Janeen (YC W26) — Prior auths and benefits investigation for infusion clinics

In their words

Janeen is built for infusion clinics. We handle prior authorizations and benefit investigations from start to finish (actually though!). Biologics are expensive medications that cost $80-$150K+ per year per patient, and often need to be administered in specific settings called infusion clinics. Medical providers buy these drugs up front to secure pricing deals and safer inventory - they are reimbursed for the cost of the medications through the patients’ insurance. Current medical workflows aren't built for infusion clinics. Inventory, storage, transport, and billing is still managed through paper and excel spreadsheets. And because they’re so expensive, these specialty medications are denied by insurers at a rate of 37% each year. When they are denied, when workflows fail, or patients are infused before paperwork is cleared, providers don’t get reimbursed for the medication and are left covering the costs. Ruma Care solves this so clinics get paid, patients get treated faster, and care teams spend less time fighting forms. We work with clinics across the country and have removed 95% of all manual labor in the process.

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