Best Healthcare Payer Tech Companies in United States
The 441 best Healthcare Payer Tech companies in United States in 2026, ranked by funding and momentum. Funding, investors, founders, valuation, tech stack and live signals. Top: Anthem.
Healthcare Payer Tech in the United States is where $11.9B in disclosed funding has stacked up across 441 tracked companies, and the numbers make a strong case that this sector's still attracting serious capital. Seven unicorns have cleared the threshold, with Devoted Health leading the directory at $2.3B raised and Judi Health not far behind at $593M. According to IMARC Group, the global market sits around $59.9B and is forecast to reach $91.7B by 2027, compounding at roughly 6.3% annually, driven by outsourcing pressure and the enforcement of stricter healthcare regulations. That regulatory tailwind alone is keeping payers on their toes.
So what does the revenue picture actually tell you? A combined pool of roughly $38.6B across six filers is impressive on paper, but Express Scripts Holding Co. owns the lion's share at $25.6B, and its net income of $1.1B runs 54x the sector median of $20M. That kind of concentration is worth watching. Median revenue growth sits at just 1% YoY, which I'd read as a maturing infrastructure layer, not a stalling one. App installs across healthcare-adjacent categories are up a median of 16% YoY across 53 tracked apps, and active backers like Echo Health Ventures and Y Combinator are still writing checks. The floor here is high.
- ResearchAndMarkets.com
Ranked: Best Healthcare Payer Tech companies in United States
| # | Company | Disclosed funding | Last round | Employees | Founder | Tech stack | Web popularity | Patents & IP focus | Recent signals |
|---|---|---|---|---|---|---|---|---|---|
| 1 | Anthem Provider of health benefits management software for patients and enterprises | $2.5B | 81 mo ago | 51,500 | Gail Boudreaux CEO & President | — | Top 10M | 15 patents AI-powered healthcare analytics and voice-enabled virtual assistant platforms for personal data access | — |
| 2 | Devoted Health 🦄 Provider of healthcare insurance plans for individuals 87Funding top 10%Tech top 20%Moat top 20%Market top 25% All 11 signals ▾Fundingtop 10% Techtop 20% Moattop 20% Markettop 25% Producttop 27% Talenttop 28% Growthtop 32% Innovationtop 33% Customersbottom 45% Globalbottom 39% Newsbottom 18% Funding: Raised $2.3B across 9 rounds · 9 rounds over 9 yrs (1.0/yr) Tech: 37 technologies across 7/8 capability areas · Cloud: Amazon Cloudfront, Amazon S3 rank vs industry peers · Fliar Intelligence Index 87/100 | $2.3B | 4 mo ago | 1,841 1,841 → 2,197 (+19%) · sector median +20% | Todd Park Co-Founder | PrismicApple iCloud MailYouTube+22 | Top 500k | — | — |
| 3 | Inovalon Cloud-based data analytics platform for providers and payers | $1.2B | 97 mo ago | 13 | — | WordPressApple iCloud MailMySQL+49 | Top 5M | 10 patents Real-time, cloud-based patient data analytics and medication fulfillment platforms. | 1 partnership · 3 awards |
| 4 | Clover Health 🦄 Provider of medicare advantage plans and related services | $938M | 88 mo ago | 562 562 → 751 (+34%) · sector median +20% | Vivek Garipalli Co-Founder | DrupalApple iCloud MailPHP+27 | Top 500k | — | — |
| 5 | Judi Health Unified pharmacy and medical benefit management solutions for healthcare ecosystem 69Funding top 13%Product top 32%Talent top 38%AI top 45% All 7 signals ▾Fundingtop 13% Producttop 32% Talenttop 38% AItop 45% Techtop 49% Globalbottom 48% Customersbottom 22% Funding: Raised $593M across 7 rounds · 7 rounds over 7 yrs (1.0/yr) Product: 1 published app (44.5k installs) · Company stage: Series F rank vs industry peers · Fliar Intelligence Index 69/100 | $593M | 10 mo ago | — | Anthony Loiacono Co-Founder & CEO | WebflowSentryWistia+18 | Top 5M | — | — |
