3Gen Consulting Invests in Encipher Health to Advance AI-Driven Risk Adjustment in U.S. Healthcare
3Gen Consulting, Press TeamJune 10, 2025
Houston, TX, United States, June 2025 – 3Gen Consulting Services Pvt. Ltd., a leader in providing innovative healthcare solutions, has partnered with Encipher Health, a trailblazer in developing AI-driven healthcare platforms. This strategic partnership enhances 3Gen Consulting’s ability to deliver advanced risk adjustment coding solutions, enabling improved operational efficiency, stronger financial outcomes, smarter use of data analytics, and better patient care across healthcare organizations. By leveraging Encipher’s cutting-edge technology, featuring tools for predictive analytics, risk validation, and workflow automation, 3Gen Consulting is uniquely positioned to help healthcare providers navigate the complexities of value-based care and ensure more accurate reimbursement.
Advancing AI-Driven Risk Adjustment and Value-Based Care Performance
“The healthcare industry is at a pivotal moment,” said Hemant Apte, Founder & Chief Executive Officer of 3Gen Consulting. “With rising pressures to deliver higher-quality care while controlling costs, the time for innovative solutions like these is now. Through this partnership, we are setting a new standard in healthcare operations – one that blends AI innovation with the personal touch of healthcare professionals.”
With Encipher’s technology, 3Gen Consulting is poised to offer healthcare organizations:
- Neuro-symbolic generative AI-driven insights to improve patient outcomes
- Agentic AI workflows that reduce administrative burdens and accelerate decision-making
- Innovative tools designed to support and empower healthcare professionals
Encipher’s neuro-symbolic generative AI-driven platform enhances reliability by integrating reasoning, self-correction, output validation, robustness against adversarial attacks and thereby increases trustworthiness of the overall healthcare system. It is already achieving impressive results: clients are experiencing 95%+ accuracy in risk adjustment coding, processing reviews 10x faster than traditional methods. The platform has also uncovered up to 70% more care gaps – driving improved outcomes and more accurate reimbursements. Beyond risk adjustment, Encipher’s AI solutions are also powering clinical innovation in gastroenterology (GI), radiology, and anesthesia – helping providers automate diagnostics, reduce turnaround times, and improve care quality across specialties.
“This partnership is a testament to our shared vision of transforming healthcare using intelligent automation and actionable data,” said Prem Kumar, Founder & Chief Executive Officer of Encipher Health. “We are excited to scale our impact in risk adjustment and expand our AI capabilities to support mission-critical areas across specialties – helping providers reduce costs, improve care delivery, and achieve sustainable growth.”
Together, 3Gen Consulting and Encipher are building a future where healthcare organizations can thrive in a value-based landscape – powered by AI, driven by data, and focused on outcomes. This collaboration goes beyond technology; it’s about reimagining what’s possible in healthcare operations and empowering providers to deliver exceptional care with greater efficiency.
Integrating AI Innovation Across 3Gen’s RCM and Advisory Services
This partnership complements 3Gen Consulting’s broader suite of revenue cycle management and advisory services, which include medical coding, billing, accounts receivable management, payor contracting, audits and physician education. 3Gen supports providers across diverse care settings – from home health and hospice to hospitals, FQHCs, and physician groups – helping healthcare organizations strengthen operations and financial performance.
As we look ahead, we remain committed to supporting healthcare leaders with the tools and insights they need to succeed in an increasingly complex industry.
About 3Gen Consulting
3Gen Consulting, a Piramal Alternatives funded company, is a premier healthcare consulting firm specializing in revenue cycle management services, strategic consulting, and operational optimization for healthcare providers. The company offers end-to-end solutions to improve financial performance, operational efficiencies, and patient care outcomes. By leveraging advanced technology and deep industry expertise, 3Gen Consulting empowers healthcare organizations globally to meet the evolving challenges of the healthcare landscape. For more information, visit www.3genconsulting.com.
About Encipher Health
Encipher Health is a leader in AI-driven healthcare solutions, specializing in predictive analytics, risk validation, and workflow automation. The company is committed to harnessing the power of artificial intelligence to transform healthcare processes and deliver smarter, more effective solutions for providers and patients alike. For more information, visit www.encipherhealth.com.
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This collaboration strengthens 3Gen’s tech-enabled services by integrating advanced neuro-symbolic AI into our risk adjustment workflows. It allows us to offer higher coding accuracy, faster turnaround, more reliable validation, and deeper insights across value-based care programs – all while maintaining the human-led expertise our clients rely on.
Clients can expect significant operational gains: 95%+ coding accuracy, 10x faster review speeds, and identification of up to 70% more care gaps. These improvements translate into more accurate reimbursements, reduced administrative burden, and better support for clinical teams.
3Gen’s workflows are built with compliance at the core. With neuro-symbolic reasoning, automated validation layers, and built-in guardrails against error propagation, our risk adjustment reviews maintain audit-ready accuracy. Every AI insight is backed by human-led verification to ensure reliability, transparency, and CMS compliance.
It strongly augments the work of coders and clinicians. 3Gen’s belief is that AI should amplify human expertise – not replace it. The technology accelerates the routine, repetitive tasks while allowing our coding, QA, and clinical teams to focus on higher-value decision-making, documentation quality, and care gap closure.
This is a foundational step in building a fully AI-enabled revenue cycle and value-based care ecosystem. The same technologies strengthen our work in medical coding, RCM, provider analytics, compliance audits, and clinical quality initiatives – enabling clients to operate with greater precision and financial resilience.
Leaders can onboard through a structured discovery process:
- Define risk adjustment and coding goals
- Assess current workflows and gaps
- Deploy AI-enabled workflows tailored to the organization
- Track measurable gains across accuracy, turnaround, compliance, and RAF impact
A demo or strategy consultation is typically the first step, giving organizations a clear view of how 3Gen’s enhanced platform and services integrate into their environment.