Upward Health
Series C in 2025
Upward Health Inc., established in 2017 and headquartered in Providence, Rhode Island, is a specialty care coordination organization that partners with health plans and providers to deliver home-based medical and behavioral care for individuals with complex needs, such as mental illness and substance abuse disorders. The company coordinates care among members' caregivers, primary care physicians, and other specialists to facilitate recovery and safe community reintegration. By focusing on high-risk patients, Upward Health aims to improve outcomes and reduce healthcare costs for its partners.
Sempre Health
Venture Round in 2023
Founded in 2015, Siempre Health operates a platform that dynamically adjusts patient co-payments based on medication adherence. It works with health plans and pharmaceutical manufacturers to improve clinical outcomes by incentivizing patients to fill prescriptions promptly via SMS reminders and discounts.
Nest Health
Venture Round in 2023
Nest Health is a family healthcare platform that brings medical services to the home through in-home and virtual visits. It serves patients across newborns, children, teens, and adults with a wide range of services including medical, behavioral health, and nutrition support, as well as preventive care, sick visits, and chronic disease management. The company aims to reduce the burden of arranging care by enabling patients to receive necessary treatments and consultations without leaving home, delivering convenient and accessible care in the familiar setting of the home.
Limber Health
Series A in 2022
Limber Health facilitates the delivery of hybrid musculoskeletal (MSK) care, combining in-person and digital services. Developed by physical therapists and physicians, their platform offers tools for Remote Therapeutic Monitoring, Home Exercise Programs, Outcomes Collection, MIPS Reporting, and supports value-based care.
Upward Health
Series B in 2022
Upward Health Inc., established in 2017 and headquartered in Providence, Rhode Island, is a specialty care coordination organization that partners with health plans and providers to deliver home-based medical and behavioral care for individuals with complex needs, such as mental illness and substance abuse disorders. The company coordinates care among members' caregivers, primary care physicians, and other specialists to facilitate recovery and safe community reintegration. By focusing on high-risk patients, Upward Health aims to improve outcomes and reduce healthcare costs for its partners.
First Dollar
Series A in 2022
First Dollar offers a health savings platform that provides health savings account services and a range of health spending benefits. The company develops infrastructure for employers to administer health spending programs, helping users save on out-of-pocket healthcare costs while supporting healthcare savings and retirement planning. Founded in 2019 and based in Austin, Texas, First Dollar targets younger workers such as millennials and Gen Z to simplify access to care and optimize health-related spending.
Workit Health
Series C in 2021
Workit Health provides online therapeutic content and professional counseling services for substance use recovery. It offers Workit, an interactive platform for individuals seeking to reduce or quit alcohol consumption, providing discreet access to on-demand medical and psychosocial support.
Workit Health
Series B in 2020
Workit Health provides online therapeutic content and professional counseling services for substance use recovery. It offers Workit, an interactive platform for individuals seeking to reduce or quit alcohol consumption, providing discreet access to on-demand medical and psychosocial support.
Emids
Private Equity Round in 2020
Emids is a healthcare technology company that provides digital transformation, software development, data engineering and analytics services to payers, providers, life sciences and technology firms. It offers digital transformation initiatives, custom application development and maintenance, business intelligence and analytics, package implementations and broader consulting in areas such as IT strategy, member and patient engagement, and payer–provider collaboration, as well as population health and care management. The company focuses on improving access to affordable, high-quality care by delivering healthcare-specific software, data services and technology-enabled solutions. Founded in 1999 and based in Tennessee, Emids serves the healthcare ecosystem across health plans, providers and life sciences entities.
Healthify
Series B in 2019
Healthify, Inc. is a New York-based company that specializes in community referral and social determinants management software for healthcare organizations, including health plans, hospitals, and provider networks. Founded in 2013, Healthify's platform aims to enhance the coordination of social services by providing tools such as Healthify Search, which identifies resources for social or behavioral health needs; Healthify Track, designed to understand and report on population needs and referrals; Healthify Coordinate, which facilitates collaboration among key partners; and Healthify Measure, which assesses outcomes and fosters accountability. The company emphasizes building accountable networks of community-based organizations and aims to demonstrate the return on investment for social service interventions, ensuring that families access necessary services to improve their health and well-being. Healthify collaborates with partners across all fifty states to support social determinants of health initiatives effectively.
Verata Health (Now Part of Olive)
Series A in 2019
Verata Health, now part of Olive, was established in 2017 and is headquartered in Bloomington, Minnesota, with additional offices in Minneapolis, Boston, and Orlando. The company specializes in developing artificial intelligence-based software solutions aimed at improving the prior authorization process for healthcare providers and payers. Its platform synthesizes clinical documentation and medical necessity rules to provide real-time decision recommendations, thereby streamlining manual tasks and enhancing efficiency. By removing barriers associated with prior authorization, Verata Health's technology enables healthcare providers, private practices, and pharmacies to take control of their revenue cycles, reduce write-offs, and ensure that patients receive timely care. The company has gained trust from health systems and providers across the country for its innovative approach to modernizing the healthcare authorization process.
