Hint Health began with the unglamorous work of collecting a doctor's monthly fee. It now sells the machinery that lets independent clinics, employers and patients find one another at scale.
The New York startup bundles 3,000-plus independent clinics into one employer benefit. Its wager is simple, expensive and now measurable: better primary care can prevent the hospital bill before it arrives.
A consumer clinic taught physician-founder Scott Shreeve that better care was not enough - distribution was the real diagnosis. Crossover's employer pivot turned one awkward storefront into a hybrid care network, and a 2026 merger gave the model national heft.
A.E. Perkins has assembled benefits administration, payroll, direct primary care and payment infrastructure under one long-term owner. Its pitch is less about disruption than about making the machinery of work and healthcare reliably disappear into the background.
Vitable Health is a Philadelphia-based health benefits company that gives hourly and blue-collar workers affordable access to primary care. Founded in 2020 by Joseph Kitonga, it pairs virtual and in-person direct primary care - visits, over 1,000 free prescriptions, common lab tests, mental health support and care navigation - with an integrated ICHRA platform, so small and mid-sized employers can offer real coverage to workers who typically fall between Medicaid eligibility and pricey commercial insurance. Employers pay roughly $30 per employee per month, and the company says it has made more than 100,000 lives eligible for care.