| 6 | Innovaccer 🦄 Developer of healthcare data platforms and artificial intelligence agent software 93Funding top 23%Tech top 25%AI top 25%Moat top 25% All 13 signals ▾Fundingtop 23% Techtop 25% AItop 25% Moattop 25% Markettop 26% Fin. healthtop 28% Talenttop 28% Innovationtop 29% Patentstop 32% Growthtop 33% Producttop 38% Globaltop 42% Newsbottom 24% Funding: Raised $379M across 8 rounds · 8 rounds over 11 yrs (0.7/yr) Tech: 43 technologies across 6/8 capability areas · Cloud: Amazon S3, Amazon Ses rank vs industry peers · Fliar Intelligence Index 93/100 | $379M | 17 mo ago | 1,003 1,003 → 1,712 (+71%) · sector median +20% | Abhinav Shashank Co-Founder & CEO | WebflowGSAPNginx+22 | Top 5M | 30 patents Integrating and analyzing de‑identified healthcare data across clouds for clinical decision support | 1 partnership |
| 7 | HealthCare.com 🦄 Online insurance comparison platform for health insurances 92Growth top 20%Moat top 26%Tech top 27%Talent top 28% All 9 signals ▾Growthtop 20% Moattop 26% Techtop 27% Talenttop 28% Fundingtop 29% Markettop 31% AItop 35% Globaltop 50% Newsbottom 22% Growth: Headcount 90 → 242 (+169%) across vintages Moat: Editorial + unicorn rating 9/10 · Unicorn rank vs industry peers · Fliar Intelligence Index 92/100 | $211M | 52 mo ago | 242 | Glenn Luk Co-Founder | Investor | Board Director | Builder.ioNode.jsSalesforce+25 | Top 500k | — | — |
| 8 | NationsBenefits Provider of smart solutions for hearing disabled people | $170M | 50 mo ago | 1,000 | Glenn Parker Founder & CEO | Apple iCloud MailBootstrapAtlassian Statuspage+19 | Top 500k | 16 patents AI-driven personalized nutrition recommendation platform using biomarker data | 2 launchs · 1 partnership · 1 award |
| 9 | NirvanaHealth Developer of payer and pharmacy benefit management platform and services | $110M | 50 mo ago | 213 | Ravi Ika Founder & CEO | WordPressMySQLPHP+19 | Top 10M | — | — |
| 10 | Enlace Health Provider of data analytics and other IT infrastructure management services | $109M | 55 mo ago | 47 | Bill Nordmark President & CEO | — | — | — | — |
| 11 | Chapter 🦄 Digital medicare plan and benefits management tool for employees and individuals 64Funding top 18%Tech top 26%Moat top 26%Market top 42% All 8 signals ▾Fundingtop 18% Techtop 26% Moattop 26% Markettop 42% Growthtop 48% Talentbottom 49% Globalbottom 36% Newsbottom 34% Funding: Raised $109M across 6 rounds · 6 rounds over 13 yrs (0.5/yr) Tech: 48 technologies across 5/8 capability areas · Cloud: Amazon S3, Amazon Web Services rank vs industry peers · Fliar Intelligence Index 64/100 | $109M | 2 mo ago | 91 | Cobi Gantz Co-Founder & CEO | DatoCMSTurbopackNode.js+22 | Top 1M | — | — |
| 12 | Cohere Health Provider of prior authorization solutions to improve patient care 62Funding top 24%Moat top 31%Tech top 38%Market top 39% All 8 signals ▾Fundingtop 24% Moattop 31% Techtop 38% Markettop 39% Growthtop 45% Talentbottom 49% Globalbottom 36% Newsbottom 18% Funding: Raised $106M across 3 rounds · 3 rounds over 6 yrs (0.5/yr) Moat: Editorial + unicorn rating 8/10 · Soonicorn rank vs industry peers · Fliar Intelligence Index 62/100 | $106M | 13 mo ago | 570 | Siva Namasivayam Chief Executive Officer | WebflowApple iCloud MailGoogle Workspace+25 | Top 1M | — | — |
| 13 | Rialtic Payment solutions for healthcare sectors | $81M | 34 mo ago | 61 | Doug Williams Founder & CEO | WebflowjQueryHSTS+10 | Top 50M | — | — |
