Midstream Health

Nonprofit hospitals in the U.S. collectively spent more than $7.8 billion on management consulting services from 2009 to 2023 with 0 ROI according to this recent JAMA publication.

For years, healthcare finance has been fixated on one lever: revenue. Our co-founder, Venkat Mocherla, sat down with MedCity News to talk about why that playbook was built for a different era. Today, financial sustainability isn’t going to come from chasing more revenue — it’s going to come from controlling costs and eliminating waste. And waste is everywhere: • price variation on the same items • missed rebates • off-contract spend • invoice discrepancies These aren’t small issues. They’re structural. “American healthcare fundamentally has a cost transformation challenge, not a revenue one.” 💡That’s the shift Because in this environment, margin isn’t earned. It’s recovered. Thank you Katie Adams for diving in with us! Check out the full read here ➡️ https://lnkd.in/euDAH_3K

Revenue got us here. The next decade is about contribution margin — and leveraging AI to help teams move faster, smarter, and with more impact. When financial opportunities are buried across fragmented contracts, claims data, and operational silos, even the best teams can't act fast enough. Meet @Omar Nagji, Chief Commercial Officer. Omar leads Midstream's commercial organization, building the go-to-market engine that brings Midstream's financial action platform to health systems nationwide. His focus: ensuring every partner engagement is rooted in measurable financial impact and long-term value. He brings nearly two decades of experience scaling healthcare businesses from the ground up. As co-founder and GM of Lyft Healthcare, Omar helped pioneer rideshare in the NEMT space and scaled the business from $100K to over $550M in ARR — a line so successful it was highlighted in Lyft's first two post-IPO earnings calls. He went on to lead commercial teams at Memora Health, Podium, Alto Pharmacy, and Tomorrow Health, consistently driving GTM transformations that accelerated revenue, shortened sales cycles, and expanded into new market segments. Earlier in his career, he held revenue leadership roles at MedeAnalytics, VisiQuate, and Streamline Health, deepening his expertise in healthcare revenue cycle management. "I've spent my career at the intersection of healthcare and technology, building commercial engines that turn complex market opportunities into real, scalable impact. Midstream is tackling one of the biggest unsolved problems in healthcare finance, and I'm excited to help health systems unlock value they didn't know was there." Omar joined us in a fractional capacity over eight months ago, and the impact was immediate. We're thrilled to now have him on board full-time. Welcome, Omar!

The best products don’t just reduce friction — they anticipate what teams need before they need it. Meet Anisha M., VP of Product. Anisha shapes the vision and strategy behind Midstream’s platform, ensuring every product decision is grounded in the real operational needs of health system teams. Her work brings together engineering, design, and operations around a simple standard: tools that fit seamlessly into existing workflows, surface the right information at the right moment, and make the next step feel obvious. Easy to implement. Easy to use. Built to solve mission-critical problems. She brings deep experience building technology that drives real-world impact. As a product lead at Cruise, she helped take self-driving cars from prototype to deployment — navigating the complex intersection of safety, scale, and consumer trust. Earlier roles at Lyft and Walmart focused on scaling large consumer and operational platforms. “I’ve seen how autonomy-driven technology can transform an industry. There’s an immense opportunity to bring that kind of innovation to healthcare, and I’m excited to help build more intuitive experiences that drive fast, meaningful financial impact.” Welcome to the team, Anisha!

For years, health system finance has been reactive and opaque, constrained by retrospective analysis and fragmented data. The kind of continuous, real-time visibility needed to proactively identify and act on financial opportunities just wasn’t possible with the technology available. Meet Aneesh Kulkarni, VP of Engineering. Aneesh leads Midstream’s engineering organization, building the systems that power our financial action platform—from AI that synthesizes complex healthcare data to agentic systems that continuously identify, optimize, and drive cost-saving opportunities. “I’ve spent my career building software and data systems that organizations depend on at scale. Healthcare’s fragmented systems of record, siloed unstructured data, and limited real-time visibility make it uniquely challenging—and the opportunity to build AI-native infrastructure that helps organizations act with confidence is what made Midstream especially compelling.” He brings extensive experience building large-scale platforms that connect complex data systems, AI-driven applications, and immersive technologies. Prior to Midstream, Aneesh served as CTO at STRIVR and VP of Engineering at AppDynamics, where he helped scale high-performance systems used by global enterprises. We’re excited to have Aneesh on the team and to continue building what’s next together!

