Payer Innovations

The crowd matters.

For far too long, we the people who want to give and get better care have had no say in what new ideas get into practice. When you support new ideas here they are over 20 times more likely to get out to market - sometimes incredibly fast. So explore, like, try, pilot, partner, mentor, or invest in these companies and ideas and let's fix healthcare, one awesome idea at a time!

See the companies ↓

MedStartr Mentors for Payer Innovations:

Healthcare payer and reimbursement innovations

🚀92Innovations

Fyggy's top 10 in Payer Innovations

Ranked by MedStartr Engagement Score.

  1. 1
    Valera Health
    MedStartr Engagement Score88
  2. 2
    Biofourmis
    MedStartr Engagement Score54
  3. 3
    Infinx
    MedStartr Engagement Score52
  4. 4
    Cohere Health
    MedStartr Engagement Score51
  5. 5
    Aspen RxHealth
    MedStartr Engagement Score36
  6. 6
    Avelis Health
    MedStartr Engagement Score19
  7. 7
    Elligint Health
    MedStartr Engagement Score17
  8. 8
    Pasito
    MedStartr Engagement Score14
  9. 9
    Samos Insurance
    MedStartr Engagement Score13
  10. 10
    Fortuna Health
    MedStartr Engagement Score12
See the full leaderboard →

Innovations in Payer Innovations

Only accessible to MedStartr community members. Join now
V

Valera Health

Digitally enabled behavioral health company using smartphone technology and data analytics for proactive care delivery.

✓Source: F6S
Business Model "B2B2C"
Core TechDigital behavioral health
Behavioral Health
Get Involved in Valera Health

5 engagements

Only accessible to MedStartr community members. Join now
Biofourmis

Biofourmis

Series D+

Biofourmis is a Singapore-based digital therapeutics company that uses continuous monitoring of connected medical devices to manage chronic conditions. It focuses on heart condi...

...more
Business ModelB2B, SaaS
Core Techdigital therapeutics through continuous monitoring of con...
Only accessible to MedStartr community members. Join now
Precision Medicine/Diagnostics
Get Involved in Biofourmis
AI-generated hero image for Infinx

Note, this image was autogenerated by Syggy based on what we know about the company. It is not an official company publication.

Only accessible to MedStartr community members. Join now
I

Infinx

Growth

Infinx Healthcare is a healthcare technology company providing AI-powered revenue cycle management solutions, including prior authorization, medical coding, billing, and revenue...

...more
Business ModelB2B, SaaS, Managed Services
Core TechInfinx's core technology includes its Healthcare Revenue ...
Only accessible to MedStartr community members. Join now
Claims/Revenue Cycle AI
Get Involved in Infinx
Only accessible to MedStartr community members. Join now
Cohere Health

Cohere Health

Series C

Cohere Health is an AI-driven prior authorization platform that automates a significant portion of prior authorizations and integrates with EHRs for in-workflow authorization.

...more
Business ModelB2B2C
Core TechAI-driven prior authorization platform, FHIR API-enabled ...
Only accessible to MedStartr community members. Join now
Healthcare Infrastructure
Get Involved in Cohere Health
Only accessible to MedStartr community members. Join now
Aspen RxHealth

Aspen RxHealth

Series B

Aspen RxHealth provides clinical pharmacy services with intelligent pharmacist matching.

Business ModelHybrid
Core Techintelligent pharmacist matching
Only accessible to MedStartr community members. Join now
Care Coordination
Get Involved in Aspen RxHealth
Only accessible to MedStartr community members. Join now
Avelis Health

Avelis Health

Pre-seed

Avelis Health is an AI-powered medical claims auditing and payment integrity platform that audits 100% of medical claims in real-time using machine learning agents and voice age...

...more
Business ModelB2B2C
Core TechAI, machine learning agents, voice agents
Only accessible to MedStartr community members. Join now
Claims/Revenue Cycle AI
Get Involved in Avelis Health
Only accessible to MedStartr community members. Join now
Elligint Health

Elligint Health

Unknown

Elligint Health provides a data integration platform for whole-person care across the healthcare continuum. Established in 2024 through a merger of HealthEC and VirtualHealth, i...