| 14 | Wellthy Online platform to guide families and patients with long term health conditions | $80M | 37 mo ago | 124 | Lindsay Jurist-Rosner Co-Founder & CEO | WebflowSentryZendesk+24 | Top 5M | — | 1 partnership |
| 15 | Truveris Pharmacy cost containment company dedicated to reducing pharmacy costs and driving transparency for employers… | $69M | 25 mo ago | 156 156 → 92 (-41%) · sector median +20% | — | WordPressMySQLPHP+29 | Top 10M | 17 patents Pharmacy claims reimbursement and health data exchange platform infrastructure | — |
| 16 | Prognos Health Provider of AI-based data sharing platform for clinics | $67M | 37 mo ago | 50 50 → 56 (+12%) · sector median +20% | Jason Bhan Co-Founder & CMO | HubSpot CMS HubAmazon Web Servicescore-js+12 | Top 50M | — | — |
| 17 | Ribbon Health Provider of predictive data analytics platform for healthcare providers | $59M | 55 mo ago | 80 | Nate Fox Co-Founder | Google Mapsstyled-componentsReact+13 | Top 50M | — | — |
| 18 | Transparent Health Marketplace Provider of online marketplace for connecting payors and providers | $57M | 37 mo ago | 47 47 → 36 (-23%) · sector median +20% | Eric Hanson Founder | — | — | — | 1 partnership |
| 19 | Lirio Provider of an AI-based patient engagement and health management software for payers and doctors 62Funding top 22%AI top 30%Moat top 36%Growth top 40% All 9 signals ▾Fundingtop 22% AItop 30% Moattop 36% Growthtop 40% Techtop 44% Newsbottom 47% Marketbottom 46% Talentbottom 41% Globalbottom 37% Funding: Raised $54.4M across 10 rounds · 10 rounds over 7 yrs (1.4/yr) AI: Classified as an AI company · Product described with: ai-based rank vs industry peers · Fliar Intelligence Index 62/100 | $54M | 1 mo ago | 94 94 → 113 (+20%) · sector median +20% | Michael West Chairman and CEO | WordPressApple iCloud MailMicrosoft 365+33 | Top 10M | — | — |
| 20 | Avalon Healthcare Solutions Laboratory benefits management platform for physicians, patients, and payers 35Funding top 26%Growth top 35%Tech top 45%News bottom 36% All 6 signals ▾Fundingtop 26% Growthtop 35% Techtop 45% Newsbottom 36% Globalbottom 32% Marketbottom 20% Funding: Raised $45.8M across 2 rounds · 2 rounds over 10 yrs (0.2/yr) Growth: Fresh capital in last 24 mo rank vs industry peers · Fliar Intelligence Index 35/100 | $46M | 5 mo ago | 7 | — | WordPressMySQLPHP+27 | Top 10M | — | — |
| 21 | Sempre Health Usage based health insurance | $46M | 33 mo ago | 36 36 → 27 (-25%) · sector median +20% | Swaraj Banerjee Co-founder & CTO | WordPressApple iCloud MailGoogle Workspace+27 | Top 10M | — | — |
| 22 | Future Family Provider of fertility financing, coaching, and support services 64Tech top 25%Funding top 28%Product top 30%Innovation top 33% All 10 signals ▾Techtop 25% Fundingtop 28% Producttop 30% Innovationtop 33% Growthtop 35% Newstop 39% Moattop 39% Talenttop 49% Marketbottom 39% Globalbottom 39% Tech: 51 technologies across 5/8 capability areas · Cloud: Amazon Cloudfront, Amazon S3 Funding: Raised $45.4M across 5 rounds · 5 rounds over 8 yrs (0.6/yr) rank vs industry peers · Fliar Intelligence Index 64/100 | $45M | 14 mo ago | 33 33 → 53 (+61%) · sector median +20% | Claire Tomkins Chief Executive Officer | SentryApple iCloud MailGoogle Workspace+29 | Top 5M | — | — |
| 23 | PurpleLab Healthcare analytics solutions for healthcare stakeholders | $43M | 45 mo ago | 27 | Mark Brosso Founder & CEO | WordPressApple iCloud MailGoogle Workspace+33 | Top 5M | — | 1 launch |
| 24 | Soda Health Provider of health benefit management solutions using a retail network | $40M | 19 mo ago | 46 | Chris Brown Co-Founder | — | — | — | 1 partnership |
