Abacus Insights’ cover photo
Abacus Insights

Abacus Insights

Software Development

Boston, Massachusetts 12,397 followers

The AI Data Platform for Payer Intelligence

About us

We believe the right information, in the right hands, saves lives. We help payers transform their businesses by serving to unlock the potential of AI. Understanding that data is payers' most strategic asset, we partner with them to turn messy data into high performing, AI-ready assets. For payers that are on the journey to delivering AI-ready data to their business, Abacus Insights provides the AI data platform for payer intelligence. Our platform quickly transforms fragmented, siloed data into reliable, AI-ready data that powers business-critical analytics, agents, and real-world workflows. Unlike building data infrastructure in-house, which requires long implementation cycles and highly skilled teams, payers that work with us benefit from a proven platform and deep payer expertise - supporting 35 customers and 65 million covered lives. Leveraging our 150+ pre-built connectors and payer-specific data models, our customers see accelerated time to value.

Website
https://abacusinsights.com/
Industry
Software Development
Company size
201-500 employees
Headquarters
Boston, Massachusetts
Type
Privately Held
Founded
2017
Specialties
Data Management, Analytics, Healthcare Data Transformation, Healthcare Data Management, Risk Adjustment, CMS Interoperability, Clinical Data, Payment Integrity, AI, and HEDIS/Stars Quality Improvement

Locations

Employees at Abacus Insights

Updates

  • Below, our CIO and CISO Bill Brown shares what he’s learned about balancing innovation, security, and accountability as Abacus Insights evolves into a GenAI-first company. Just as our clients are on a journey to become AI-enabled organizations, so are we.

    View profile for Bill Brown

    Shadow AI is already inside your walls. Your users are demanding new AI tools. Your CEO just told the board you're now an "AI First" organization. On your left shoulder, the CIO in you is shouting "Enable." On your right, your CISO identity is demanding "Enforce." Now what? When you hold both titles, every governance decision is a negotiation with yourself. There's no CIO to push back against. No CISO to consult. Just one person with two very loud consciences. What we learned the hard way: → Blocking AI tools doesn't eliminate Shadow AI. It just makes it invisible. → The approved path has to be faster than the workaround, or people won't take it. → The CISO isn't the one who slows AI down. The CISO is the one who makes sure AI doesn't stop the organization. The whole story — the block, the rebuild, the charter the entire C-suite signed — is in the attached article. A note on how this came together: I fed two years of emails and our internal AI enablement and governance materials into an AI and asked it to help me tell this story. The irony isn't lost on me — the CISO using the very tools he was supposed to be governing to write about governing them. That tension is kind of the whole point. Is your "approved path" actually faster than the workaround yet? Be honest. #CISO #CIO #AIGovernance #AbacusInsights

  • View organization page for Abacus Insights

    12,397 followers

    Every woman’s journey in engineering begins somewhere, and growth comes from embracing the challenges along the way. At Abacus Insights, these women chose a place where they can stay curious, build confidence, and continue pushing themselves forward. On our final day of celebrating our female engineers, we’re highlighting what keeps them inspired every day, from personal growth to purpose-driven work. #INWED26 Meet Poonam Yadav, Usha Gupta, Dhanashree Godse-Thite, and Elisha Maharjan, and hear what keeps them inspired every day: Poonam Yadav, Software Engineer, India "Don’t give up. Engineering may feel tough at first, but it becomes enjoyable as you grow. Stay focused, keep going, and don’t let challenges distract you. You’re capable of solving hard problems." Usha Gupta, Senior QA Engineer, India "Believe in yourself and don’t underestimate your potential. Technology is evolving quickly, so lean in, keep learning, and grow with it. Stay curious, keep improving your skills, and don’t be afraid to speak up. Your growth will follow." Dhanashree Godse, Manager, Engineering, India "I chose Abacus Insights for the opportunity to work on meaningful projects while continuing to grow. The collaborative environment, focus on innovation, and talented teams really stood out." Elisha Maharjan, Manager, Engineering, Nepal "I chose Abacus Insights because of its mission to solve meaningful healthcare challenges through data. The focus on outcomes, along with strong values like integrity and teamwork, made Abacus Insights the right fit for me."

  • View organization page for Abacus Insights

    12,397 followers

    What if the best career advice is simply: “follow what excites you”? Engineering isn’t just about code or complexity. At its core, its about curiosity, creativity, and bringing new perspectives to solve real problems. Today, we continue to celebrate women at Abacus Insights who are asking questions, stepping into new spaces, and shaping the future of engineering. If you’ve ever wondered whether engineering is for you, this is your sign: it is! #INWED26 Read what Nishi Gandhi, Geetika Suresh, and Kristina Neupane have to say: Nishi Gandhi, Data Engineer, USA "Choose a path that genuinely excites you, not one that is simply popular. Technologies evolve, but genuine interest keeps you learning and growing. Trust your instincts, stay curious, and give yourself permission to take up space. Engineering needs fresh perspectives, and that can absolutely be you." Geetika Suresh, Data Engineer, USA "Engineering offers space to be creative, solve complex problems, and make a real impact. There are many paths, so you can find one that aligns with your strengths and interests. Stay curious, ask questions, and do not be intimidated by spaces where you may not see yourself. Your perspective matters, and engineering needs more voices like yours." Kristina Neupane, Software Engineer, Nepal "Software engineering is about solving real problems and learning with every challenge. The field needs diverse perspectives, and yours matters. If it interests you, step in. The space is yours to take."

