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.
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.
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.
Bluebird Kids Health
Bluebird Kids Health is a Boston-founded pediatric primary care company delivering value-based, tech-enabled medicine to children in underserved Florida communities. It combines physical and behavioral health under one roof, offers 24/7 access and telehealth, and gets paid to keep kids well rather than per visit. Led by former Landmark Health CEO Chris Johnson, it raised $31.5M in 2025 to expand its network of NCQA-recognized clinics serving roughly 20,000 mostly Medicaid-enrolled patients.
Grapevine Health
Grapevine Health is a Washington, DC-based digital health media company founded by physician and epidemiologist Dr. Lisa Fitzpatrick. It creates culturally relevant, plain-language health content and delivers it through trusted messengers, street-level conversations, and an SMS platform called HealthText to raise health literacy and build trust among Medicaid enrollees and other underserved communities.
Ounce of Care
Ounce of Care (brand name: Ounce) is a New York-based company building the tech-enabled resident services layer for affordable housing. It embeds on-site Community Navigators and virtual care teams inside apartment communities, then uses its Ounce Hub platform to enroll residents in public benefits like SNAP and Medicaid, coordinate health and social services, and run educational programming. The result is a rare win-win: residents get stability and support, and property owners get better retention, occupancy, and asset performance.
Accompany Health
Accompany Health is a Bethesda, Maryland-based healthcare company building integrated primary, behavioral, and social care for low-income patients with complex medical needs. Founded in 2022 and publicly launched in January 2024 with $56 million in Series A funding, the company pairs a proprietary care-model technology platform with at-home and virtual visits, 24/7 support, and help navigating benefits like Medicaid and SNAP. It aims to be the kind of patient-centered, dignified care system that high-need, under-resourced patients rarely get.
Better Health
Better Health is a modern medical supplier and digital care platform that helps people living with chronic conditions get the supplies they need at home, delivered with peer support, education, and insurance handled for them. Founded in 2019 by Naama Stauber Breckler and Adam Breckler, the company bundles diabetes, ostomy, urology, incontinence, and wound care products with human peer coaching, operating across 48 states and contracting directly with payers including Medicare, Medicaid, Cigna, Humana, Florida Blue, and Oscar.