| 25 | Alaffia Provider of AI-powered platform for healthcare claims management and review 57Funding top 26%AI top 45%Talent bottom 49%Global bottom 25% All 4 signals ▾Fundingtop 26% AItop 45% Talentbottom 49% Globalbottom 25% Funding: Raised $40.0M across 1 rounds · 1 rounds over 1 yrs (1.0/yr) AI: Product described with: ai-powered rank vs industry peers · Fliar Intelligence Index 57/100 | $40M | 6 mo ago | — | Adun Akanni Co-Founder & COO | — | — | — | 2 partnerships |
| 26 | Digital Owl Provider of AI platform for medical data analysis and insights | $39M | 29 mo ago | 7 | Amit Man Founder & Cto | WebflowApple iCloud MailGoogle Workspace+24 | Top 5M | — | 1 launch |
| 27 | Vi Provider of AI SaaS platform for health outcome and financial returns | $36M | 24 mo ago | 26 | Omri Yoffe Founder & CEO | WordPressApple iCloud MailGoogle Workspace+22 | Top 5M | — | — |
| 28 | Waltz Health AI-based medical prescription cost management tool for payers and consumers | $35M | 18 mo ago | 32 32 → 39 (+22%) · sector median +20% | Jonathon Thierer Co-Founder and Senior Vice President of Product | MUIAzure Front DoorReact+9 | Top 50M | — | — |
| 29 | SamaCare Provider of platform to manage prior authorisation solutions | $35M | 24 mo ago | 34 34 → 50 (+47%) · sector median +20% | Syam Palakurthy Co-Founder & CEO | TypeScriptGraphQLMUI+19 | Top 5M | — | — |
| 30 | Arrive Health Provider of information services to patients | $34M | 41 mo ago | 65 65 → 43 (-34%) · sector median +20% | Kyle Kiser Chief Executive Officer | WordPressSanityApple iCloud Mail+26 | Top 50M | — | — |
| 31 | Free Market Health Digital medication cost analysis and management tool for payers and pharmacies | $34M | 31 mo ago | 46 | Joe Cardosi Founder & CEO | — | — | — | 2 partnerships |
| 32 | Camber Provider of healthcare reimbursement system for healthcare clinics and families | $30M | 15 mo ago | — | Christophe Rimann Co-Founder | SanityNode.jsTailwind CSS+23 | Top 5M | 2 patents Cyber‑security attack simulation tools and advanced image rendering technologies | — |
| 33 | Codoxo AI-based platform for employee and individual healthcare planning 45Funding top 25%Moat top 41%AI top 45%Patents bottom 49% All 9 signals ▾Fundingtop 25% Moattop 41% AItop 45% Patentsbottom 49% Marketbottom 46% Innovationbottom 45% Growthbottom 42% Globalbottom 36% Newsbottom 26% Funding: Raised $30.0M across 5 rounds · 5 rounds over 9 yrs (0.6/yr) Moat: Editorial + unicorn rating 7/10 · IP moat: 3 patents rank vs industry peers · Fliar Intelligence Index 45/100 | $30M | 6 mo ago | 60 | — | — | — | 3 patents AI-driven healthcare claim validation and provider specialty prediction systems | 1 job opening |
| 34 | HealthHelp Provider of AI-enabled utilization management for health plans and providers 45Funding top 29%Growth top 32%Market top 45%Tech bottom 48% All 9 signals ▾Fundingtop 29% Growthtop 32% Markettop 45% Techbottom 48% Moatbottom 42% Globalbottom 37% Patentsbottom 33% Innovationbottom 25% Newsbottom 22% Funding: Raised $30.0M across 15 rounds · 15 rounds over 25 yrs (0.6/yr) Growth: Headcount 330 → 426 (+29%) across vintages · Fresh capital in last 24 mo rank vs industry peers · Fliar Intelligence Index 45/100 | $30M | 12 mo ago | 426 426 → 363 (-15%) · sector median +20% | — | WordPressMySQLPHP+23 | Top 10M | 3 patents Clinical decision support systems for procedure approval and diagnostic concordance | — |
| 35 | MDI AI-based medication management tool for healthcare professionals | $27M | 40 mo ago | 40 | Avishai Tovim Co-Founder & CEO | WordPressMySQLPHP+21 | Top 50M | 6 patents Software for health services claims adjudication, scheduling, and patient treatment tracking | — |
