Always-on enterprise intelligence

The financial action platform of the future is here

scaled Impact

$80B+

Net patient revenue

SPEED TO VALUE

90

Days

24x7 Agentic Optimization

1,461+

Optimization opportunities

Reduce costs, accelerate savings and discover ROI in days, not months

D a t a

One authoritative view of your financial data

Transform fragmented financial and contract data into a single, continuously validated source of truth, with proprietary datasets to fill critical gaps.

Uncover cost-saving margin opportunities in real time

Domain-trained AI agents continuously surface high-impact opportunities and prioritize what matters most, so your team focuses on capturing value before it slips away.

I M P A C T

Investigate and act. Instantly.

Validate opportunities through natural-language queries, real-time scenario planning, and complete document traceability so decision-makers can act, not just analyze.

A C T I O N
Trusted by healthcare leaders

“Upon implementation, Midstream's AI agents provided measurable gains within days, surfacing opportunities like missed rebates and underpayments. It is a closed-loop AI system that transforms financial intelligence into real-time action, delivering a data foundation, visibility, and execution capability.”

— Daniel Barchi, Chief Information Officer at CommonSpirit Health

Healthcare data isn't just messy—it's incomplete

Midstream transforms decision-making, compressing months to minutes and shifting from post-period hindsight to in-the-moment foresight.

Supply Chain

Providing supply chain leaders visibility into margin and how to capture it fast

Midstream creates a foundation that connects contract pricing, rebates, and item master data within one system.

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Managed Care

Helping Managed Care leaders find value leakage and act on it instantly

Identify underpayments and detect material cost and operational variances that separate real issues
from routine fluctuations.

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Pharmacy

Your pharmacy contracts are costing you more than you think

Hundreds of contracts. Countless pricing terms. Rising drug spend. Discover how trusted data and real-time visibility help health systems protect margin and negotiate with confidence.

Midstream is different

  • Fill in the data gaps

    Midstream creates proprietary datasets and processes that make real-time financial intelligence possible.

  • Instant execution, not just analysis

    Every opportunity is verified and traceable back to source data, giving leaders the confidence to act with urgency.

  • Always-on visibility

    Constant awareness of value generation. Real-time view across all external relationships including in supply chain, purchase services, pharmacy and payers.

  • Purpose-built for healthcare

    Midstream understands where healthcare margin lives—from rebate structure and GPO compliance to payer contracts and 340B.

  • Proactive, not reactive

    Shift healthcare finance from reactive recovery to proactive optimization. Change when action happens.

  • Impact without disruption

    Fast deployment, faster results. Embed intelligence where teams already work. No heavy IT lift, no workflow disruptions, no multi-year implementation cycles.

  • Speed and return on effort

    Continuously learning, constantly optimizing. See measurable margin impact in days instead of quarters.

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