Alaffia Health secures $55M to accelerate AI adoption across health plan operations

Alaffia Health, a leader in agentic AI for health plan claims operations, announced it has secured $55 million Series B financing, enabling the company to accelerate growth in research and development along with launching new innovative agents.

The funding round was led by Transformation Capital, with participation from insiders including FirstMark Capital, Tau Ventures, and Twine Ventures. The round brings Alaffia’s total funding to more than $73 million.

Alaffia partners with leading regional and national health plans to help them scale clinical review capacity and unlock significant savings. Alaffia has delivered millions of dollars in medical cost savings, reduced turnaround times from weeks to days, and improved consistency across findings, according to the vendor.

“Health plans are under immense pressure to reduce administrative costs and drive affordability for their members, and like many industries, they’re starting to see the value of emerging AI solutions,” said TJ Ademiluyi, co-founder and CEO of Alaffia. “With this funding, we’re expanding our team and platform so we can continue solving some of the most expensive operational challenges in healthcare and ultimately reduce the burden on the system as a whole.”

Additionally, the company also plans to expand hiring across engineering, product, and growth teams to support its next phase of growth. As part of the financing, Todd Cozzens, managing partner at Transformation Capital, has joined Alaffia’s board of directors.

“Payment integrity is one of the most untapped opportunities in healthcare, in part because payers are harder to build for due to their complex and diverse rule sets,” said Cozzens. “Alaffia has built a core clinical review platform that is already delivering millions in savings and can scale beyond payment integrity to become foundational infrastructure for health plans. By reducing administrative waste and improving accuracy across claims operations, Alaffia ultimately helps lower costs for health plans—creating a more affordable healthcare system for consumers.”

Unlike legacy payment integrity vendors and emerging AI-only solutions, Alaffia’s platform is designed specifically for real-world payer environments, where traceability, configurability, and clinical oversight are essential, the company said.

“Healthcare doesn’t need more automation that no one can explain—it needs AI that clinicians, operators, and regulators can trust,” said Adun Akanni, co-founder and COO at Alaffia. “We founded Alaffia to bring transparency and clinical rigor to claims operations, and this funding allows us to scale that mission as we help health plans reduce waste and operate with confidence.”

For more information about this news, visit www.alaffiahealth.com.