pharmacy-benefits
(6)
Ringmaster Wants to Retire the Spreadsheet From Self-Funded Health Care
The Boca Raton software company is betting that the messiest corner of employee benefits can be turned into one connected workflow - from the first RFP to the last reimbursement request.
The Drugstore That Swallowed the Health-Care Map
CVS Health has assembled a pharmacy, an insurer, a benefits manager and a care network under one red heart. The result is a $402 billion experiment in whether scale can make American health care feel less fragmented.
The Cigna Group
The insurance card is only the front door. Behind it sits a $274.9 billion machine spanning pharmacy benefits, specialty medicine, behavioral care and digital health - built to make a fragmented system behave more like one business.
UnitedHealth Group
UnitedHealth Group has built a vast loop around American health care - paying claims, delivering care, managing prescriptions and supplying the data beneath it all. The same integration that gives it unusual reach also puts every friction point under a brighter light.
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.