| 36 | Alaffia Health AI platform for healthcare claims management and automation 48AI top 30%News top 34%Funding top 36%Talent top 38% All 7 signals ▾AItop 30% Newstop 34% Fundingtop 36% Talenttop 38% Moattop 39% Globalbottom 37% Marketbottom 34% AI: Classified as an AI company · Product described with: ai-powered News: 3 BI events in 12 mo (of 10 tracked, 3 types) · Top themes: Funding rank vs industry peers · Fliar Intelligence Index 48/100 | $18M | 4 mo ago | 22 | Adun Akanni Co-Founder & COO | — | — | — | — |
| 37 | GroundGame A community platform that provides healthcare services through a closed-loop technology 35Funding top 37%Tech top 44%Growth top 45%Talent bottom 49% All 6 signals ▾Fundingtop 37% Techtop 44% Growthtop 45% Talentbottom 49% Marketbottom 29% Globalbottom 29% Funding: Raised $17.0M across 2 rounds · 2 rounds over 2 yrs (1.0/yr) Tech: 26 technologies across 4/8 capability areas · Cloud: Cloudflare rank vs industry peers · Fliar Intelligence Index 35/100 | $17M | 11 mo ago | — | Susan Molina Co-Founder & CEO | WebflowVimeocore-js+16 | Top 10M | — | — |
| 38 | SonarMD Cloud-based care management solutions for chronic conditions 48Funding top 32%Growth top 35%Talent top 38%Tech top 39% All 7 signals ▾Fundingtop 32% Growthtop 35% Talenttop 38% Techtop 39% Producttop 46% Marketbottom 30% Globalbottom 29% Funding: Raised $14.3M across 5 rounds · 5 rounds over 8 yrs (0.6/yr) Growth: Fresh capital in last 24 mo rank vs industry peers · Fliar Intelligence Index 48/100 | $14M | 3 mo ago | 25 | Lawrence Kosinski Founder at SonarMD | WordPressApple iCloud MailMicrosoft 365+21 | Top 50M | — | — |
| 39 | CoverSelf Provider of a healthcare payment integrity platform | $14M | 31 mo ago | 70 70 → 104 (+49%) · sector median +20% | Rajasekhar Maddireddy Co-Founder | WebflowAmazon Web ServicesHubSpot+17 | Top 10M | 4 patents Domain-specific claim processing software for insurance underwriting and risk assessment | 2 job openings |
| 40 | Red Sky Health AI-powered platform to fix denied health insurance claims | $6M | 17 mo ago | — | Dean Margolis Co-Founder and CEO | Cart FunctionalitySquarespace CommerceSquarespace+19 | Top 10M | — | — |
| 41 | Onos Health Provider of a behavioral health platform for payers | $6M | 14 mo ago | — | Akshay Agrawal Co-Founder & CEO | — | — | — | — |
| 42 | Siftwell AI-based data-driven solutions for healthcare payors | $6M | 8 mo ago | 6 | Eben Esterhuizen Co-Founder & CTO | — | — | — | — |
| 43 | Itiliti Health Cloud-based prior authorization documentation and management tools for payers | $5M | 17 mo ago | 10 | Michael Lunzer Co-Founder & CEO | — | — | — | — |
| 44 | Axle Health Patients in home health care management services for providers and payers | $4M | 12 mo ago | 7 | Adam Stansell Co-Founder & CTO | SentryMUIReact+12 | Top 5M | — | — |
| 45 | Trek Health Cloud-based insurance workflow management tool | $3M | 13 mo ago | 11 | Dilpreet Sahota Founder & CEO | — | — | — | — |
| 46 | CoverRight Online platform for insurance comparison | $2M | 10 mo ago | 10 | Thomas Ness Co-founder & Chief Operating Officer | SentryTypeScriptGraphQL+28 | Top 5M | — | 2 partnerships |
| 47 | HealthPlan Data Solutions Pharmacy benefits and analytics company | $2M | 14 mo ago | 31 31 → 41 (+32%) · sector median +20% | Ron Hamm Chief Executive Officer and Board Member | — | — | — | — |
| 48 | MiCare Path Cloud-based health management tool for payers and providers | $1M | 6 mo ago | 25 | Brian Childress Co-Founder | WordPressMySQLPHP+19 | Top 50M | — | 1 internship |
| 49 | DentalHQ Online dental insurance platform for individuals and businesses | $835K | 14 mo ago | 17 | Brett Wells Founder | WordPressShowitMySQL+26 | Top 5M | — | — |
