medicaid
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American Logistics and the hard part of getting to the doctor
A medical ride starts long before a driver arrives. American Logistics has built a business around the insurance rules, local operators and human judgment that make the trip possible.
The nursing-home rulebook is a maze. Zimmet built a business selling the map.
Zimmet started with Medicare cost reports, found a market full of disconnected rules and data, and spent three decades turning that confusion into consulting, software and outsourced clinical work. Its first software win also exposed the flaw that shaped everything after it.
The Company Quietly Replacing 45 Systems Behind Your Dental Claim
Dental insurance looks simple until a payer tries to run it across 50 states. SKYGEN built the plumbing - software, claims operations and provider tools - that turns a thicket of legacy systems into one working benefits business.
Anna Lindow Built for the Patients the Startup Playbook Forgot
She took lessons from media, education and one stubborn Miami launch, then built a national company around an unfashionable question: who gets left out when convenience becomes the product?
Bruno Van Tuykom Is Building for the Patient the Market Forgot
An electrical engineer learned to see access as a systems problem. Now he and co-founder Amy Fan are turning an unfashionable constraint - serving people commonly ignored by digital care - into Twentyeight Health's operating design.
Brave Health Bet on the Patients Telehealth Forgot - Then Had to Make the Math Work
Most virtual-therapy companies chased easy-to-reach customers. Brave Health built for Medicaid members, where the hard part is not launching a video call - it is finding patients, accepting their insurance and keeping care financially sustainable.
AnswersNow Bet Five Virtual Hours Could Challenge the 30-Hour Autism Therapy Week - 504 Families Put It to the Test
The Richmond company replaced a scrappy text-support service with insurance-funded, BCBA-direct virtual care. A new 504-participant study suggests the lower-hour model is feasible and well liked - while also showing exactly what still needs proving.
Twentyeight Health Put Medicaid at the Center - Then Built the Women’s Clinic the Internet Was Missing
The company started with a five-minute birth-control intake. Its bigger bet is that accepting Medicaid, stitching care to insurance and staying useful after the first prescription can turn a commodity telehealth visit into a durable women’s-health platform.
The Speech Therapist Who Bet the Parents Do the Real Work
A speech pathologist got tired of watching kids wait months for care they could barely access. So she built a company on an uncomfortable premise: the therapist is not the one who fixes your child's speech - you are.
The Healthcare Holding Company Building a Front Door That Opens at Home
True Ventures Group is assembling home care, remote monitoring and virtual medicine under one roof - a practical bet that the hardest part of healthcare is often what happens between appointments.
The Fund Betting That the Poorest ZIP Codes Are the Best Returns
Andy Slavitt ran Medicare. Now he runs a $1.4 billion fund arguing that the patients Wall Street ignores are where the money is - and the math, so far, agrees.
Magellan Health
It started as a chain of psychiatric hospitals in Georgia. Fifty-plus years later, Magellan Health decides how millions of Americans get their mental health care approved - and after a $2.2 billion round trip through Centene, it is about to be on its own again.
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.
Humana
How a 1961 nursing-home bet in Louisville became a Medicare Advantage powerhouse - and why Humana is now buying the clinic, the pharmacy and the house call instead of just the insurance card.
Blooming Health
Blooming Health is a New York-based social care technology company using AI to automate access to social services for older adults and vulnerable populations. Its AI-assisted, multilingual platform engages people across text, voice, and email to detect needs, screen for benefits, and connect them to services like meals, transportation, housing assistance, and Medicaid or SNAP recertification. Sold to Area Agencies on Aging, government agencies, community-based organizations, and healthcare providers, the platform has connected over 1.5 million people across roughly two dozen states and raised $32.5 million to date, including a $26 million Series A led by Insight Partners in April 2025.
Cedar
Cedar is a New York-based healthcare financial technology company that helps hospitals, physician groups and payers modernize the way patients understand and pay their medical bills. Founded in 2016 by Florian Otto and Ariel Lidow, Cedar combines consumer-grade digital billing, personalized payment plans, coverage and benefits tools, and AI-powered support - including its Kora AI voice agent - into a single patient financial engagement platform. It works with more than 55 leading health systems and payers, has processed billions of dollars in patient payments, and reached a $3.2 billion valuation after a 2021 Series D.
Conduit Health
Conduit Health is a New York-based healthcare technology company that rebuilds the path to insurance-covered home medical supplies for Medicare and Medicaid patients. It combines clinical evaluation, insurance authorization, and physical supply fulfillment into one vertically integrated platform, powered by CareOS - an agentic AI engine trained on 50,000+ patient interactions that predicts approval likelihood and automates payer paperwork. Founded in 2024 by Natan Wise and Rocky Seftel, Conduit has delivered supplies to more than 50,000 patients and works with 100+ health plans covering nearly 90 million lives.
Headway
Headway is a New York-based healthtech company building a software-enabled network that makes it easier to find a therapist and to pay for one with insurance. Its three-sided marketplace connects patients, mental health clinicians, and insurance plans: patients search for in-network providers with transparent copays, clinicians offload credentialing, billing, scheduling, and claims to Headway, and insurers gain a larger accessible network. Founded in 2019 by Andrew Adams and co-founders, Headway operates in all 50 states with roughly 34,000 clinicians and, after a $100M Series D in 2024, is valued at about $2.3 billion.
Marigold Health
Marigold Health is a Boston-based digital behavioral health company that combines certified peer recovery coaches with a 24/7 anonymous, text-based support community. Natural language processing scans member conversations to flag emerging needs and route human support where it matters most, helping people with mental health and substance use conditions stay engaged in recovery. Marigold contracts primarily with Medicaid and dual-eligible health plans under value-based arrangements, and became the largest provider of peer recovery supports in Delaware.
