3Gen Consulting Invests In Encipher Health To Advance AI-Driven Risk Adjustment In U.S. Healthcare

(MENAFN- PR Newswire) "The healthcare industry is at a pivotal moment," said Hemant Apte, Founder & Chief Executive Officer of 3Gen Consulting. "With rising pressures to deliver higher-quality care while controlling costs, the time for innovative solutions like these is now. Through this partnership, we are setting a new standard in healthcare operations – one that blends AI innovation with the personal touch of healthcare professionals."

3Gen and Encipher partner to deliver AI-driven risk adjustment and care gap analytics to U.S. healthcare providers.

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With Encipher's technology, 3Gen Consulting is poised to offer healthcare organizations:

• Neuro-symbolic generative AI-driven insights to improve patient outcomes
• Agentic AI workflows that reduce administrative burdens and accelerate decision-making
• Innovative tools designed to support and empower healthcare professionals

Encipher's neuro-symbolic generative AI-driven platform enhances reliability by integrating reasoning, self-correction, output validation, robustness against adversarial attacks and thereby increases trustworthiness of the overall healthcare system. It is already achieving impressive results: clients are experiencing 95%+ accuracy in risk adjustment coding, processing reviews 10x faster than traditional methods. The platform has also uncovered up to 70% more care gaps – driving improved outcomes and more accurate reimbursements. Beyond risk adjustment, Encipher's AI solutions are also powering clinical innovation in gastroenterology (GI), radiology, and anesthesia – helping providers automate diagnostics, reduce turnaround times, and improve care quality across specialties.

"This partnership is a testament to our shared vision of transforming healthcare using intelligent automation and actionable data," said Prem Kumar, Founder & Chief Executive Officer of Encipher Health. "We are excited to scale our impact in risk adjustment and expand our AI capabilities to support mission-critical areas across specialties – helping providers reduce costs, improve care delivery, and achieve sustainable growth."

Together, 3Gen Consulting and Encipher are building a future where healthcare organizations can thrive in a value-based landscape – powered by AI, driven by data, and focused on outcomes. This collaboration goes beyond technology; it's about reimagining what's possible in healthcare operations and empowering providers to deliver exceptional care with greater efficiency.

This partnership complements 3Gen Consulting's broader suite of revenue cycle management and advisory services, which include medical coding , billing , accounts receivable management , payor contracting , audits and physician education . 3Gen supports providers across diverse care settings – from home health and hospice to hospitals , FQHCs , and physician groups – helping healthcare organizations strengthen operations and financial performance.

As we look ahead, we remain committed to supporting healthcare leaders with the tools and insights they need to succeed in an increasingly complex industry.

About 3Gen Consulting
3Gen Consulting, a Piramal Alternatives funded company, is a premier healthcare consulting firm specializing in revenue cycle management services, strategic consulting, and operational optimization for healthcare providers. The company offers end-to-end solutions to improve financial performance, operational efficiencies, and patient care outcomes. By leveraging advanced technology and deep industry expertise, 3Gen Consulting empowers healthcare organizations globally to meet the evolving challenges of the healthcare landscape. For more information, visit .

About Encipher Health
Encipher Health is a leader in AI-driven healthcare solutions, specializing in predictive analytics, risk validation, and workflow automation. The company is committed to harnessing the power of artificial intelligence to transform healthcare processes and deliver smarter, more effective solutions for providers and patients alike. For more information, visit .

SOURCE 3Gen Consulting

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