Artificial intelligence compliance platform Readily raised $11 million in series A funding to support development of its enterprise oversight platform.
Define Ventures led the funding round, with participation from Y Combinator and the California Health Care Foundation Innovation Fund.
Readily’s platform connects regulatory requirements with policies, assigned actions and supporting evidence to reduce manual research and review processes.
CEO and co-founder Edward Tiong told Fierce Healthcare via email that he used to sell medical coding software to health plans and “kept losing meetings to the same thing.”
“The ops lead would cancel: ‘We just got audited.’ Or, ‘A new rule dropped, I’m underwater,'" Tiong said. "It happened enough that I stopped trying to sell them anything and started asking what was going on. What I found was a trillion-dollar government program running on 10,000 requirements that change 700 times a year, and plans keeping up with binders and spreadsheets.”
Readily’s platform seeks to bridge that gap. When the Centers for Medicare and Medicaid Services (CMS) releases new rules, Tiong said, the platform can analyze them against existing policies and contracts “in hours,” identifying gaps and action items for teams.
“Then it tracks whether the work got done and keeps the proof for the auditor,” Tiong said. “The AI does the reading and the matching. The compliance officer decides. That’s the division of labor we think is right, and it’s the one our customers trust.”
The company’s work with healthcare organizations covers more than 25 million covered individuals across 46 states, according to its website .
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