health-plans
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HiLabs and the doctor who isn’t there
A wrong address can turn a health plan’s provider network into a paper promise. HiLabs is building AI for the unglamorous work of making that promise check out.
RightMove Health bets on the decision before the treatment
Built with Hospital for Special Surgery, RightMove puts specialist assessment at the front of muscle, joint and back care. Its wager: a better first decision can spare patients a costly detour.
CareHive Health wants your next lab test to cost less
A cheaper lab is useful only if someone helps you get there. CareHive pairs predictive claims analysis with human navigation to turn a price comparison into a change of plan.
HealthHelp wants fewer denials. The interesting part is how.
Prior authorization is an awkward place to make friends. HealthHelp has built a business around getting specialists to talk before a difficult request becomes a rejection.
OncoHealth and the hours cancer care forgets
Cancer care has two clocks: the appointment schedule and the patient’s life. OncoHealth connects treatment review with round-the-clock support for the hours in between.
Pager Health found the real house call: helping people find care
Pager began by sending doctors to Manhattan apartments. Its bigger wager is that healthcare needs someone to connect the appointments, benefits and people already there.
Rx Savings Solutions finds the cheaper prescription hiding in your benefits
A pharmacist’s search for one patient’s savings became a business McKesson bought for $600 million upfront. Its useful insight: finding a cheaper medicine is only half the job.
Aspen RxHealth and the pharmacist without a counter
Aspen RxHealth puts clinical pharmacists on the phone and health plans behind the controls. Its wager is that better medication care begins by making room for a conversation.
MHK and the Hidden Cost of a Handoff
A health plan can have capable people and still leave thousands of disputes waiting. MHK’s wager is that better care begins with fixing the work between the people.
Solutran and the money that knows what to buy
A health benefit is only useful if it survives the checkout. Solutran built a business around that small, unforgiving moment - and its technology now sits inside Optum’s Healthy Benefits+.
The Doctor Is in the Text Thread
Curai Health tried to make primary care feel as easy as sending a message. Its more interesting bet is what happens behind that message: AI handles the paperwork and pattern finding, while clinicians keep the medical judgment.
The Health Plan That Asked the Neighbors to Help
Wider Circle sells health plans an old-fashioned intervention: people who live near one another, meet regularly, and help each other get care. The machinery behind that simple scene is far more deliberate than a potluck.
The House Call Has a Routing Problem
Sprinter Health discovered the limit of telehealth: a screen cannot draw blood. Its answer is a house call built like a delivery network - human at the doorstep, software behind the wheel.
The Mental-Health Company Betting That Belonging Is Medicine
Vanna Health starts where the clinic usually stops: at home, on the bus, inside a clubhouse, and in the slow work of earning trust. Its wager is that the most useful mental-health technology may be the one that helps another human keep showing up.
The Hospital With No Hallways
Amwell Medical Group’s cleverest product is not an app. It is a nationwide medical practice designed to appear exactly where a health system runs out of doctors, hours or state lines.
Machinify’s $670 Million Bet: Fix America’s Medical Bills Before They’re Paid
Machinify started with a broad promise to turn enterprise data into decisions. A decade later, it is making a narrower, harder wager: teach machines the rules of American healthcare, then catch costly claims errors before the money leaves the building.
Maven Clinic Spent a Decade Selling Women’s Health to Bosses. Now It’s Coming Back for Everyone
Maven’s first consumer clinic arrived before patients were ready. Employers funded the long detour - and 28 million covered lives later, the company is reopening the front door with a broader bet on women’s health.
The $100,000 Problem Hiding Under a Patient's Foot - and the 20-Second Habit Podimetrics Built to Catch It
Podimetrics began with an insole, survived an electrical-tape prototype, and found its business in a deceptively simple ritual: stand still for 20 seconds before a wound becomes a crisis.
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.
