Silna Health

High-Level Overview

Silna Health is a technology company building the first Care Readiness Platform (CRP), an AI-powered solution that automates prior authorizations, benefit checks, and insurance monitoring for specialty healthcare providers.[2][6] It serves providers in areas like Applied Behavior Analysis (ABA), physical therapy, occupational therapy, speech therapy, psychiatry, cardiac rehabilitation, and senior living, solving the massive administrative burden of insurance workflows that delay patient care and contribute to $500 billion in annual U.S. healthcare waste.[1][2] By streamlining hours-long manual processes into 30-second tasks, Silna has supported over 50,000 patients across 45 states, handling government and commercial insurers, with strong growth including a doubling of patients in Q1 2025 and an NPS of 89.[1][4]

Launched publicly on March 25, 2025, after two years of development, Silna secured $27 million in seed and Series A funding led by Accel and Bain Capital Ventures, enabling nationwide expansion and a shift from reactive claim denials to proactive care readiness.[1][2][4]

Origin Story

Silna Health emerged from the frustration of fragmented insurance workflows in specialty care, where providers waste hours on portals, faxes, and calls for prior authorizations and eligibility checks.[2][6] Co-founded by CEO Jeffrey Morelli, the company quietly developed its CRP over two years before its March 25, 2025 public launch, drawing on expertise in AI and therapeutic domains to create a proactive platform.[2] The name "Silna," meaning "sewn" in Urdu, reflects its mission to stitch together disparate billing processes.[4]

Early traction was rapid: by launch, Silna was already a leading solution nationwide, working with dozens of customers in physical therapy, autism care, and senior living, helping over 50,000 patients and doubling that number in Q1 2025 alone.[1][4] Backed by top investors like Accel and Bain Capital Ventures with $27 million, this pivotal funding fueled operational scaling across 45 states.[1][4]

Core Differentiators

• Comprehensive AI Automation: Handles full prior authorization lifecycle (tracking, submission, follow-ups, reminders), benefit verification (coverage, limits, accumulations), and ongoing insurance monitoring (eligibility flags, new plans), reducing workflows from hours to 30 seconds.[1][2][6]
• Nationwide Scale and Coverage: Operational in 45 states for all government and commercial insurers, with HIPAA and SOC 2 Type 2 compliance, supporting diverse specialties like ABA, PT, OT, speech therapy, psychiatry, and senior living.[1][3][6]
• Human-AI Hybrid Expertise: Combines cutting-edge LLMs with an experienced insurance specialist team for high accuracy, plus therapeutic experts ensuring specialty-specific precision.[3][5]
• Proven Impact: Enabled faster patient intake for 50,000+ patients, 2x growth in Q1 2025, 89 NPS, reduced cancellations, and revenue gains for customers like Finni ABA and Zion PT.[1][4][6]

Role in the Broader Tech Landscape

Silna rides the wave of AI-driven healthcare automation amid a $500 billion annual administrative waste crisis, particularly the prior authorization bottleneck delaying care for chronic therapy patients.[1][2] Timing is ideal as regulations push for electronic prior auth (e.g., CMS commitments) and providers demand proactive RCM tools over reactive denials, with specialty care segments like ABA and behavioral health facing acute payer complexities.[1][4]

Market forces favor Silna: rising therapy demand, insurer fragmentation, and labor shortages amplify the need for scalable platforms, positioning it as an essential infrastructure layer for ambulatory practices, health systems, and digital health providers.[3][6] By redirecting staff from paperwork to care, Silna influences the ecosystem toward payment certainty, better outcomes, and industry-wide efficiency, already essential for nationwide providers.[2][4]

Quick Take & Future Outlook

Silna is poised for explosive growth by dominating care readiness in high-volume specialties, leveraging its early-mover AI edge and funding to expand beyond current verticals into broader ambulatory and hospital systems.[3][4] Trends like LLM advancements, payer reforms, and value-based care will accelerate adoption, potentially tripling patient volume as it integrates deeper with EHRs and RCM stacks.[1][2]

Its influence could evolve from niche solver to category-defining platform, stitching fragmented workflows into seamless care delivery and setting a benchmark for AI in healthcare admin—ultimately freeing providers to prioritize patients over paperwork.[4][5][6]