Y Combinator’s Post

Simplify Healthcare proudly announces the launch of SimplifyX™, our new subsidiary delivering digital solutions the way they are meant to be — with embedded and applied AI, 50% faster and 10X better.   SimplifyX™ is here to redefine custom app development with our powerful combination of Simplify App Fabric™ and Simplify Industries AI™. Designed for the AI age, our solutions are built for speed, real-time configurability, API-first integration, and “Day 1 usable” industry AI use cases.   On the occasion, Mohammed Vaid, our CEO and Chief Solution Architect, shared: "We are thrilled to build upon our success in the health insurance market by launching SimplifyX™ focused on delivering AI-native SaaS solutions to businesses of all kinds. As we look to the future, we recognize the immense potential that exists beyond our core industry, and we are confident that this new venture will allow us to capitalize on those opportunities while maintaining our position as a leader in health insurance technology. Now, the significant cost advantages we enjoy when we build solutions will be available to our customers — and they can build and deploy faster and better — the way it was always meant to be — 50% faster and 10X better!”   “As part of this expansion, I am pleased to announce that Vinay Nadig will lead SimplifyX™ as President. Vinay, along with his leadership team of Deepak Bandi, who leads Simplify Industries AI™ and Namrata Dhanawade, who leads Simplify App Fabric™, will deliver cutting-edge solutions that empower businesses across industries to thrive in the AI age.”   Discover more about how we’re redefining industry standards with AI to help you operate better and innovate faster — https://lnkd.in/d4hQWbNP   #SimplifyX #SimplifyHealthcare #OperateBetter #InnovateFaster #AI #BusinessGrowth #Efficiency #Automation

Innovative approaches to health insurance enrollment are revolutionizing the process by leveraging digital platforms, AI, automation, and data analytics. These technologies streamline the user experience, simplify comparisons, and personalize plan recommendations. Additionally, insurers are adopting outreach strategies like educational webinars, social media engagement, and mobile enrollment units to ensure access for underserved communities. By embracing these innovations, insurers are making health insurance enrollment more accessible, efficient, and user-friendly. #HealthInsurance #AI #InsuranceEnrollment #HealthTech

AI is poised to transform the health insurance industry, offering a solution to rising medical service utilization, provider costs, and tightening reimbursements. By embracing AI and automation, insurers can achieve significant savings and revenue boosts. To fully prepare for this digital transformation, payers should: ☑️ Develop a business-led digital roadmap ☑️ Attract and retain AI talent ☑️ Redesign operating models ☑️ Upgrade technology infrastructure ☑️ Improve data quality and accessibility Luckily, we are here to help you develop the strategies and processes that suit your organization's unique needs. Through our solution, you can leverage the best of what AI has to offer to achieve payment integrity and accuracy consistently and repeatedly. #SimplifyingCare #SimplifyingtheBusinessofCare #DigitalTransformation #HealthPayer #PaymentIntegrity

"Payvider" health plans are pushing the industry forward in many ways. Learn how the collaborative model drives tech innovations that improve how people experience healthcare, like Banner|Aetna's frictionless billing program, in this insightful article from Wylie Wong: https://lnkd.in/einqW5vC.

A whopping 75% of U.S. health systems are expected to become "payviders" by 2026. Why? Because the model is a springboard for collaboration and transformation, and it delivers real results. Check out the latest and greatest tech innovations from payviders like Banner|Aetna in this article: https://lnkd.in/gCkiqgpU.

🚀 Ply Health (YC S24) launched! Helps behavioral health providers get in network with insurance companies faster — using AI to automate and monitor submissions. 🍃 ⚡ "Enroll providers with payers. Fast." 🌐 www.plyhealth.com 🏥 Works with behavioral health practices of all sizes and specialties: Partners with physical practices, digital practices, build-your-own-business platforms and new provider entrepreneurs in behavioral health. 🪄 Magically simplifies data collection, enrollment submission, follow ups and record keeping. 🔹 One click apply: Onboard your data one time, apply for as many payers as you’d like with a click. 📊 Monitor in real-time: Monitor the process of all enrollments in real-time through the Ply Health dashboard. ⏱️ Get in network fast: Ply’s data checks, AI submission and programmatic follow-up ensures that you get in network ASAP. (Submits enrollments 2x faster). 🔄 Automate each part of the enrollment process: Eliminate administrative headaches and bill more with 70% fewer days to in network. ✅ Payer enrollment with ease: Standardized questionnaires collect all required provider information and documents. 💯 Ply Health’s platform delivers a better and faster contracting and credentialing experience — they've been able to get providers in network with payers weeks to months faster than other vendors. 👩⚕️👨⚕️ Ply helps behavioral health providers (e.g. therapists, social workers, psychiatrists) see more patients by getting them in network with insurance companies like Aetna or Medicaid & more. If you're a behavioral health practice, or have a friend at one, the founders would love to chat! 🙌 ⭐ Reach out via email, or book a demo here!: https://lnkd.in/g2KzQNWm Congrats on the launch, Samantha Wu and David Zhang!! https://lnkd.in/gKM-XSZg

America’s Health Insurance industry has been in the news a lot recently. A lot of it has been pretty sad. But there are a lot of good projects out there trying to make it better. Earlier this year, I created an AI tool for my uncle's office in San Diego to help with Workers' Compensation Denials. I thought it was crazy that insurance was using AI to deny care for patients, and wanted to give the same tools to providers to fight back. Robots fighting Robots. Since then, our user base has grown, and we recently surpassed 2,300 appeals. Some providers are reporting a 91% success rate, which has been possible because of our laser focus on this niche. If you know someone working on Workers' Comp appeals in California, such as a surgeon, physical therapist, office assistant, or chiropractor, the tool is ready for them. I’d love to hear their feedback. Looking ahead, I want to expand AppealAI to more payers like Aetna, United Healthcare, and Anthem, as well as extend its reach to more states. We are also seeking early adopters to help train additional models. If you or someone in your network would like to collaborate or share insights, I would be grateful to connect. https://appealai.com/

The industry is shifting toward value-based care, and the "payvider" health insurance model continues to gain traction for its ability to lower costs and create a better experience for patients and members. The model is also driving digital innovation in the space, like Banner|Aetna's frictionless billing program that simplifies medical expenses into a single, clear statement. Learn more about frictionless billing and other innovations in the full HealthTech article: https://lnkd.in/einqW5vC. Special thanks to Wylie Wong for highlighting our program! CDW

AI is revolutionizing the health insurance industry by slashing administrative and medical costs while boosting revenue. By automating claims processing, improving utilization management, and enhancing care management, insurers can achieve significant savings and efficiency. AI chatbots are streamlining claim approvals, while advanced algorithms predict and prevent fraud. However, ethical concerns arise as insurers face lawsuits over wrongful claim denials. The key to success lies in reimagining operations, investing in technology, and attracting top AI talent. https://lnkd.in/gp6EtjUU

The rising cost of health insurance is a global concern, but AI offers promising solutions to make it more affordable and accessible. By automating administrative tasks, enhancing risk assessment, preventing fraud, and promoting preventive care, AI can significantly reduce operational costs and improve fairness in pricing. For instance, AI-powered tools like wearables encourage healthier lifestyles, while dynamic pricing models reward good habits. However, challenges like data privacy and bias must be addressed. With ethical practices and collaboration, AI could transform health insurance, making premiums more affordable for millions and paving the way for equitable healthcare access. Do you think AI could revolutionize the insurance industry? Share your thoughts below! Read More: https://lnkd.in/gySqM432