| 50 | Amera Health Solutions Provider of AI-powered platform automating medical claims processing and workflows | $500K | 8 mo ago | — | Deep Kapur Co-Founder | — | — | — | — |
Top 12 Healthcare Payer Tech companies in United States
#1
Series F · Eagan, Minnesota · founded 2017 · 1841 employees$2.3Braised▾
Provider of healthcare insurance plans for individuals. It offers medicare plans and insurance benefits for various healthcare services with benefits and savings, including dental and over-the-counter benefits. It also offers plans for doctor visit, dental and vision protection, hospitals treatment coverage, and more. Also offers insurance comparison guide devoted to health.
- Jan 2026Series F$317M
- Nov 2025Series F$48M
- Aug 2024Series E$112M
- Dec 2023Series E$175M
#2
Chapter 🦄Series E · New York City, New York · founded 2013 · 91 employees$109Mraised▾
Digital medicare plan and benefits management tool for employees and individuals. The company has developed a platform that enables users to compare and calculate different insurance plans. It has features for personalizing plans and financial saving calculators as well.
- Apr 2026Series E$100M
- Apr 2025Series D$75M
- May 2024Series C$50M
- Jan 2022Series B$42M
#3
Series C · Knoxville, Tennessee · founded 2017 · 94 employees$54.4Mraised▾
Provider of an AI-based patient engagement and health management software for payers and doctors. The platform adapts to clinical history and social context, automating personalized communications. It facilitates engagement and navigation, aiming to close care gaps. The platform supports individualized healthcare experiences through dynamic communications. It helps individuals enroll, engage, and navigate the healthcare journeys.
- Apr 2026Series C$1.6M
- Sep 2023Series C$27M
- Jul 2022Series B$3M
- May 2022Series B$14.4M
#4
Series F · New York City, New York · founded 2017$592.9Mraised▾
Unified pharmacy and medical benefit management solutions for healthcare ecosystem. The company offers full-service health benefit management and pharmacy benefit management solutions, enhanced by an AI-powered enterprise health platform. It provides pharmacy and medical care navigation, along with unbundled and level-funded pharmacy benefit management options. The company's technology includes an AI-powered enterprise health platform and a Medicare prescription payment plan. It serves employers, health plans, brokers, consultants, providers, and members. The company focuses on transparent pharmacy benefit management, full-service health benefit management, and an enterprise health platform for health plans. It aims to simplify, connect, and bring transparency to health benefits administration. The company's platform unifies all pharmacy operations, offering a flexible and financially aligned health benefit administration experience. It delivers cost-effective unified health benefits administration solutions across pharmacy, medical, vision, and dental benefit programs. The company's AI-powered care navigation solution helps plan members find care, book appointments, and understand
- Aug 2025Series F$252M
- Mar 2024Series D$115M
- Oct 2023Series C$50M
- May 2022Series C$106M
#5
Series C · Tampa, Florida · founded 2013 · 7 employees$45.8Mraised▾
Avalon Health Solutions, a portfolio company of Francisco Partners offers laboratory benefits management platform for physicians, patients, and payers. Uses evidence-based medicine to develop and deploy policies and manage a national network of providers in the complex lab environment. The platform provides solutions for rules-based claim edits and cost containment, lab service change management, and report carding, and peer benchmarking, as well as for fraud, waste, and abuse.
