Readily, an AI compliance intelligence platform for healthcare, announced last week that it secured $11 million in Series A funding.
San Francisco-based Readily helps health plans and other organizations manage federal and state regulatory changes. The platform scans regulatory updates, analyzes audit requirements and helps catch errors before audits.
“Concretely, we take a new regulation or piece of state guidance, map it against a plan’s own policies and workflows, and turn it into action: what changed, which documents and departments it touches, who owns the fix, what evidence proves it’s done,” said Edward Tiong, co-founder and CEO of Readily.
The Series A round was led by Define Ventures, with participation from Y Combinator and the California Health Care Foundation Innovation Fund. In total, Readily has raised $12 million.
According to Define Ventures Principal Hong Truong, Readily is building “what we believe will become the AI-native operating system for healthcare organizations that live under heavy regulation.”
“For too long, leaders have been making high-stakes decisions without the data or oversight those decisions deserve. Readily fixes that by beginning with compliance, the one function connected to everything else. Get compliance right, and the rest of the organization comes into view,” Truong said.
Readily will use the financing to reach more plans, Tiong said. The company currently operates in 46 states across Medicare, Medicaid and the commercial market.
In addition, the financing will help “build the next layer of the product,” Tiong said.
“An unresolved compliance issue usually isn’t just a compliance issue. It touches a contract, a department, a process, a member,” he told MedCity News. “We want a leader to see that chain, see who owns the response, and know where to step in.”
Currently, annual payer compliance spending is estimated to be about $8 million, according to a study from PwC. In addition, CMS data shows that federal fines against Medicare Advantage and Part D insurers in the first four months of 2025 surpassed the combined total from 2021 to 2024.
Readily aims to create an operating system for government healthcare, Tiong said.
“Medicare and Medicaid are trillion-dollar programs run through a chain of oversight: CMS oversees 50 states, states oversee hundreds of managed care organizations, and those oversee thousands of delegated providers,” he said. “Every link in that chain runs on the same raw material: rules, policies, and proof that the rules were followed. And every link runs it by hand. We’re building the infrastructure that chain never had. Compliance is the entry point because it already connects obligations, owners, and evidence across a plan.”
Photo: claudenakagawa, Getty Images