Performance Kitchen | Food Is Medicine®
Performance Kitchen | Food Is Medicine® is an Austin, Texas company that produces chef-crafted, dietitian-approved Medically Tailored Meals designed to help manage chronic conditions such as diabetes, heart disease, and renal disease. Founded in 2011 as a healthy consumer food brand sold in more than 10,000 retail stores, the company pivoted to lead the Food Is Medicine movement, delivering ready-to-eat meals that are increasingly paid for by health insurers and delivered directly to members' homes. Led by Chairman and CEO Mark Walker, a CPA and founder of athlete-backed Dugout Ventures, Performance Kitchen operates nationwide production and distribution reaching roughly 98% of the U.S.
Televero Behavioral Health
Televero Behavioral Health is an Austin, Texas physician-led virtual behavioral health practice that delivers online therapy, psychiatry, medication management, and neurotesting for conditions like anxiety, depression, ADHD and autism. Built as a licensed medical practice rather than an app or marketplace, it pairs same-day and same-week access with clinical oversight from MDs, nurse practitioners and licensed counselors, and accepts commercial insurance, Medicare and Medicaid so cost is not a barrier to care.
Cozeva
Cozeva is a cloud-based, real-time data platform built by Applied Research Works that helps health plans, physician organizations, and their partners move from fee-for-service to value-based care. It unifies quality measurement (HEDIS, Medicare Stars, P4P), risk adjustment (HCC coding and recapture), and population health analytics in a single, EHR-interoperable system that lets clinicians act on care gaps at the point of care. Founded in 2012 and based in San Ramon, California, Cozeva serves 25M+ lives and 97,000+ providers, holds NCQA and HITRUST certifications, and earned Best in KLAS recognition in 2025 and 2026. In October 2025 it merged with Vatica Health to combine top-ranked quality and risk-adjustment platforms.
Model N
Model N is a Redwood City-based enterprise software company that builds cloud revenue-management systems for pharmaceutical, medtech, semiconductor, and high-tech manufacturers. Its Revenue Cloud automates pricing, quoting, contracting, rebates, incentives, and regulatory compliance - the commercial machinery that governs how life sciences and high-tech companies book and protect their top line. Founded in 1999 and taken public in 2013, Model N was acquired by Vista Equity Partners in 2024 for $1.25 billion and now serves 150+ leading brands across more than 120 countries.
Delfina
Delfina is a San Francisco-based maternal health company that pairs an AI-powered clinical platform with a consumer pregnancy app to make prenatal care proactive rather than reactive. Its predictive models flag rising risk - preterm birth, hypertensive disorders, gestational diabetes - while patients track vitals from home and connect around the clock with bilingual virtual doulas, dietitians, and mental health support. Founded in 2021 by physician-scientist Dr. Senan Ebrahim and his co-founders, Delfina sells to health plans, providers, and employers, and has raised roughly $22M to date, including a $17M Series A in January 2025.
SafeinHome
SafeinHome is a remote supports company that helps people with intellectual and developmental disabilities (I/DD) and older adults live more independently. It pairs a system of discreet home sensors and a two-way tablet with trained staff available around the clock, so individuals get reminders, check-ins and real-time help through the day and night without a caregiver physically present at all times. The service is delivered as a Medicaid Home and Community-Based Service (HCBS) across 17 states, aiming to cut per-hour support costs while preserving each person's dignity and autonomy.
Natan Wise
Natan Wise is the co-founder and CEO of Conduit Health, a New York based company that helps Medicare and Medicaid patients get insurance-covered medical supplies. In March 2026 the company raised a $17 million Series A led by Drive Capital, bringing total funding to $22 million. Before Conduit, Wise was Chief of Staff at Branded, held expansion and strategy roles at Candid Care, and was on the founding team at ConsenSys Ventures, where he worked on early seed checks into BlockFi, Starkware, and Quantstamp.
Nima Roohi Sefidmazgi
Nima Roohi Sefidmazgi is co-founder and CEO of Blooming Health, a New York City startup that uses AI to automate outreach, screening, and referrals for social care - the food, transportation, and support services that sit outside the doctor's office but often decide how a person actually fares. He is a former global data science lead with a decade in machine learning for healthcare and a PhD from the University of Wisconsin-Madison. He started the company in East Harlem in 2020 after becoming a full-time caregiver for his mother-in-law during the pandemic; it has since raised $32.5M, including a $26M Series A led by Insight Partners in April 2025, and operates across 25 states.
Shrenik Jain
Shrenik Jain is the founder and CEO of Marigold Health, a Boston-based company that pairs certified peer specialists with 24/7 text-based support groups, supported by natural language processing that surfaces needs inside conversations. A Johns Hopkins graduate and former EMT, he raised an $11M Series A in June 2024 led by Rock Health and Innospark Ventures, and was named to the Forbes 30 Under 30 in Healthcare.
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.
Allswell
Allswell is a queer-founded, community-first mental health company delivering virtual, affirming therapy for LGBTQ+ adults. It pairs clients with licensed therapists trained in LGBTQ+-affirming care and evidence-based modalities (CBT, CPT, EMDR, DBT, IFS), and blends one-on-one video sessions with peer groups and community spaces. Live in Maryland and in-network with Medicaid and major insurers, Allswell raised $1.3M in pre-seed funding led by Amboy Street Ventures to close longstanding gaps in mental health care for queer people.