Business Wire India
IKS Health, a global leader in care enablement solutions, and Certilytics, Inc., an innovator in AI-driven healthcare intelligence, today announced an expansion of their strategic partnership. The new collaboration is designed to bridge the historic divide between payers and providers by turning predictive insights into safe, coordinated clinical actions.
As healthcare enters the era of agentic AI, the industry is moving beyond systems of intelligence that simply identify risks to systems of action that execute the work. By integrating Certilytics’ BrainstormAI® Studio and CertHLM™ with the IKS Health Agentic Care Enablement Platform, the companies are creating a premier ecosystem where AI agents manage complex tasks, such as prior authorization and patient outreach, under the continuous oversight of human expertise.“At IKS Health, our mission is to enable care by removing the chores that prevent great outcomes. But for AI to be truly effective in healthcare, it must be responsible,” said Sachin K. Gupta, Founder and Global CEO of IKS Health. "By expanding our partnership with Certilytics, we are connecting payer rules and provider workflows through predictive analytics with our proven human-in-the-loop model serving as the ultimate safeguard for clinical and administrative accuracy."The collaboration initially centers on three key strategic use cases and workflows:- Prior authorization transparency: Moving beyond "rules of thumb" to real-time, payer-specific rule sets where more than 70% of all prior authorization workflows are handled autonomously, reducing the burden for providers and speeding up care for patients.
- Member engagement: Scaling outreach that isn't just a notification, but a proactive clinical connection to close care gaps.
- Consumer price transparency: Giving patients and employers true financial outlooks at the point of care, not weeks later.
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