#healthcare #CMS #Basys.ai

Basys.ai Achieves Recognition from CMS

BOSTON, Dec. 15, 2025 - Basys.ai, an innovative platform powered by AI for prior authorization and utilization management, has been named a finalist in the Crushing Fraud, Waste, and Abuse (FWA) Challenge by the Centers for Medicare & Medicaid Services (CMS). This prestigious recognition came during a national showcase that spotlighted groundbreaking innovations aimed at promoting program integrity and affordability within Medicare.

Accompanying this announcement was a meaningful message from Dr. Mehmet Oz, who emphasized the crucial role of technologies that ensure patient protection while also fostering sustainable healthcare spending. His insights can be viewed in a brief video included with the announcement.

Amber Nigam, the co-founder and CEO of Basys.ai, expressed gratitude for the recognition. “We are thrilled to be acknowledged by CMS as a national finalist in the Crushing FWA Challenge,” he remarked. “Our mission focuses on enhancing healthcare accessibility and affordability by combining responsible generative AI with essential clinical guidelines. This honor clearly reflects our platform's capabilities, the trust placed in us by partners, and the potential of AI to substantially reduce waste while elevating care standards.”

Since its launch, Basys.ai has garnered support from leaders of major health plans and exemplary physicians from renowned institutions such as the Mayo Clinic. The strength of the company lies in its ability to train algorithms that minimize blindspots and align with real-world clinical decision-making patterns.

The FWA Challenge was established by CMS to identify solutions proficient in detecting high-risk patterns within medical claims, thus enabling prompt identification of erroneous payments. Basys.ai effectively utilized its AI-driven platform, Basys-INFER, to identify wasteful services and recommend effective strategies for mitigation. A recent article in the Harvard Business Review further illustrated how Basys.ai's multi-agent, domain-aware approach leads to earlier identification of wasteful trends and fosters more informed interventions.

Reflecting on his personal journey as a caregiver and co-founder of Basys.ai—a narrative he shared in STAT News following his father’s illness—Nigam highlighted the human cost of misaligned healthcare systems. He stressed that healthcare has reached a critical juncture where the alignment of incentives is no longer a luxury but a necessity. He emphasized the importance of unifying stakeholders around patient-centered outcomes, likening Basys.ai to