- Jan 2026Series C—
- Jun 2018Series C$16.5M
- Jun 2018Series C—
- Feb 2017Series C$29.3M
#6
Series C · Atlanta, Georgia · founded 2016 · 60 employees$30Mraised▾
AI-based platform for employee and individual healthcare planning. It analyzes claims data, detects practices that intentionally or unintentionally waste money, and builds connections across data to provide actionable insights. It analyzes all types of professional, facility, pharmacy, behavioral, dental, and workers claims.
- Dec 2025Series C$35M
- Feb 2022Series B$21M
- Jun 2020Series A$7M
- Jun 2018Seed$475K
#7
Series B · Chicago, Illinois · founded 2009 · 25 employees$14.3Mraised▾
Cloud-based care management solutions for chronic conditions. It offers a care coordination program that proactively connects patients with care teams in real time and provides wrap-around services to help patients manage their individual health needs. Their platform collects patient health data through surveys and analyzes it to track the status of improvement. They generate scores from the survey and send alerts to doctors.
- Feb 2026Series B$3M
- Dec 2024Series A$2.2M
- Jul 2024Conventional Debt$1M
- May 2023Series A$4.3M
#8
Series B · New York City, New York · founded 2020 · 22 employees$17.6Mraised▾
AI platform for healthcare claims management and automation. It offers AI-powered agents designed to enhance clinician productivity and streamline claims processing. It provides tools for pre-processing claims, intelligent routing, and clinical reasoning. The platform integrates with existing technology and adheres to security standards. It serves payment integrity, utilization management, and appeals teams.
- Feb 2026Series B$55M
- Mar 2024Series A$10.9M
- Feb 2022Seed$5M
- Jul 2020Seed$100K
#9
Series F · San Francisco, California · founded 2014 · 1003 employees$378.6Mraised▾
Developer of healthcare data platforms and artificial intelligence agent software. This technology unifies clinical, operational, and financial information from disparate systems to support decision-making. The platform provides tools for population health management, revenue cycle automation, and quality performance tracking. It enables the deployment of automated assistants to streamline administrative workflows, manage patient outreach, and facilitate care coordination across various healthcare settings. The system integrates non-electronic health record data to improve documentation accuracy and support value-based care initiatives.
- Jan 2025Series F$178.8M
- Dec 2021Series E$150M
- Feb 2021Series D$105M
- Sep 2019Series C$70M
#10
Series C · New York City, New York · founded 2020$40Mraised▾
Provider of AI-powered platform for healthcare claims management and review. The platform streamlines medical claim reviews, enhances clinician productivity, and eliminates administrative waste. It offers AI agents that incorporate plan-specific data, policies, and workflows. The platform prioritizes claims for review, provides clinical reasoning, and allows for human validation.
- Nov 2025Series C$40M
#11
Series C · Boston, Massachusetts · founded 2019 · 570 employees$106Mraised▾
Provider of prior authorization solutions to improve patient care. The company's solutions include Cohere Unify, Cohere Complete, and Cohere Platform that aim to streamline the prior authorization process and improve care access and quality outcomes.
- May 2025Series C$90M
- Feb 2024Series B$50M
- Jul 2020Series A$10M
#12
Acquired · Houston, Texas · founded 1996 · 426 employees$30Mraised▾
Provider of AI-enabled utilization management for health plans and providers. It offers a platform that optimizes the utilization management process through AI and collaborative care models. The platform facilitates clinical decision support, flexible intake via portal, fax, and phone, EMR connectivity, and trend analytics. It focuses on specialty programs including cardiology, oncology, musculoskeletal, genetic testing, radiology, sleep therapy, and surgical management. The company aims to strengthen provider relationships and ensure optimal patient outcomes.
- 2025Grant (prize money)$2.1M
- 2024Grant (prize money)$5.6M
- 2023Grant (prize money)$5.3M
- 2022Grant (prize money)$4.9M
Funding & investor landscape
Notable founders
Market landscape — 10 sub-themes by coverage
Share of Healthcare Payer Tech coverage by sub-theme.
Regulatory-risk over time rising
Funding & growth over time
funding rising · growth rising
Common questions
Rohit lives in the feed. He covers what's moving right now — the funding rounds, launches and shifts breaking across the trade press — and ties them back to where the sector is heading.