The biggest bottleneck in modern healthcare isn’t a lack of medical knowledge — it is the sheer weight of administrative documentation.
For every hour a clinician spends actually treating a patient, they spend two hours staring at a screen. Highly trained doctors are forced to act as data entry clerks, hunting through fragmented Electronic Health Records (EHRs), manually typing out SOAP notes, and painstakingly searching for the correct ICD-10 or HCC medical codes to ensure the practice actually gets paid. This administrative burden is the leading cause of physician burnout and a massive drain on healthcare revenue.
MarianaAI is building the autonomous clinical operating system to fix this.
Founded by Kaustubh Sharma and Vishal Agrawal, MarianaAI is an enterprise-grade, AI-powered medical scribe and coding platform designed to completely automate the clinical workflow.
MarianaAI’s flagship platform, CARE, acts as a fully autonomous medical Copilot. Before a patient even walks into the room, CARE analyzes their entire longitudinal medical history to create an actionable “Patient Portrait”. During the visit, their multi-lingual AI ambiently listens to the natural conversation, providing real-time Clinical Decision Support (CDS) with >95% accuracy.
The real technical moat is their autonomous, audit-ready coding. The moment the encounter ends, CARE instantly synthesizes the conversation and the patient’s historical data to auto-populate the EHR with perfect clinical notes and comprehensive medical codes, entirely securely and under strict HIPAA compliance.
The market? Hospitals, health systems, Accountable Care Organizations (ACOs), and private practices across 30+ specialties that want to maximize value-based revenue while giving doctors their time back.
Kaustubh and Vishal are proving that the future of caregiving isn’t staring at an EHR interface — it is fully ambient, intelligent automation.
It is incredible to see founders building solutions for the most complex, high-stakes workflows in the global economy.
Let’s celebrate the builders.
w/ Jay Ingle & Dikshant Joshi
#HealthTech #EnterpriseAI
