care-management
(15)
Carenet Health Turned Healthcare’s Messiest Phone Calls Into a 500-Client Operating System
Carenet’s bet is that the most expensive gap in American healthcare is often a missed call, a confusing benefit or an appointment never booked. It sells the people, software and clinical workflows to close that gap - at a scale that now reaches one in three Americans.
Evolent
The company betting that the most expensive corner of American medicine - cancer, cardiology, and back surgery - can be run better when the people paying for care and the doctors delivering it are finally pulling in the same direction.
Autonomize AI
Autonomize AI is an Austin-based healthcare technology company building an AI-native platform - the 'Autonomize Intelligence Platform' - that embeds governed, agentic AI directly into clinical and operational workflows for health plans, providers, and life sciences organizations. Founded in 2022 by Ganesh Padmanabhan and Kris Nair, the company turns mountains of unstructured healthcare data into structured intelligence, deploying pre-built AI agents and copilots for tasks like utilization review, prior authorization, care management, and clinical chart review. It says its systems save roughly 36,000 clinical hours per month across Fortune 100 healthcare customers, and it raised a $28 million Series A in June 2025 led by Valtruis, The Cigna Group Ventures, and Tau Ventures.
Laguna Health
Laguna Health is a healthtech company building conversational AI for care teams. Its platform, anchored by the Laguna Companion co-pilot, the Laguna Insight analytics layer, and the LISA family of AI agents, listens to member calls, automates clinical documentation, and surfaces context so care managers - typically nurses - can spend less time on paperwork and more time supporting patients recovering after hospital stays. Founded in 2020 by Yoni Shtein and Yael Adam, the company serves health plans, payers, and virtual care organizations from offices in Tel Aviv and New York.
Tucuvi
Tucuvi is a clinical voice AI company that builds and operates an AI care management platform for hospitals and health systems. Its voice AI agent, LOLA, safely conducts patient phone conversations, runs clinical and care-coordination workflows such as post-surgical follow-ups and chronic care management, and escalates to human clinicians when needed. Founded in Madrid in 2019 by biomedical engineers Maria Gonzalez Manso and Marcos Rubio, Tucuvi is the first AI platform to earn European Class IIb Software as a Medical Device certification for both its voice agent and its care management platform. It serves more than 60 healthcare organizations across Europe, the UK and the US and has monitored over a million patients.
Vytalize Health
Vytalize Health is a value-based care enabler and Accountable Care Organization (ACO) that helps independent primary care physicians care for Medicare patients while lowering the total cost of care. Founded in 2014 and headquartered in Hoboken, New Jersey, it pairs a physician-built clinical data platform (Vytal Insights) with a wraparound clinical team and virtual clinic (Vytal Care) so small practices can succeed in Medicare's advanced value-based programs like ACO REACH and MSSP. The company serves hundreds of thousands of Medicare beneficiaries across dozens of states and was named the No. 1 fastest-growing private company in America by Inc. in 2024.
Acentra Health
Acentra Health is a McLean, Virginia healthcare technology and clinical services company formed in 2023 from the merger of CNSI and Kepro. It builds Medicaid and Medicare systems, care management platforms, and quality-oversight services for state and federal government health programs, combining public-sector software with clinical staff who review authorizations, assessments, and appeals. Backed by The Carlyle Group, it employs roughly 3,300-3,400 people across the U.S. and India.
GenieMD
GenieMD is a San Ramon, California virtual care company that sells a single, white-label platform folding together telehealth, remote patient monitoring, remote therapeutic monitoring and chronic care management - plus built-in e-prescriptions, lab integration and CPT billing reports. Founded in 2010 by Stanford-trained engineer Soheil Saadat, it sells to hospitals, health systems, group practices, insurers, ACOs and employers, and in 2026 launched HelloGenie, a free AI doctor that hands patients off to real board-certified physicians when actual care is needed. Frost & Sullivan named it 2024 Company of the Year for virtual chronic disease management.
Karoo Health
Karoo Health is an Albuquerque, New Mexico company building tech-enabled, value-based cardiovascular care. It pairs wraparound care teams - nurses, dietitians, pharmacists, health coaches and advanced-practice providers - with Kohere.ai, a proprietary platform that aggregates patient data, flags risk and coordinates communication. The model helps cardiology networks, health systems and health plans move from fee-for-service to value-based arrangements, aiming to improve heart-patient outcomes while lowering the cost of care.
Quadrant Health
Quadrant Health builds AI voice and agentic workflows that run natively inside the electronic health records clinicians already use - Epic, athenahealth, eClinicalWorks and Medent. Founded in 2021 out of Y Combinator's Winter 2021 batch, the company started by analyzing EHR and messaging data to predict disease before it occurs, then pivoted into AI agents that handle the operational grind of a medical practice: an AI scribe that drafts EHR-ready notes in real time, and administrative agents that answer calls 24/7, book appointments, collect intake, process refill requests and close care gaps in 20+ languages. Led by co-founder and CEO Anin Sayana, Quadrant sells HIPAA- and SOC2-compliant software to providers, payers and life sciences organizations.
DeLorean Artificial Intelligence
DeLorean Artificial Intelligence is a Palm Beach, Florida-based healthcare AI company that builds predictive and interventive intelligence to forecast chronic disease and recommend next-best clinical actions before a patient gets sicker. Its flagship Medical AI platform, MARTI, analyzes structured and unstructured health records to predict events like hospitalizations and disease progression - and is described as the first medical AI to be biologically validated by independent third parties. Founded in 2019 by Dr. Severence MacLaughlin, the company also applies its predictive engine to sales/CRM, life sciences, financial services and other industries.
Diagnostic Robotics
Diagnostic Robotics is an AI healthcare company building medical-grade triage and clinical-prediction software for health plans and providers. Its models, trained on tens of billions of claims data points and nearly 100 million patient visits, forecast avoidable ER visits, congestive heart failure deterioration and serious mental illness, then steer patients into the right care pathway. Founded in 2017 by Kira Radinsky, Jonathan (Yonatan) Amir and Moshe Shoham, the company is a Mayo Clinic Platform portfolio company and closed a $45M Series B in 2022.
Digital Health Strategies
Digital Health Strategies is a Washington, DC-based healthcare data and technology company that helps hospitals and health systems grow what it calls their Share of Health. Its AI-powered platform identifies the existing patients, donors, and plan members most likely to benefit from a service, then activates them through personalized communications wired into clinical and operational workflows - closing care gaps, lifting service-line volume, growing membership, and raising philanthropic dollars. Founded in 2014 by John Simpson and Ben Texter, both alumni of Blue State Digital, the firm works with leading systems including Johns Hopkins, Geisinger, Providence, Scripps, and Hackensack Meridian Health.
Greater Good Health
Greater Good Health is a Los Angeles-based healthcare company rethinking primary care for seniors. It runs value-based primary care clinics and clinical programs built around a nurse practitioner-centric care model, designed to manage complex Medicare populations through proactive, preventive, whole-person care. The company partners with health plans and risk-bearing organizations to expand access where physician shortages have left aging patients underserved.
Pear Suite
Pear Suite is a digital health company that equips community health workers (CHWs), promotores, doulas, and the community-based organizations they work for with an AI-powered care navigation platform. The software helps frontline workers document visits, track clients, address social determinants of health, and bill health plans, while connecting them into a national provider network that handles contracting, clinical, and claims infrastructure so community-based care can finally get reimbursed sustainably.