Healthcare Innovation: How Tivara's Automation is Enhancing Patient Care

Tivara is a groundbreaking start-up dedicated to revolutionizing the healthcare industry by automating the prior authorization workflow for doctors and payors. Established in 2024, Tivara seeks to address one of the most significant bottlenecks in healthcare delivery: the slow and cumbersome process of obtaining prior authorizations for treatments and procedures. This automation not only streamlines the workflow for healthcare providers but also enhances patient care by significantly reducing delays. Despite having a small team of just two active founders, Tivara's innovative approach and cutting-edge technology position it as a leader in healthcare automation.

Who Are the Founders of Tivara?

Tivara was co-founded by Aumesh Misra and Tej Seelamsetty, two dynamic individuals with extensive backgrounds in technology, software development, and entrepreneurship.

Aumesh Misra

Aumesh Misra serves as the Co-founder and Chief Technology Officer (CTO) of Tivara. His journey in the tech world is impressive, having spent four years building software at Microsoft and Compound, a fintech start-up. At Compound, Misra was the eighth engineer and played a pivotal role in scaling the company to over $2 billion in assets under management (AUM). His prior experience includes researching and developing software for innovative medical imaging devices at Stanford, demonstrating his deep understanding of both technology and healthcare.

Tej Seelamsetty

Tej Seelamsetty, the Founder and Chief Executive Officer (CEO) of Tivara, embarked on his entrepreneurial journey at the young age of 18. His initial venture involved flipping houses to fund his college education, during which he developed software to automate due diligence processes. This experience sparked his passion for coding and automation. Seelamsetty further honed his business acumen by leading growth efforts at Fair Square, where he increased annual recurring revenue (ARR) from approximately $500,000 to $5 million. He also worked as a consultant at Bain and holds degrees in computer science and financial engineering from Washington University.

How Does Tivara Automate Prior Authorizations?

Tivara's core mission is to automate the prior authorization process, a critical and often time-consuming task in healthcare administration. By leveraging advanced software, Tivara aims to expedite the approval of care-critical authorizations, reducing both the time and cost associated with these procedures.

Speed and Cost Efficiency

Tivara's solution promises to approve prior authorizations 30 times faster and at 80% lower cost compared to traditional methods. This remarkable efficiency is achieved through seamless integration into healthcare practices' existing workflows, ensuring that the adoption of Tivara's system does not disrupt daily operations but rather enhances them.

What Features Does Tivara Offer?

Tivara offers a suite of features designed to simplify and expedite the prior authorization process. These features are tailored to meet the needs of healthcare providers, ensuring a smooth and efficient workflow.

One-Click Submission

One of Tivara's standout features is the one-click submission capability. This functionality allows healthcare providers to generate authorization requests that are pre-filled directly from provider orders and patient charts. The system significantly reduces the average submission time, making the process approximately 30 times faster than traditional methods. Additionally, users can submit authorization requests to any payor and edit any field before submission, offering flexibility and ease of use.

Full Transparency and Team Visibility

Tivara provides full transparency into the authorization request lifecycle. This feature allows healthcare providers to monitor the status of every request in real-time, eliminating the need for phone calls to follow up with payors. The entire healthcare team gains visibility into authorization requests, ensuring that everyone is aware of the status and reducing the uncertainty about whether a patient is authorized for an upcoming visit.

Automated Payor Follow-Ups

The software automates the follow-up process with payors by continuously polling for the latest status updates. This automation frees healthcare teams from the manual burden of calling each payor for every authorization request, saving valuable time and reducing administrative workload. By automating this tedious task, Tivara ensures that healthcare providers can focus more on patient care rather than administrative duties.

How Does Tivara Enhance Workflow Analytics?

Tivara's platform includes comprehensive analytics for the entire prior authorization workflow. This feature allows healthcare practices to track their performance across various key performance indicators (KPIs), providing insights into every step of the process. By generating authorization requests directly from patient charts in any electronic medical record (EMR) system, Tivara ensures compatibility and ease of integration with existing healthcare technologies.

Performance Tracking

Healthcare providers can utilize Tivara's analytics to monitor their team's performance, identifying areas for improvement and optimizing their processes. The platform tracks a range of KPIs, offering a detailed view of how effectively the prior authorization workflow is being managed. This data-driven approach enables healthcare practices to make informed decisions, enhance efficiency, and ultimately improve patient care.

Why Did the Founders Create Tivara?

