What You Should Know
- The Launch: Greenway Health has officially launched Novare, an integrated clinical and revenue cycle platform built specifically for ambulatory care and powered by “agentic AI.“
- The “AI-by-Design” Shift: Instead of acting as a traditional database with third-party tools layered on top, Novare was built with AI at its core. It natively features ambient notetaking, voice-activated chart search, intelligent coding, and automated prior authorizations.
- The Market Target: The platform is aimed squarely at ambulatory practices, 75% of which operate with fewer than 20 employees and lack the administrative headcount to manage growing financial and regulatory friction.
- The Hard ROI: In a pilot program with a 10-provider practice ($4.6M annual revenue), Novare delivered massive operational leverage: saving 14,000 hours per year interacting with the EHR (up to 5 hours a day per user), increasing capacity by 6,000 visits, and unlocking an estimated $1M in revenue cycle improvements.
The “AI-by-Design” Paradigm
The distinction between “AI-enabled” and “AI-by-design” is critical. Most health-tech vendors are currently rushing to bolt ambient listening or generative AI modules onto their legacy EHRs. Novare, however, was designed around the AI engine.
By rebuilding the foundation, Greenway Health has embedded agentic task helpers directly into the encounter. This means ambient notetaking, instant patient summaries, intelligent coding suggestions, and automated prior authorizations all happen during the visit workflow—not hours later.
“You can’t fix fragmentation by optimizing the fragments,” said David Cohen, Chief Product and Technology Officer at Greenway Health. “Legacy EHRs were built to document care—not run it. Layering smarter tools on top of that foundation won’t change the experience. Novare starts over. Rebuilding the foundation and leveraging purposeful AI-enablement to unify the practice and get work done during the visit.”
Optimizing Ambulatory Practice
This technological shift is especially vital for the ambulatory sector. An estimated 75% of ambulatory practices operate with fewer than 20 employees. These small-to-medium clinics simply do not have the administrative headcount to act as data-entry clerks for complex financial and regulatory requirements.
The hard ROI from Novare’s pilot program proves the financial viability of this autonomous approach. In a 10-provider practice generating $4.6M in annual revenue, the platform delivered staggering metrics:
- 14,000 Hours Saved: Providers and staff saved up to five hours a day interacting with the EHR, effectively ending the dreaded “second shift” of after-hours charting.
- 6,000 Extra Visits: The massive time savings translated directly into increased care capacity, allowing the practice to see thousands of additional patients per year without expanding headcount.
- $1 Million in RCM Optimization: By embedding agentic helpers early in the clinical workflow, the practice captured ideal revenue and risk codes at the point of care, significantly improving the overall accuracy and efficiency of the revenue cycle.
