Compt is a Boston-based HR software company that runs flexible employee stipends and Lifestyle Spending Accounts (LSAs) for employers. Instead of one-size-fits-all perks, employees choose how to spend an allowance across categories like wellness, professional development, childcare, home office and pet care; they submit a receipt and get reimbursed through payroll with the correct tax treatment applied automatically. Founded in 2018 by Amy Spurling, the reimbursement-based platform emphasizes IRS-compliant tax handling, high participation, and low administrative overhead, and operates across all 50 U.S. states and 75+ countries.
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.
Binkey is a Washington, DC fintech that lets online merchants accept pre-tax health benefit dollars - FSA, HSA, and related accounts - as payment at checkout. Its AI-powered engine classifies products at the SKU level to determine IRS eligibility in real time, automates claim filing and reimbursement, and routes funds through developer-friendly APIs. Products span Binkey Pay (checkout acceptance), FSA + HSA Rewind (recovering unused benefit dollars from past purchases), and Binkey Vision (out-of-network vision reimbursement). The company raised $3.3M in seed funding in 2023.
Fetch Pet Insurance is a New York-based provider of comprehensive health insurance for dogs and cats across the United States and Canada. Founded in 2003 by Wharton students Chris and Natasha Ashton, it operated for nearly two decades under the Petplan brand before rebranding as Fetch (initially 'Fetch by The Dodo') in 2022. Backed by Warburg Pincus, Fetch reimburses up to 90% of unexpected vet bills and folds in coverage others charge extra for - exam fees, dental for every adult tooth, behavioral therapy, and telehealth - while protecting more than 500,000 pets.
Dilpreet Sahota is the co-founder and CEO of Trek Health, a San Mateo-based, AI-powered platform that turns the federal price-transparency data dump into a weapon healthcare providers can use to benchmark and negotiate their payer contracts. Founded in January 2022, Trek Health landed its first paying customer two months later, crossed 100 customers by late 2024, and raised an $11M Series A led by Madrona in 2025. A Stanford and UC Berkeley graduate who cut his teeth at Health IQ and Big Health, Sahota built Trek to attack a quietly brutal problem: identical medical services can be reimbursed at rates that vary 300-500%, and the smaller players almost never know it.