  • View organization page for Abacus Insights

    12,397 followers

    “At Abacus, women are data engineers, data modelers, and software engineers at the heart of what we do. Every day, they solve some of the most complex data challenges in healthcare."  — Minalkumar Patel, CEO, Abacus Insights This International Women in Engineering Day, we are proud to spotlight the women shaping our platforms, solving critical problems, and driving real impact at Abacus Insights. Let's stand together to support and celebrate them. Today, we are highlighting the experiences of our female executives and leaders in engineering at Abacus Insights. #INWED26 Read below for Harnalli DeepaSwamy (Deepa), Elizabeth Milkovits, PhD, and Josie Henjum’s full stories: Deepa Swamy, Global Vice President, Engineering, USA  "I was drawn to Abacus because the problem is both technically complex and deeply meaningful. Healthcare data is fragmented and hard to use, and our mission is to make it more accessible and actionable for health plans serving over 100 million members." Elizabeth Milkovits, PhD, Senior Director, AI Engineering, USA  "Invest in your own growth. Focus on learning, build strong feedback loops, and keep improving how you approach problems. Engineering is a field where you can have real impact." Josie Henjum, Director, Enterprise Data Modeling, USA  "I chose Abacus to work on meaningful healthcare challenges and build scalable, foundational data models. Here, data modeling is treated as a strategic capability, enabling consistency, trust, and long-term impact across the platform."

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  • View organization page for Abacus Insights

    12,397 followers

    Day three at #DataAndAISummit and the energy is palpable. Great conversations, familiar faces, and plenty of new connections. It’s been energizing to reconnect with the community and dive into the ideas shaping what’s next! Tons of great conversations happening across the team: Jonathan Kaplan, Ahsan Shaikh, Jeff Hines, Vincent P. Tumminello, Harnalli DeepaSwamy (Deepa), Navdeep Alam, Mehlam Kalverts, Aashish Dhungana,Ph.D, David Loose, Sagar Raj Adhikari, Anup Kumar Kalliyadan Puthiyaveedu

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  • View organization page for Abacus Insights

    12,397 followers

    San Francisco is calling and we’re answering with data, AI, and a bit of Abacus spirit. At the Moscone Center next week, alongside 15,000 others at #DataAISummit, we’re looking forward to conversations that go beyond the buzzwords. Let's talk payer intelligence, practical AI, and what it takes to make data truly usable. We can’t wait to learn, share, and be part of the momentum driving healthcare forward. We will be onsite throughout the event. Connect with: Ahsan Shaikh, Jeff Hines, Jonathan Kaplan, Vincent P. Tumminello, and Navdeep Alam. Finally, thank you to our Databricks partners, Morgan Wilkie and Dan Vanacore!

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  • We’re proud to have Jeff Hines at #AHIP26 leading conversations on how better data usability can drive meaningful outcomes across healthcare.

    In Vegas, everyone is looking for better odds. In healthcare, better outcomes start with better data usability. If you're a payer-side leader thinking about how your data infrastructure is holding up under the current regulatory environment, that's exactly the conversation I'm looking to have. See you there. #AHIP26

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  • View organization page for Abacus Insights

    12,397 followers

    AI for payers isn’t breaking because of the models. The problem lies at the data layer, where data is still fragmented and hard to use. At #DataAISummit 2026, we’re meeting with health plans working to modernize their data architecture and build a unified, AI-ready data foundation. The questions we hear are: • How do we reuse data across the enterprise for multiple use cases like payment integrity or total cost of care? • How do we move beyond pilots and into production? • How do we stay flexible without locking into vendors or tools? • How do we keep data governed and explainable? As a Built-on Databricks ISV partner, Abacus Insights helps payers build a governed data foundation so AI can scale without rebuilding pipelines, governance, or infrastructure. Working through this? Stop by booth #711 or book time to connect with our team:  https://hubs.ly/Q04k6bJF0 We will be onsite throughout the event. Connect with: Ahsan Shaikh, Gokul Varadharaj, Jeff Hines, Jonathan Kaplan, Vincent P. Tumminello, Navdeep Alam. Finally, a special thank you to our Databricks partners, Morgan Wilkie and Dan Vanacore!

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  • View organization page for Abacus Insights

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    Without the right data foundation, plans that meet today’s standard may struggle to meet the next one. At last week’s live discussion on CMS-0057, one theme stood out: interest in interoperability is real and growing. Plans are already thinking beyond compliance. CMS-0057 is just the starting point for what comes next, including: - FHIR-based data exchange - Stronger payer-provider integration - Broader prior authorization workflows But there’s a gap here. Many plans aren’t sure how to move from “compliant” to “prepared” or how to keep up as new mandates take shape. With CMS-0062 and other fast-follow requirements on the horizon, the bar is not standing still, and neither can your approach.

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  • View organization page for Abacus Insights

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    Eight months to the CMS-0057-F Interoperability Mandate, and 1 in 10 plans remain stalled. The real question now is how to build for the long run. In two-days time, that is exactly what Association for Community Affiliated Plans (ACAP), Onyx, and Abacus Insights will explore in an upcoming live discussion led by Vincent P. Tumminello and Mark Scrimshire, designed for leaders who want a clear, thoughtful path forward. In this session we will cover: - Where plans are today and how readiness is evolving. - Early decisions that can help teams move faster and avoid unnecessary rework. - Practical ways to approach CMS-0057-F with long-term value in mind, not just short-term compliance. After the session, attendees can also request a complimentary CMS-0057-F Readiness Assessment. This one-week structure review across all four API domains helps teams better understand their current state, identify gaps, and plan next steps with clarity. When: May 13 | 12:00-1:00 PM ET Save your seat: https://hubs.ly/Q04d-Kyf0

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