Alaffia Health
Alaffia Health is a New York-based healthtech company that uses agentic AI paired with expert clinicians to help health insurers detect and stop waste, fraud, and abuse in medical claims. Its Autodor platform forensically reviews complete patient medical records against submitted claims to power payment integrity, utilization management, and appeals workflows - reviewing complex facility claims up to 20x faster than manual processes while keeping humans in the loop for defensible, explainable outcomes.
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.
H1
H1 is a New York-based healthcare data and technology company that maps the world's healthcare professionals, clinical trials and provider networks into a single platform. Founded in 2017 by Ariel Katz and Ian Sax, H1 aggregates billions of data points - peer-reviewed publications, clinical trial records, medical claims and provider directories - so pharmaceutical, biotech, medtech, health-plan and digital-health customers can find the right doctors, run better clinical trials, engage key opinion leaders and keep provider information accurate. Its stated mission is to create a healthier future by making healthcare information and evidence-based medicine accessible globally.
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.
Pelago
Pelago is a virtual clinic for substance use management, delivering physician-led, evidence-based care for tobacco, alcohol, opioid and other substance use. Founded in 2017 as Quit Genius by three Imperial College London physicians, the company combines cognitive behavioral therapy, medication-assisted treatment and at-home monitoring tools into a program sold to employers, health plans and pharmacy benefit managers. Pelago says it has supported more than 750,000 members and validates its approach with 13 peer-reviewed studies.
Scripta Insights
Scripta Insights is a Needham, Massachusetts healthcare technology company that helps self-insured employers, health plans and their members cut pharmacy benefit costs without switching PBMs. Its Rx Navigation platform, powered by the proprietary Med Mapper AI engine, analyzes prescription claims and clinical data to surface lower-cost, therapeutically equivalent medication options - getting patients 'The Right Meds at The Best Price.' Founded in 2019 by serial entrepreneur Eric Levin and physician Dr. Paul Bradley, the company serves more than 80 employer and health-plan clients and raised $42M total after a $17M Series B in December 2024.
Truveris
Truveris is a healthcare technology company that helps employers, benefits consultants and plan sponsors buy and oversee pharmacy benefits. Founded in 2009 and based in Wilmington, Delaware, it runs a competitive procurement marketplace connecting buyers with 60-plus pharmacy benefit managers, analyzes 100% of pharmacy claims to police PBM contract performance, and layers on independent audits and member engagement tools. The company says clients typically see roughly 20% improvement on pharmacy contract costs.
Evidium
Evidium is a San Francisco healthcare-AI company building what it calls 'Referenced AI' - a neurosymbolic platform that turns medical evidence into computable knowledge. Rather than a black box, it projects patients across a computable map of clinical states and the transitions between them, so every insight traces back to guidelines, charts, and research. Founded and led by Carl Bate, the company sells transparent clinician-quality insights and probabilistic risk forecasts to health systems, insurers, and payviders, and closed a $22M Series A co-led by Health2047 (the AMA's venture studio) and WGG Partners in November 2025.
Vynca
Vynca is a healthcare company focused on serious illness and end-of-life care. Founded in 2013 out of Stanford Biodesign, it began as advance care planning software that put patients' end-of-life wishes into the electronic health record, then expanded into hands-on clinical services. Today it combines home-based and virtual palliative care, care navigation, and enhanced care management with technology, partnering with health plans and providers to keep seriously ill patients comfortable, out of the hospital, and cared for on their own terms.
TJ Ademiluyi
TJ Ademiluyi is the CEO and co-founder of Alaffia Health, a New York healthcare-technology company that pairs licensed clinicians with agentic AI to review medical claims for health plans. Raised in a family that ran a medical-billing business, he traded a finance career at Goldman Sachs to build software that reads patient records, checks provider bills against policy, and flags overpayments before they are paid. He founded the company in 2020 with his older sister, Adun Akanni, was named to Forbes' 2023 30 Under 30 in Healthcare, and in February 2026 raised a $55 million Series B led by Transformation Capital, bringing total funding above $73 million.