At Midstream, our mission is an ambitious one: strengthen financial sustainability for health systems so they can reinvest every dollar into patient care. To make that happen, we’ve been building a leadership team with deep healthcare roots and expertise in building and scaling the agentic, AI-native technology this moment demands. We’re excited to start introducing the incredible minds helping drive this work forward! First up: Meet Kelsey M., Chief Customer Officer Kelsey leads customer success, onboarding, and long-term partnership growth across our expanding coalition of health system partners, ensuring organizations capture the full value of the Midstream platform. Her career has been focused on improving financial performance and reducing waste in healthcare. From founding Sitka, a nationwide virtual value-based multi-specialty physician network, to serving as Chief Growth Officer at Brightline Health, along with senior leadership roles at Honor, naviHealth, UnitedHealth Group, Center for Medicare and Medicaid Innovation, and Children's Mercy Hospitals and Clinics — her experience maps directly to the challenges health systems are navigating today. “Midstream brings me back to my roots, working directly with health systems on the financial and operational challenges that have defined my entire career. Reducing waste in the healthcare system has always been my north star, and Midstream sits squarely at that intersection.” Welcome to the team, Kelsey!

Houston Methodist is undoubtedly one of the most renowned health systems, known for leading medicine here and around the world. We’re proud to be working together as they deploy Midstream’s agentic financial action platform across their enterprise operations. The move from financial intelligence to financial action is no longer theoretical — it’s happening now. Houston Methodist joins a growing coalition of leading health systems working with Midstream, including many others such as CommonSpirit Health and Mount Sinai Health System. We're grateful for the trust of our partners and energized by what we're building together. Read more about our work with Houston Methodist → https://lnkd.in/gb5iEQuT And if you’re passionate about tackling complex problems and supporting exceptional patient care, come join us at Midstream! Check out our open roles → https://lnkd.in/gWJCRtdN

Today, Mount Sinai Health System, one of the largest and most iconic academic medical systems in the New York metro area, announced its partnership with Midstream — we couldn’t be more excited!  Our agentic financial action platform is on track to deliver 5x ROI, with those savings flowing right back into Mount Sinai’s services and infrastructure. This is what our work is all about, helping health systems strengthen financial sustainability so they can focus on what matters most — caring for patients. We’re now serving leading healthcare providers across the US with over $80B in NPR, including Mount Sinai and CommonSpirit Health. Our rapidly growing coalition of leading institutions is proof that we’re at a pivotal point in the American healthcare affordability crisis — and that speed to value matters more than ever. There’s a lot of noise around AI right now. Credibility comes down to who trusts you to deliver,  and the outcomes you create together. Grateful for the incredible teams at Mount Sinai, along with all of our provider partners. And the good news is we’re just getting started 🚀 Check out the full release here → https://lnkd.in/gKXarRXr

It’s a big day at Midstream. Our first LinkedIn post — and kicking off with news! Today we announced our partnership with CommonSpirit Health, bringing Midstream’s AI-native financial action platform to one of the nation’s largest nonprofit health systems. CommonSpirit continues to lead the way in responsible, cutting-edge AI adoption. And as our anchor partner, they’re already validating the real and immediate impact AI can have on strengthening health system financial sustainability. Huge thank you to Andreessen Horowitz and CommonSpirit Ventures for backing us from day one. We’re thrilled to share the news and to finally show the world what we’ve been building. Read the full press release here https://lnkd.in/g-RHgCbP And check out our co-founder and President Venkat Mocherla's post for more 👇