About Optura
The AI Healthcare Platform Built for Results
Dear Health Plan Visionary,
For too long, health plans have been promised transformation, only to get stuck in a loop of pilots that never scale, AI investments that never pay off, and governance models that can’t keep up. The gap between AI potential and enterprise reality has only widened.
At Optura, we’ve lived this challenge from the inside. We’ve built and scaled AI and automation programs for some of the largest payers in the country. And we’ve seen firsthand the organizational paralysis that stalls progress. That’s why we created Optura: to give healthcare enterprises a clear path forward.
We built the AI orchestration platform healthcare has been waiting for—purpose-built for payers and designed to deliver real ROI.
Here’s to ending failed pilots and getting unstuck together when it comes to AI technology in healthcare.
Your friends and allies,
Mike & Andy
Optura Founders
Mission + Vision
Mission
To be the leading AI thought-partner to healthcare enterprises — delivering on the promise of AI to lower costs, improve outcomes, and transform the business of healthcare.
Vision
We envision a healthcare future where intelligent systems work in harmony to streamline operations, unlock new value, and make care more effective and affordable for everyone. Optura is here to illuminate that path forward.
Optura Gives You a Clear Path to ROI With AI – From Idea to Impact
Define Value
Align on the highest-impact use cases
Design + Deploy
Launch agents inside AIEOS with governance and visibility
Measure ROI
Capture value and expand intelligently
Engineered by Healthcare Operators,
Not Theorists
We know the last thing you need is another failed pilot.
Our team created Optura after decades of working alongside enterprise healthcare leaders just like you.
Founding Team Experience
The Optura Difference
Built for healthcare, by healthcare veterans
| Optura | Other Solutions |
|---|---|
|
Purpose-built exclusively for payers (health plans, PBMs, TES) |
Generic platforms designed for providers or cross-industry use |
|
Works with any health plan schema — no rigid model required |
Require custom schemas or proprietary platforms |
|
Pre-built AI agents for key payer use cases (claims, prior auth, rebates) |
Most require custom development and long timelines |
|
Healthcare-specific compliance (HIPAA, CMS, NCQA, etc.) |
Generic compliance — not payer-aligned |
|
Payer-aligned pricing (PMPM, per-claim, gainshare) |
Traditional enterprise contracts, no payer-specific pricing |
|
ROI framework tracks payer KPIs (cost, operations, experience) |
Little to no ROI tracking or dashboarding |
|
Built-in governance and C-suite oversight dashboards |
No standardized enterprise-wide reporting structure |
|
Deploys in 30–90 days with prebuilt modules |
Months of consulting or IT cycles to reach production |
|
Founded by payer operators (Cigna, Emids) |
Led by generalist tech or government teams |
|
100% revenue-focused for health plans |
Diversified across unrelated verticals (finance, pharma, gov) |
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