Auth team, software applications and AI capabilities into its leading platform. Evolent and Machinify will also enter into a multi-year services agreement to support the success of the acquisition. Evolent believes the acquisition will add significant value for Machinify and Evolent's health plans, providers and members. The acquisition is subject to customary closing conditions.Evolent believes the addition of scalable AI technology will enable the Company to leapfrog standard industry processes by increasing the number of first-pass approvals as well as streamlining manual data collection and analysis associated with complex medical decision making

Fior Reports
Mar 5th, 2024
Machinify introduces AI apps for healthcare claims management

Machinify introduces AI apps for healthcare claims management.

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