Machinify

Machinify

AI-driven healthcare operations optimization platform

About Machinify

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

Industries

Data & Analytics

Enterprise Software

AI & Machine Learning

Healthcare

Company Size

501-1,000

Company Stage

Series A

Total Funding

$15.6M

Headquarters

Palo Alto, California

Founded

2016

Overview

Machinify uses artificial intelligence to optimize decision-making in healthcare. It provides AI-driven applications that improve operational efficiency for health plans, payers, and providers, acting as a central nervous system to manage data-driven decisions. Its products streamline processes like claims processing and utilization management by deploying a growing portfolio of applications on the Machinify platform, designed for fast implementation and immediate ROI. Differences from competitors include an AI-first platform tailored to healthcare administration, a rapid deployment model, and a customer-focused approach that aims to deliver tangible results quickly. The company’s goal is to transform healthcare administration by reclaiming control over healthcare expenditures and improving efficiency and patient outcomes through data-driven decisions.

Significant Headcount Growth
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Simplify's Take

What believers are saying

  • Serves 85+ customers including 18 of top 20 health plans covering 270M lives.
  • Delivers $6B+ annual cost avoidance and recoveries through AI and expertise.
  • Simeon Kohl joined leadership post-2025 Performant deal expanding government reach.

What critics are saying

  • Evolent operates Machinify Auth independently since June 2024 eroding platform integrity.
  • Performant integration fails within 12 months causing churn among top health plans.
  • UnitedHealth, Anthem, Humana build in-house AI eliminating 30-50% revenue in 24 months.

What makes Machinify unique

  • Machinify combines 500,000 proprietary algorithms with 3 petabytes of data for AI-driven payment integrity.
  • Platform covers full claims lifecycle from authorization to payment for commercial and government payers.
  • Rebranded February 2025 after integrating four companies including $670M Performant acquisition.

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Funding

Total Funding

$15.6M

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
$30M
Kalshi

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

6%

1 year growth

31%

2 year growth

-9%
Dallas Innovates
Oct 21st, 2025
Dallas-Based Machinify Closes $670M Acquisition of Nasdaq-Listed Performant Healthcare

Dallas-Based Machinify closes $670M acquisition of nasdaq-listed Performant Healthcare. Machinify said that bringing together Performant's deep audit and recovery expertise with Machinify's advanced AI platform will enable the company to deliver faster, more accurate insights, further reduce administrative burden, and unlock greater savings for health plans. Left: Machinify CEO David Pierre; Right: Simeon Kohl, CEO of Performant Healthcare [Photos: LinkedIn/Performant] Dallas-based healthcare intelligence company Machinify has closed its acquisition of Plantation, Florida-based Performant Healthcare (Nasdaq: PHLT) for roughly $670 million. Machinify said the deal expands its AI-powered platform to reach a broader range of clients, including government programs, and accelerates its mission to simplify and modernize healthcare payments. With the acquisition, the New Mountain Capital-backed company closed its second major acquisition in 2025 to expand its AI-powered operating system to a broader range of clients. "We're thrilled to bring Performant into Machinify with such highly complementary assets," Machinify CEO David Pierre said in a statement. "Performant has built deep relationships in the government sector, which expands on Machinify's strong and expanding presence with national and regional payers. Together, we can offer our clients the most complete, data-driven platform for ensuring every healthcare dollar is used effectively." Machinify said that combining Performant's deep audit and recovery expertise with Machinify's advanced AI platform will enable the company to deliver faster, more accurate insights, further reduce administrative burden, and unlock greater savings for health plans. The integration enhances Machinify's ability to serve commercial and government payers with end-to-end intelligence, Machinify added, spanning claim error detection, prevention, recovery, and coordination of benefits. 'Supporting better outcomes' Performant CEO Simeon Kohl will remain with the company, joining the Machinify leadership team. Kohl said the acquisition comes at a key time in the industry. "I'm excited to join forces with Machinify at such a pivotal moment for the industry," Kohl said. "By combining our deep expertise with Machinify's AI platform, we'll be able to deliver even greater value to our clients - streamlining the payment process, improving accuracy, and supporting better outcomes across the healthcare system." "Performant strengthens Machinify's leadership as the next-generation platform for payment accuracy and intelligence," Matt Holt, managing director and president of private equity at New Mountain Capital, said in a statement. "This strategic integration aligns with Machinify's mission to make payments smarter, faster, and more transparent. We're excited about the significant value it will unlock for payers, providers, and the entire healthcare ecosystem." With the addition of Performant, Machinify said it now supports hundreds of millions of claims annually and delivers billions in savings through its unified AI and human-expertise model - helping clients reduce waste, improve provider relationships, and ensure accuracy from contracts to claims. Performant's shares will no longer be publicly traded and will be delisted from Nasdaq, as the company will now operate as a privately held entity. New York-based New Mountain Capital emphasizes business building and growth, rather than excessive risk, as it pursues long-term capital appreciation. The firm currently manages private equity, strategic equity, credit, and net lease real estate funds with more than $55 billion in assets under management. Track Dallas-Fort Worth's business and innovation landscape with its curated news in your inbox Tuesday-Thursday. R E A D N E X T. * AI Tinkerers Now Has a Dallas-Fort Worth Chapter: 'This Is for People Who Are Actually Using AI' Data scientist Anmolika Singh put Dallas on the global AI Tinkerers map. At the first meetup, more than 30 pros - founders to Fortune 500 technologists - showed up to trade ideas, projects, and solutions. * UT Dallas Study Tests AI as a Triage Tool in Breast Cancer Screenings Rather than replace radiologists, UTD researchers say AI could help flag low-risk mammograms for automated review. The approach could cut costs and ease delays as cancer rates rise and the diagnostic workforce shrinks. * With $4M Pre-Seed Funding, North Texas' Humancore Launches 'Multiplayer AI Advisor' Platform Plano-based Humancore describes its Multiplayer platform as an AI advisor that goes beyond traditional coaching and generic prompts by understanding not just the manager, but also their team. * Is Your Organization Ready for AI? Key Considerations to Assess AI Readiness Avoid common pitfalls with practical insights from guiding Fortune 500 companies through AI adoption * Caring for Its Elders, Intelligently: How Technology Can Bring Ease, Connection, and Better Health to Aging Americans Dallas is aging faster than ever, with seniors facing rising challenges of isolation, health, and care. Technology, when designed with empathy, can bridge these gaps - connecting families, empowering caregivers, and enabling prevention. By building tools with empathy, Dallas Next LLC can transform elder care from survival to peace of mind and joy.

Business Wire
Aug 2nd, 2025
Performant Healthcare, Inc. to Be Acquired by Machinify

Performant Healthcare, Inc. (Nasdaq: PHLT) (the “Company” or “Performant”), a leading provider of technology-enabled payment integrity, eligibility, and rela...

PEI Group
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

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