Machinify

We’re excited to ?officially ?come together with The Rawlings Group, Apixio’s PI business, and VARIS LLC to form a now-unified healthcare intelligence company under the Machinify name with a new brand look and feel. Together, Machinify will deliver powerfully simple, comprehensive, and clear solutions to revolutionize healthcare payments. With over 40 years of experience, we’ll combine our human expertise with next-generation technology and AI to reimagine payment accuracy and streamline healthcare processes for all. ?? Four powerhouses under one roof, with unrivaled expertise and a focused mission for the future. Learn more:? https://lnkd.in/eXSwjeNR

An operating system for AI in healthcare is like a house. ??? ?? Data?is the land on which everything is built. ?? Foundational Models?form the foundation of the house. ?? Autonomous Task Execution?is the first floor. ??? Program Optimization?is the top floor. Exploring this idea further, in our latest article, Machinify Founder & CEO, Prasanna Ganesan, explains what an operating system (OS) for AI in healthcare is, covers the components of this kind of OS, and details why it's important. He says, "Think of a healthcare OS as a fully integrated ecosystem of data and decision-making tools. Each layer is interdependent, and when they work seamlessly together, the result is transformative." Read more: https://lnkd.in/eYrSqAcS

Machinify’s CEO, Prasanna Ganesan, had the privilege of speaking at the Medical Cost Containment Series (Including HPRI) yesterday! He spoke about leading trends around fraud, waste, and abuse as well as the opportunity for #AI to transform the payment integrity industry. Looking forward to another great day at the conference and if you’re in attendance, please stop by our booth to see how artificial intelligence can be integrated into your PI workflows!

??? As we enter February 2025 (this year is flying by!), it is more important than ever to stay up-to-date on the latest #AI trends in #healthcare. ??? Sign up for Machinify's #HealthCode, your monthly deep dive into the latest #healthcare market trends and the transformative role of #AI in shaping the industry. Explore the latest innovations, industry insights, and success stories. Join our community to stay on top of the AI-powered healthcare revolution and, of course, receive content you actually want to read. https://lnkd.in/e4TYYtNn

Is AI in healthcare the miracle everyone’s making it out to be? Eh, maybe not. ?? In our latest article, Machinify’s Chief Clinical Officer, Tim Wetherill MD FACS, shares his candid perspectives on why #AI needs to be seen as a tool—a co-pilot—versus a cure-all when it comes to #healthcare. As Tim puts it, “Saying AI will fix healthcare is like saying a treadmill will fix obesity—there is much more to the story. And, right now, healthcare is a minefield.” Read more to hear the 3 main reasons AI may not be all it’s cracked up to be in healthcare…yet. https://lnkd.in/enpBmgrF

???? Let’s talk about the Physicians Make Decisions Act (PMDA) ???? The Physicians Make Decisions Act is legislation designed to clarify the boundaries between AI-generated recommendations and the expertise and authority of providers. With conversation swirling around AI being used to deny insurance claims, this act will ensure decisions are not left to AI alone.? ?? #AI is powerful and incredibly helpful, but in scenarios that are more nuanced or complicated (in some cases literally life-or-death), AI can not, and should not, be the final arbiter. To learn more about what the #PMDA entails, which states have adopted the PMDA, which states look like they're going to, and our perspective on PMDA, check out our latest article: https://lnkd.in/eF4RY94q

???? NEWS ALERT ???? As we gear up for the annual JPM conference, we wanted to share an exciting announcement! ?? Drumroll please... ?? Machinify is joining New Mountain Capital's new payment platform powerhouse alongside The Rawlings Group, Apixio, and VARIS LLC. Last year, these companies came together to start reimagining healthcare payments. And now, with Machinify joining the group, we’ll all work together to continue the vision to transform healthcare admin. With our cutting edge AI software and services, as well as our highly accomplished team of researchers, engineers, and data scientists, the combined group is well-positioned to accelerate the shift to more automated, accurate healthcare payments that reduces costs for health plans and providers while bringing increased transparency to the healthcare system as a whole. https://lnkd.in/eZ52snrk

In a recent post by Brooke Grief, A Glimpse into Healthcare in 2025, she reflected on a transformative 2024 including an important US election, AI becoming part of the world's vernacular, and healthcare moving into the limelight more than ever before. You can read more here: https://lnkd.in/e8V6W8wR. As we quickly approach 2025, we at Machinify want to wish everyone a happy holidays and to enjoy the end of the year with friends and family.

?? ?? When to Avoid AI in Healthcare ???? AI—as it stands today—excels at certain tasks, like understanding large swaths of data and making judgements based on well-defined rules. Other situations, particularly where added context is essential for making the right decision, are not well-suited for AI. Learn from Machinify Chief Clinical Officer, Tim Wetherill MD, as he dives into examples of when to use and not use AI in healthcare today. #AI #healthcare #paymentintegrity https://lnkd.in/eMbHTHGb

???????????? ALERT ???????????? The 3rd edition of HealthCode comes out tomorrow! Explore the latest in #AI and #healthcare innovation, industry insights, and success stories with the monthly Machinify newsletter. Join our community to stay on top of the AI-powered healthcare revolution and, of course, receive content you actually want to read. ?? Sign up here today: https://lnkd.in/eFhq_SFU