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Removing the Admin Burden of Prior Auth

Our “Mesh-ion” and Vision

At Mesh Health Solutions, our goal is ensuring your members have the timely access to the care they need by reducing the burden of 600M annual medical prior authorizations. We like to call it our “mesh-ion” and vision, and it drives everything we do.

Our Story

Mesh Health Solutions is a healthcare information technology company addressing the challenges of medical prior authorization (mPA) for health plans. Mesh is a tech led organization with more than 30 years of combined utilization management experience, and Mesh’s diverse leadership team boasts expertise across business, clinical, and technical disciplines. This varied background is a significant asset, enhancing Mesh’s in-depth understanding of the mPA landscape and fostering an innovative approach to addressing its challenges.

Most mPA pain points are a result of time-consuming steps in manual submission or processing workflows. Rather than solve these problems with additional staff, we’re committed to applying technology at the right places in your workflows to reduce the administrative burden of mPA. Mesh provides capabilities that allow for omni-channel intake of information from a multitude of sources including fax, electronic health records, EDI, and provider portals. Our technology enables automated request intake, case build, triage, and models to support more efficient case evaluation. Our aim is to automate the manual steps a machine can do, and accelerate the manual steps a person must do.

Mesh is gaining traction in assisting payers with costly and time-consuming manual mPA workflows. As of January 2024, CMS released the Interoperability and Prior Authorization Final Rule, to support standards via HL7 FHIR by January 1, 2027, and Process improvements by January 1, 2026. Implementation of a new standard will enable a more streamlined workflow and transparency. However, getting to a fully automated workflow takes time, requiring widespread adoption and technical readiness across the industry. Mesh is focused on addressing current manual mPA processing issues while also planning for future FHIR standards, enabling our clients to pivot to digital workflows behind the scenes, driving program optimization and efficiencies.

Our Team

Leadership

Lauren Adams, CEO Mesh Health Solutions

Lauren Adams
CEO + founder

With over 15 years in executive healthcare, Lauren leads business strategies at Mesh Health Solutions, LLC, ensuring alignment with the company's mission and both short and long-term goals. She is an expert in healthcare IT solutions that bridge payers and providers and create sustainable revenue streams. Before Mesh, Lauren drove Cedar Care's payer strategy, managed strategic partnerships at Diameter Health, oversaw medical prior auth digitization at Cigna/ESI/eviCore, and enhanced pharmacy ePA, real time benefits, DME, and other interoperability solutions at Allscripts.

Portia Thurmond, MD, MPH
head of ops + product

Portia is a triple Brown University graduate (AB ‘03, MPH ‘06, MD ‘11) who brings more than 15 years of healthcare experience and 5 years of digital healthcare product experience to Mesh Health Solutions. Overseeing product strategy, discovery, delivery, and operations, she ensures the Mesh team is doing their best work every day. Before Mesh, Portia spearheaded pilot programs at Humana's Digital Health and Analytics group and led the development of AI-based, payer-focused PA solutions at eviCore.

Raghavendra Iyer
SVP IT + development

With over 16 years in full-stack engineering, tech entrepreneur Raghavendra Iyer has steered fintech and healthcare projects, notably leading Prior Authorization and UM solutions at eviCore. His expertise spans engineering management and cloud and big data architecture, with proficiency in Java, JavaScript, and Python ecosystems. He's adept at crafting technical roadmaps, managing OKRs, and overseeing hiring. Recently, he's delved into data engineering consultancy, focusing on big data design and analytics.

Founders and Advisers

Kurt Kozin, Founder, Mesh Health Solutions

Kurt Kozin
head of sales + founder

Thirty year healthcare executive Kurt Kozin is the driving force behind Mesh's go-to-market, sales, and business dev strategy. He recently concluded a successful exit from his company Trusted 110 and Grey Partners. Before Mesh he ran Strategic Outlook, LLC, a consulting firm where he served as VP, Business Management to AmerisourceBergen, a Fortune 50 company. Additionally, as Executive VP of MultiPlan Services Corporation, the largest national preferred provider organization, he spearheaded their nation network development efforts.
Emma Yamada, Data Scientist at Mesh Health Solutions

Emma Yamada
technical adviser + data scientist

Entrepreneurial engineer Emma Yamada brings her unique experience bridging the technical and administrative worlds of healthcare. Her accomplishments include full life cycle development of proprietary, enterprise-level software solutions for healthcare, including an EHR platform for both inpatient and outpatient settings.
Mike Sinsheiser, Advisor at Mesh Health Solutions

Mike Sinsheimer
advisor

Mike Sinsheimer, founder of Medtech Catalyst, has successfully established and co-founded multiple medical and dental device firms, including Mobius Imaging, LLC and Cardan Robotics, both of which were acquired by Stryker in 2019 for an aggregate sum of $500M. Prior to these achievements, Mr. Sinsheimer held roles as President of Integrated Marketing Concepts, VP of Marketing & Strategic Planning at Straumann Company, and Marketing Manager at Pfizer, Inc. He earned his MHA from UNC's Gillings School of Global Public Health and an MBA from NYU's Stern School of Graduate Business.
Kris Srinivasan, Advisor for Mesh Health Solutions

Kris Srinivasan, MD, MBA,
M. Eng. HSE
advisor

Kris Srinivasan is a clinical entrepreneur with more than 10 years experience in healthcare consulting and business development with companies in their infancy to those in the Fortune 100. He excels in aligning growth strategies with company goals for scalable success. Kris seamlessly merges patient-centricity with optimized business strategies and is driven by enhancing patient experiences and meeting their care preferences.
Mark Harris, Advisor for Mesh Health Solutions

Mark Harris
advisor

Mark is an accomplished leader with a background spanning technology, insurance, and healthcare at both startups and large enterprises. He currently heads crucial technology functions at GEICO, with prior roles at other notable companies, including Microsoft and CoverMyMeds. He holds a B.S. in Computer & Information Science, a Master’s in Computer Science, and an MBA, showcasing his commitment to learning and expertise in diverse industries.

Focus on what matters