The Payer AI Platform. The Operating System for the Modern Health Plan

Aurora, IL
Joined March 2018
We’re proud to sponsor the CAHP Annual Conference, Oct. 19–21! Connect with Kim Collins, Laurie Ringlein, and Margaret Medlin to discuss more efficient health plan operations: bit.ly/4ymzX9w
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Simplify Healthcare is heading to CCW Nashville, Oct. 7–9! Jami Hernandez, SVP, Product Engineering and Delivery, Xperience1™, will be there connecting with health plan leaders. Learn more: bit.ly/4hBGVCk
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A generic CLM can store a provider contract. But can it put that contract to work? Tori Navas explores where generic CLMs fall short for provider contracting and why a purpose-built approach matters. Blog: bit.ly/4rfLMfy
🤖 Made with AI
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AEP 2027 countdown: 30 days. Now is the time to address provider data gaps and prepare for increased member activity. Is your organization ready? Take the assessment: bit.ly/3UZhmSO
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Where does your health plan fall on the CX maturity scale? Vishal Bhabad explores the five stages of payer CX maturity—and why many plans get stuck between digital enablement and true integration. Read the blog: bit.ly/46AUE6h
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Managing Medicaid plans across multiple states adds complexity. Benefits1™ helps health plans standardize plan design, centralize product data, and reduce configuration and validation efforts by 40%. Learn more: bit.ly/3Ux0Ol2
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Open enrollment leaves little room for delays. See how one regional payer used Claims1™ to cut shell completion time by 50%, improve external audit scores by 3.8x, and achieve near-perfect configuration accuracy: bit.ly/4qQtrFD
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We’re pleased to announce the promotion of Kamal Ahuja to Chief Growth Officer. In her expanded role, Kamal will lead growth strategy and market expansion for our Payer AI Platform. Read the full press release: bit.ly/4y0dI9u
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Provider data decays ~3%/month and 40%+ a year. And one bad record never stays one record: misfired claims, credentialing gaps, No Surprises Act exposure, CMS audits. Provider1™ keeps the first domino from falling. See the full cascade: bit.ly/4ugyqQh
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Excited to announce that Simplify Healthcare’s Benefits1™.Medicare powered over 30% of nationwide PBP submissions to CMS for the eighth consecutive year! Read more: bit.ly/3PZWoB3
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Simplify Healthcare® is heading to #AHIP2026 in Las Vegas, June 9–10. Visit Booth 1715 to see how payers can strengthen provider data, claims accuracy & large group ASO sales ops with AI & automation. Schedule a consultation: bit.ly/4fE2yS7
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Welcome Diana Lundberg, our new Chief of Staff at Simplify Healthcare®! She brings 15+ years across the payer, provider, and consulting sides of healthcare, and a sharp instinct for turning strategy into execution. Thrilled to have her on the team.
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That's a wrap on Reuters Events: Digital Health 2026 in Chicago. Two days of conversations on modernizing payer ops for the AI era. Simplify Healthcare® was proud to be a Gold Sponsor and speaker. Thanks to Stephany Hartstirn, Marvin Richardson and our team Bhaumik, Ramesh & Ami.
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Large group ASO sales shouldn’t slow down because teams work in fragments. Join our AHIP 2026 webinar on June 4 at 2 PM ET to explore how health plans can streamline the journey from RFP to renewal and build a more connected sales lifecycle. Register now: bit.ly/4wJHVtA
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2026 Cognizant Healthcare Conference in Denver: wrapped. Three days of sharp conversations with payer leaders on modernizing claims operations. Thanks to everyone who stopped by, joined a session, or shared a coffee with the team.
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Big news! We've appointed Lori Taylor as our new Chief Marketing Officer. With 25+ years in healthcare tech marketing and a track record of driving significant growth, she's the perfect leader for our next chapter. Welcome to the team, Lori!
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Remembering the brave who made the ultimate sacrifice. Thank you for the freedoms we have today. #SimplifyHealthcare #MemorialDay2026 #HonorAndRemember #RememberTheFallen
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Payer transformation stalls at execution. Catch our session at #DigitalHealth2026 & meet Ramesh + Ami on the ground. Register Now: bit.ly/4tBMIKM #SimplifyHealthcare #REDigitalHealth #PayerOps #GroupSales
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Connect 2026 is now @simplifyconnect. It is the next step for a community built around healthcare payer innovation, stronger partnerships, and one direction forward. Same energy. Bigger stage. For more information, visit: bit.ly/3P0uMvq
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