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First Outcomes

First Outcomes

Building the AI workforce for Patient Referrals

New York, NY, United States

First Outcomes is building the AI workforce for patient referrals, automating the end to end workflow allowing managed care patients to see a specialist. Referrals create hours of staff work per provider, and are a 2.5 B burden on clinics that cannot afford it. First Outcomes provides a suite of AI workers for clinics embracing value based care, from outbound patient outreach, patient scheduling and running prior authorization. Its AI Workforce turns endless VBC work into completed actions—capturing missed revenue, closing care gaps, and instantly scaling a health organization's capacity without adding headcount.

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7 engagements

How We Help

Leadership

Problem Statement

In value-based care, the bottleneck is no longer insight—it’s execution. Health systems and plans struggle to close thousands of clinical and administrative gaps. Teams can't keep up with massive work queues, manual work is slow and costly, revenue is left on the table, and members don't get timely support.

Key Differentiators

Proven AI workforce purpose-built for VBC, deep healthcare domain expertise, enterprise-grade security & compliance, flexible engagement models, and transparent outcomes. Proven at scale with over 120,000 actions completed monthly.

Clinical Focus

Referral management, administrative efficiency, operational streamlining in healthcare

Target Customers

Risk-bearing organizations of all types, including health plans and providers in Medicare Advantage, MSSP, ACOs (LEAD, Medicaid, CIN), Managed Medicaid, Capitated Contracts, and FQHCs.

Company Info

Business Model
AI Referral Agent
Founded
2026
Website
firstoutcomes.com/

Categories

AI / MLValue-Based CarePrior AuthorizationReferral ManagementPatient Access

Technologies

AutomationPredictive AnalyticsWorkflow AutomationPrior Authorization TechAI AgentsAI/Machine Learning
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Reviews

★★★☆☆3.0 · 2 reviews
  • AnonymousOct 6, 2026
    ★★★☆☆3.2
    • Clinical Benefit Potential 3/5
    • Feasibility 3/5
    • Innovativeness 3/5
    • Fundability 4/5
    • Scalability 4/5
    • Presentation Quality 2/5
  • AnonymousOct 6, 2026
    ★★★☆☆2.8
    • Clinical Benefit Potential 3/5
    • Feasibility 3/5
    • Innovativeness 3/5
    • Fundability 3/5
    • Scalability 3/5
    • Presentation Quality 2/5

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What do you think of First Outcomes?

A HUGE part of what early stage companies, and even late stage ones, need and get on MedStartr is honest feedback from actual patients, clinicians, hospital leaders and industry insiders. It is very easy to get tunnel vision as a founder. Please tell the team that runs this company what you think.

Clinical Benefit Potential

The potential for a project to have a large and significant impact on medical care, treatment, or prevention.

Feasibility

The likelihood that this will provide benefit for patients / care givers and that the founders can execute on their vision and plan.

Innovativeness

The distinguishing features, concept, or technology that differentiates the entry compared to others that already exist and are in widespread use.

Fundability

The reviewers' beliefs that the idea is fundable or can make it to sustainability without outside investment.

Scalability

Some great ideas are destined to failure because they are too complex or too expensive. The reviewer should consider the likelihood that a project as explained, or perhaps with some tweaks, could possibly become a worldwide solution within a reasonable time frame.

Presentation Quality

How well the team presented the idea.

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Get Involved in First Outcomes

7 engagements

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