Both Aumesh Misra and Tej Seelamsetty have personal experiences with the frustrations and delays caused by slow prior authorizations. These experiences fueled their passion to create a solution that would alleviate this pain point in the healthcare system. Their vision for Tivara is to create a healthcare environment where doctors can focus on delivering patient care without being bogged down by administrative hurdles. By automating the prior authorization process, Tivara empowers healthcare providers to deliver timely and efficient care, improving patient outcomes and satisfaction.

What Is the Impact of Tivara on Healthcare Practices?

The impact of Tivara on healthcare practices is profound and multifaceted. By significantly reducing the time and cost associated with prior authorizations, Tivara allows healthcare providers to focus more on patient care rather than administrative tasks. The seamless integration with existing workflows ensures that the adoption of Tivara is smooth and does not disrupt daily operations.

Enhanced Patient Care

With Tivara, healthcare providers can expedite the approval of necessary treatments and procedures, reducing delays and improving patient outcomes. This efficiency ensures that patients receive the care they need when they need it, without unnecessary waiting periods caused by slow authorization processes.

Reduced Administrative Burden

Tivara's automation capabilities significantly reduce the administrative burden on healthcare teams. By automating tasks such as generating authorization requests and following up with payors, Tivara frees up valuable time for healthcare providers to focus on patient care. This reduction in administrative workload also leads to cost savings for healthcare practices.

How Does Tivara Ensure Security and Compliance?

In the healthcare industry, security and compliance are paramount. Tivara places a high priority on these aspects, ensuring that patient data is handled securely and in compliance with all relevant regulations. The platform is designed to meet stringent healthcare standards, providing detailed audit trails and ensuring accountability and transparency.

Data Security

Tivara employs robust security measures to protect patient data, including encryption and secure access controls. These measures ensure that sensitive information is safeguarded against unauthorized access and breaches, maintaining the confidentiality and integrity of patient records.

Regulatory Compliance

Tivara's platform is built to comply with all relevant healthcare regulations, including HIPAA (Health Insurance Portability and Accountability Act) in the United States. This compliance ensures that healthcare providers using Tivara can trust that their practices remain within legal and regulatory frameworks, avoiding potential penalties and ensuring the highest standards of patient care.

What Are the Future Plans for Tivara?

As a start-up, Tivara has ambitious plans for the future. The founders are continually seeking ways to enhance the platform's capabilities and expand its reach within the healthcare industry. They are focused on building partnerships with healthcare providers and payors to further streamline the prior authorization process and improve patient care. With ongoing advancements in technology and a commitment to innovation, Tivara aims to set new standards in healthcare automation.

Expansion and Growth

Tivara plans to expand its footprint in the healthcare industry by partnering with more healthcare providers and payors. This expansion will enable the company to reach a broader audience and have a more significant impact on the healthcare system. The founders are also exploring opportunities to integrate Tivara's platform with additional healthcare technologies, further enhancing its functionality and value to users.

Continuous Improvement

The Tivara team is dedicated to continuously improving the platform by incorporating user feedback and staying abreast of technological advancements. They are committed to refining the software to meet the evolving needs of healthcare providers and ensure that Tivara remains at the forefront of healthcare automation.

How Can Healthcare Providers Get Started with Tivara?

Healthcare providers interested in implementing Tivara can easily get started by reaching out to the company for a demo or consultation. Tivara's team works closely with healthcare practices to understand their specific needs and tailor the platform to meet those requirements. The user-friendly interface and comprehensive support ensure a smooth transition to using Tivara's automated prior authorization system.

Onboarding Process

Tivara offers a streamlined onboarding process for healthcare providers, ensuring that they can quickly and easily integrate the platform into their existing workflows. The Tivara team provides detailed training and support to help users get up to speed and maximize the benefits of the system. This hands-on approach ensures that healthcare practices can fully leverage Tivara's capabilities to enhance their prior authorization processes.

Conclusion

Tivara is poised to make a significant impact on the healthcare industry by automating the prior authorization process. With a dedicated team, innovative features, and a clear vision, Tivara is set to transform how healthcare providers manage prior authorizations, ultimately leading to faster, more efficient patient care. As the company continues to grow and evolve, it will undoubtedly play a crucial role in shaping the future of healthcare automation. By reducing administrative burdens, enhancing workflow efficiency, and improving patient outcomes, Tivara is paving the way for a more streamlined and effective healthcare system.