Workit Health
Series A in 2019
Workit Health provides online therapeutic content and professional counseling services for substance use recovery. It offers Workit, an interactive platform for individuals seeking to reduce or quit alcohol consumption, providing discreet access to on-demand medical and psychosocial support.
OncoHealth
Series B in 2018
OncoHealth specializes in oncology benefits management solutions aimed at alleviating the physical, mental, and financial burdens of cancer. The company offers a range of services including prior authorization, clinical decision support, physician education, and expert peer review. Additionally, OncoHealth provides consulting for oncology network evaluation and optimization, as well as performance reporting and analytics. The company also features MATIS, a clinical decision support software that enhances oncology analytics through an evidence-based approach to cancer treatment evaluation and benefits management. Founded in 2009 and headquartered in Atlanta, Georgia, with a secondary location in Plantation, Florida, OncoHealth serves health plans, employers, providers, patients, and life science researchers, leveraging technology and real-world data to navigate the complexities associated with cancer care.
Lumiata is a predictive health analytics company that applies artificial intelligence to healthcare data to deliver real-time, patient-level predictions. It builds a medical graph to organize symptoms, diagnoses, procedures and medications, enabling risk-bearing organizations such as payers, hospital networks, and population health programs to forecast health trajectories, cost, and care needs. The Lumiata Risk Matrix provides time-based predictions with explanations of medical reasoning. The platform combines big data, clinical knowledge, and proprietary intellectual property drawn from over 120 million patient records to support use cases like underwriting and care management. Founded in 2013 and based in San Mateo, California, Lumiata serves providers, payers, and digital health companies, enabling predictive analytics at scale while protecting privacy.
Picwell Inc. is a Philadelphia-based company that operates an online predictive recommendation engine aimed at helping consumers select appropriate health plans. Founded in 2013, Picwell utilizes lifestyle, behavioral, and financial data, along with health claims, to forecast individual healthcare needs. Its software facilitates the benefits purchasing process by matching consumers with optimal plan packages during enrollment, taking into account future care considerations and personal preferences. By simplifying the decision-making process, Picwell serves a diverse range of stakeholders, including exchanges, benefit platforms, agents, brokers, and employers, ultimately enhancing efficiency and cost-effectiveness across the benefits ecosystem.
Lumiata is a predictive health analytics company that applies artificial intelligence to healthcare data to deliver real-time, patient-level predictions. It builds a medical graph to organize symptoms, diagnoses, procedures and medications, enabling risk-bearing organizations such as payers, hospital networks, and population health programs to forecast health trajectories, cost, and care needs. The Lumiata Risk Matrix provides time-based predictions with explanations of medical reasoning. The platform combines big data, clinical knowledge, and proprietary intellectual property drawn from over 120 million patient records to support use cases like underwriting and care management. Founded in 2013 and based in San Mateo, California, Lumiata serves providers, payers, and digital health companies, enabling predictive analytics at scale while protecting privacy.
Healthify
Series A in 2017
Healthify, Inc. is a New York-based company that specializes in community referral and social determinants management software for healthcare organizations, including health plans, hospitals, and provider networks. Founded in 2013, Healthify's platform aims to enhance the coordination of social services by providing tools such as Healthify Search, which identifies resources for social or behavioral health needs; Healthify Track, designed to understand and report on population needs and referrals; Healthify Coordinate, which facilitates collaboration among key partners; and Healthify Measure, which assesses outcomes and fosters accountability. The company emphasizes building accountable networks of community-based organizations and aims to demonstrate the return on investment for social service interventions, ensuring that families access necessary services to improve their health and well-being. Healthify collaborates with partners across all fifty states to support social determinants of health initiatives effectively.
IDX is a consumer privacy platform that helps individuals take control of their privacy and identity through a digital identity protection suite. The platform offers data breach response, identity protection services, and solutions for employee benefits and consumer privacy as part of a flexible, secure platform used by government, enterprise, and partner ecosystems. IDX monitors financial, dark web, and medical transactions to detect indicators of fraud, including health claims monitoring technology, and provides underwritten insurance to cover identity theft expenses and potential electronic funds loss. The aim is to protect the reputations of customers and employees by mitigating identity-related risks for organizations and their ecosystem partners.
IDX is a consumer privacy platform that helps individuals take control of their privacy and identity through a digital identity protection suite. The platform offers data breach response, identity protection services, and solutions for employee benefits and consumer privacy as part of a flexible, secure platform used by government, enterprise, and partner ecosystems. IDX monitors financial, dark web, and medical transactions to detect indicators of fraud, including health claims monitoring technology, and provides underwritten insurance to cover identity theft expenses and potential electronic funds loss. The aim is to protect the reputations of customers and employees by mitigating identity-related risks for organizations and their ecosystem partners.
