South San Francisco, Calif. — June 26, 2025 — AKASA, the leading provider of generative AI (GenAI) solutions for the healthcare revenue cycle, has been named the #1 most promising healthcare RCM startup of 2025 by Black Book Research, with a score of 95.2 out of 100. This distinction recognizes AKASA’s leadership in applying AI and automation to deliver scalable, integrated solutions with meaningful return on investment (ROI) for health systems nationwide.
This new recognition builds on top of partnerships with prominent health systems that are deploying AKASA AI enterprise-wide. For example, Cleveland Clinic recently announced its implementation of AKASA AI across the midcycle (in medical coding, and later, CDI).
The report places AKASA at the top of a curated list of 31 startups and scale-ups evaluated by Black Book through in-depth surveys with healthcare executives, RCM professionals, and industry analysts. The rankings were based on comprehensive qualitative KPIs, such as innovation, scalability, executional readiness, and market adaptability.
“Being named the number one most promising RCM startup by Black Book validates everything our team has worked toward,” said Malinka Walaliyadde, CEO and co-founder of AKASA. “This recognition underscores our continued commitment to building AI-native solutions and supporting our health system partners on their incredibly important missions. We’re not just solving administrative problems, we’re creating a new standard for how revenue cycle operations should function.”
AKASA stood out in several core categories that are increasingly critical to RCM decision-makers, particularly in the mid-cycle.
This list calls out the vendors “redefining the future of healthcare finance.” As healthcare continues to embrace AI to navigate financial pressures and workforce challenges, AKASA remains at the forefront, enabling organizations to operate with greater accuracy, agility, and resilience.
Earlier this year, Black Book recognized AKASA as a top-ranked vendor in its “AI in Healthcare Finance: 2025 Market Review,” which named it in 17 out of 18 categories.
AKASA is the preeminent provider of generative AI solutions for the healthcare revenue cycle. Our offerings are built on the AKASA Platform, which integrates the company’s proprietary generative AI technology and deep revenue cycle expertise to deliver exceptional impact for hospitals, health systems, and the patients they serve. AKASA is the only AI company whose technology is trained on a health system’s own clinical and financial data, enabling AI to better understand the specific nuances of a health system. AKASA helps healthcare organizations improve revenue outcomes, achieve greater efficiency, empower staff, and allocate resources where they matter most.