Autonomous Financial Operations
Your margin,
managed in real time
Midstream connects revenue and cost in one intelligent system—then continuously takes action to recover missed dollars, reduce spend, and improve margin.
Scaled impact
$0B+
Net patient revenue
Speed to value
0
Days
24/7 agentic optimization
0+
Optimizations surfaced
Trusted by leaders in healthcare
Most tools stop at insight.
Midstream takes action.
Foundation
An atomic-level model of your finances.
Every contract term, claim line, rebate condition, and payment - categorized, structured, and continuously validated, with proprietary datasets filling the gaps your vendors leave open.
Agents
Domain trained
agents work every transaction.
Recovery, Pricing, Optimizer, Negotiator, Reporter, and Pulse read your contracts and work every claim, invoice, and rebate condition against them without stopping. Nothing waits for a month-end close or an available analyst.
Automate + Augment
Your team, working at the top of its license.
Agents automate the relentless work of reading contracts and chasing claims. Midstream's value engineers, forward-deployed engineers, and experienced healthcare operators bring the judgment that turns a finding into a captured dollar. Your people spend their hours on the decisions only they can make.
RECOVERY
Found, filed, and followed until the dollar lands in your bank account.
Midstream doesn't hand your team a list. It builds the case, submits it, and tracks it to the account, with every step traceable to source.
A second financial brain for your health system.
Every health system has a savings target set at the top. Midstream's agents work it from the bottom up, line by line, turning underpayments, overpriced supplies, and unfiled credits into cash that sums back up to the number.
One brain sets the goal. The other never stops chasing it.
Supply Chain
Turn contract value into captured savings.
Midstream continuously validates contract pricing, rebates, and item data—catching errors, recovering missed value, and preventing the same leakage from happening again.
Managed Care
Protect every dollar you've earned.
Midstream measures payor performance at the contract and claim level, surfaces underpayments, and gives your team what it needs to act before revenue slips away.
Pharmacy
Control drug spend as it happens.
Midstream connects 340B, GPO, PBM, and WAC pricing to recover missed rebates and chargebacks, catch pricing and tier errors, and steer spend toward better economics.
Learn more
— Daniel Barchi, Chief Information Officer at CommonSpirit Health