OncoHealth
Series A in 2016
OncoHealth specializes in oncology benefits management solutions aimed at alleviating the physical, mental, and financial burdens of cancer. The company offers a range of services including prior authorization, clinical decision support, physician education, and expert peer review. Additionally, OncoHealth provides consulting for oncology network evaluation and optimization, as well as performance reporting and analytics. The company also features MATIS, a clinical decision support software that enhances oncology analytics through an evidence-based approach to cancer treatment evaluation and benefits management. Founded in 2009 and headquartered in Atlanta, Georgia, with a secondary location in Plantation, Florida, OncoHealth serves health plans, employers, providers, patients, and life science researchers, leveraging technology and real-world data to navigate the complexities associated with cancer care.
Picwell Inc. is a Philadelphia-based company that operates an online predictive recommendation engine aimed at helping consumers select appropriate health plans. Founded in 2013, Picwell utilizes lifestyle, behavioral, and financial data, along with health claims, to forecast individual healthcare needs. Its software facilitates the benefits purchasing process by matching consumers with optimal plan packages during enrollment, taking into account future care considerations and personal preferences. By simplifying the decision-making process, Picwell serves a diverse range of stakeholders, including exchanges, benefit platforms, agents, brokers, and employers, ultimately enhancing efficiency and cost-effectiveness across the benefits ecosystem.
Allay Inc. is a benefits consulting company based in San Francisco, California, incorporated in 2014. The company specializes in facilitating online, paperless health insurance purchasing and HR benefits administration for small to medium-sized businesses. Allay operates a platform that streamlines the process of purchasing, funding, and managing employee benefits, allowing companies to collaborate with their preferred brokers. Additionally, Allay models the impact of various healthcare vendors and stop-loss insurance contracts within self-insured plans, enabling benefits advisors to recommend optimal vendor combinations that reduce costs and enhance quality for specific populations. As of early 2020, Allay operates as a subsidiary of Novo Benefits, LLC.
BeneStream
Series A in 2015
BeneStream Inc., established in 2013 and headquartered in New York, specializes in facilitating access to government benefits for employees. It offers a web-based system that uses employee payroll data to determine eligibility for programs like Medicaid, food stamps, and child health insurance. BeneStream assists employers, particularly those with large low-income workforces, by providing outsourced enrollment services into Medicaid, helping them comply with the Affordable Care Act while reducing costs. The company's platform also includes digital screening capabilities and a multilingual call center for personalized assistance.
Lumiata is a predictive health analytics company that applies artificial intelligence to healthcare data to deliver real-time, patient-level predictions. It builds a medical graph to organize symptoms, diagnoses, procedures and medications, enabling risk-bearing organizations such as payers, hospital networks, and population health programs to forecast health trajectories, cost, and care needs. The Lumiata Risk Matrix provides time-based predictions with explanations of medical reasoning. The platform combines big data, clinical knowledge, and proprietary intellectual property drawn from over 120 million patient records to support use cases like underwriting and care management. Founded in 2013 and based in San Mateo, California, Lumiata serves providers, payers, and digital health companies, enabling predictive analytics at scale while protecting privacy.
Essence Group Holdings
Private Equity Round in 2014
Essence Group Holdings Corporation, through its subsidiaries, offers health insurance and software. The company was incorporated in 2007 and is based in Maryland Heights, Missouri.
MedSave USA
Venture Round in 2014
MedSave has been a leader in a wide range of healthcare services since 1985. They have applied innovative thinking, proprietary technology and a client-focused business model in order to serve their clients with a suite of services that include: Risk Adjustment, Managed Care Administration, Medical Record Retrieval & Coding Services, Third Party Administration for Employer Health Plans, International healthcare cost management services as well as Administrative Back-Office solutions for Hospice Organizations. They are a TPA (Third Party Administrator) for hospitals, healthcare systems and public entities.
ZeOmega
Funding Round in 2013
ZeOmega, established in 2001, specializes in population health management by offering a robust platform tailored for payers, providers, and organizations focused on value-based care. The platform integrates workflow, analytics, and communication tools, addressing the complexities of population health challenges. With a commitment to enhancing collaboration among stakeholders, ZeOmega's solutions support the implementation of diverse healthcare management strategies that aim to improve quality of care, boost provider performance, enhance patient satisfaction, and achieve cost savings. The company serves a wide range of clients, including health plans, medical management organizations, and disease management entities, providing the necessary resources for effective care delivery and compliance while optimizing revenue.
Essence Group Holdings
Private Equity Round in 2011
Essence Group Holdings Corporation, through its subsidiaries, offers health insurance and software. The company was incorporated in 2007 and is based in Maryland Heights, Missouri.
Essence Group Holdings
Private Equity Round in 2011
Essence Group Holdings Corporation, through its subsidiaries, offers health insurance and software. The company was incorporated in 2007 and is based in Maryland Heights, Missouri.
Capson
Funding Round in 2010
Capson is a company based in Austin, Texas, that is transforming the medical malpractice insurance industry. Established in 2010, Capson emphasizes not only the policy aspects of medical insurance but also the overall experience for physicians and their patients. This approach allows clients to secure medical insurance at lower premiums while facilitating quicker claims resolutions. By prioritizing both coverage and user experience, Capson aims to enhance the relationship between medical professionals and their insurers.