Introducing Silna, Healthcare’s First Care Readiness Platform

Today, we are excited to announce the launch of Silna, along with $27M in funding led by Accel and Bain Capital Ventures (BCV), with participation from the founders of Ramp, Truework, Eight Sleep, Opendoor, and Speak. This financing includes a $5M seed round and a $22M Series A round, both of which have allowed us to quietly build a solution to one of healthcare’s most crippling problems: administrative waste.

The Status Quo in Healthcare Isn’t Working 

Every year, nearly $500B is wasted in the United States on excessive healthcare administrative workflows, with billing and insurance-related processes ranking as primary drivers of inefficiency. I witnessed this burden firsthand through my mother, who worked in healthcare for nearly 40 years. By the end of her career, she was spending more time on administrative tasks than providing patient care. She is far from alone – every healthcare provider we’ve spoken to is drowning in paperwork, and millions of Americans experience delays in care due to complex administrative processes.

We sought to understand how the healthcare system has evolved over recent decades. Despite technological advancements leading to groundbreaking innovations and better clinical outcomes, the administrative processes determining appropriate care paths have become increasingly complex. Healthcare providers rely on Revenue Cycle Management (RCM) to get paid, but in today’s landscape, traditional RCM is failing. Claims are frequently denied due to upstream insurance workflow issues: ineligible coverage, insufficient medical necessity documentation, or prior authorization errors. For providers to ensure reimbursement, these upfront insurance processes must be properly managed.

The impact of these administrative burdens extends far beyond providers, directly affecting patients in profound ways. According to a recent American Medical Association survey, 94% of physicians reported that prior authorizations delay necessary care, with 78% of patients abandoning treatment due to authorization struggles with insurers. These statistics illustrate how bureaucratic processes interrupt critical medical interventions, leaving patients in limbo and potentially worsening their conditions.

The concept of prior authorization makes perfect sense on paper. It represents a logical checkpoint in the healthcare journey—when providers confirm with insurers that a recommended treatment is covered before proceeding. In theory, this system should create transparency, confirm medical necessity, and protect patients from unexpected claim denials after receiving care. It’s a mechanism that, if functioning as intended, would align incentives across the healthcare ecosystem while ensuring appropriate resource allocation and patient protection.

However, reality has strayed far from this ideal. Today’s prior authorization processes have morphed into labyrinthine procedures plagued by antiquated technology, inconsistent requirements across payers, and overwhelming administrative complexity. What should be a streamlined safeguard has instead become a primary bottleneck—creating delays, increasing costs, and frustrating everyone involved. This gap between promise and implementation represents one of healthcare’s most pressing operational challenges.

I began to ask myself: “What would healthcare in the United States look like if we solved this problem?” The answer lies in streamlining these processes to prioritize patient care over paperwork. By addressing the inefficiencies in prior authorizations and other administrative tasks, we could not only save billions of dollars but also significantly improve patient outcomes and quality of life..

Introducing Silna: The Industry’s First Care Readiness Platform

Today, we’re excited to announce Silna, the industry’s first Care Readiness Platform (CRP), aimed at solving these upfront insurance workflows for providers, from insurance verifications to prior authorizations. We believe that implementing a CRP solution is the only way for providers to enhance their RCM function and streamline their entire organization. By investing in a CRP, providers shift from a reactive state—constantly managing retroactive authorizations and claim denials—to a proactive one that continuously monitors a patient’s relationship with their insurance provider, ensuring they are always eligible to receive care.

We’ve been quietly working over the last two years to create this industry-first platform, and the results speak for themselves. Silna is already a leading solution nationwide, supporting all government and commercial insurance workflows. Silna has:

• Become the #1 Prior Authorization solution 
• Helped over 50,000 patients get faster access to care
• Launched across 45 states

The Silna Difference: A Complete Care Readiness Solution

Silna handles all aspects of care readiness so providers can focus on what matters most—patient care. Our AI-powered platform includes:

• Prior Authorizations: Silna manages the entire prior authorization process, from tracking upcoming authorizations and sending weekly reminders to submissions and follow-ups.
• Benefit Checks: Silna checks specialty-specific benefits, including coverage, accumulations, authorization requirements, and visit limits to ensure fast patient intake and 100% accurate quotes.
• Insurance Monitoring: On a regular basis, Silna checks that each patient plan remains active, flags any lost coverage, and detects any new insurance plans.

Before Silna, providers had to navigate countless payor portals, manage fax systems, and make endless phone calls to determine patient eligibility. Now, they’re cutting hours-long workflows into 30-second processes by leveraging our Care Readiness Platform.

Looking Ahead

The industry’s administrative burden is unsustainable. By automating insurance workflows that have historically required administrative staff across medical practices, Silna helps healthcare providers redirect resources from paperwork to patient care. For patients with conditions requiring ongoing therapy, this can mean the difference between starting treatment immediately or facing dangerous delays.

Silna is already an essential platform for specialty healthcare providers across the country, including providers operating in Applied Behavior Analysis (ABA), Physical Therapy, Occupational Therapy, Senior Living, Speech Therapy, Psychiatry, Cardiac Rehabilitation, and more. As we publicly launch, we’re excited to expand our reach and help more providers deliver better, faster care to patients nationwide.

If you’re a healthcare provider looking to streamline your administrative workflows or a talented individual interested in joining our mission to transform healthcare, we’d love to hear from you.

Thanks,

Jeffrey Morelli
CEO, Co-Founder at Silna