...more
Business ModelB2B SaaS
Core Techdata integration platform
Only accessible to MedStartr community members. Join now
Healthcare Infrastructure
Get Involved in Elligint Health
Only accessible to MedStartr community members. Join now
Pasito

Pasito

Seed

New York, NY, USA

Uses compliant AI systems to automate benefits workflows for carriers, brokers, and benefits vendors.

✓Source: Y Combinator✓Source: Company Website
Business ModelB2B
Core TechAI workflow automation
Founded2022
AI / ML
Get Involved in Pasito
AI-generated hero image for Samos Insurance

Note, this image was autogenerated by Syggy based on what we know about the company. It is not an official company publication.

Only accessible to MedStartr community members. Join now
Samos Insurance

Samos Insurance

Seed

Kitchener, Canada

Insurance platform offering surgical risk coverage similar to travel insurance for procedures.

✓Source: Y Combinator✓Source: Company Website
Business ModelB2C
Core TechInsurance platform
Founded2022
InsureTech
Get Involved in Samos Insurance
Only accessible to MedStartr community members. Join now
F

Fortuna Health

Seed

Medicaid navigation platform helping people check eligibility, enroll, and renew coverage end-to-end.

✓Source: Y Combinator✓Source: Company Website
Business ModelB2B2C
Core TechEligibility and enrollment workflow
Only accessible to MedStartr community members. Join now
InsureTech
Get Involved in Fortuna Health
Only accessible to MedStartr community members. Join now
U

Understood Care

Seed

New York, NY

Health-tech startup using AI assistants in the health insurance and care navigation stack.

✓Source: Y Combinator✓Source: Company Website
Business ModelB2B2C
Core TechAI assistant
AI / ML
Get Involved in Understood Care
Only accessible to MedStartr community members. Join now
B

Burst

Brooklyn

Infrastructure platform enabling compliant HSA/FSA payment acceptance for retailers, wellness brands, and digital health companies.

...more
✓Source: F6S✓Source: Company Website
Business ModelB2B
Core TechPayments infrastructure
Healthcare Infrastructure
Get Involved in Burst
Only accessible to MedStartr community members. Join now
R

Radial Health

AI-powered decision support platform for value-based care organizations and Medicare Advantage plans.

✓Source: F6S✓Source: Company Website
Business ModelB2B
Core TechAI decision support
AI / ML
Get Involved in Radial Health
Only accessible to MedStartr community members. Join now
A

Anterior (formerly Co:Helm)

Health plan technology company positioned to modernize plan operations.

✓Source: F6S
Business ModelB2B
Core TechHealth plan software
InsureTech
Get Involved in Anterior (formerly Co:Helm)
Only accessible to MedStartr community members. Join now
A

Aetion

Real-world evidence platform using causal inference, epidemiologic methods, and AI to generate evidence for biopharma, medtech, payers, and regulators.

...more
Business ModelEnterprise SaaS, Life Sciences Contracting
Core TechReal-World Data, Causal Inference, Epidemiology, AI, Evid...
Real-World Evidence
Get Involved in Aetion
Only accessible to MedStartr community members. Join now
C

Crossover Health

Get Involved in Crossover Health
Only accessible to MedStartr community members. Join now
K

Kinetik

Get Involved in Kinetik
Only accessible to MedStartr community members. Join now
S

Specialists On Call

Get Involved in Specialists On Call
Only accessible to MedStartr community members. Join now
R

Remedy Partners

Get Involved in Remedy Partners
Only accessible to MedStartr community members. Join now
S

Savvy

Get Involved in Savvy
Only accessible to MedStartr community members. Join now
G

Grouper

Get Involved in Grouper
Only accessible to MedStartr community members. Join now
C

Careviso

Get Involved in Careviso
Only accessible to MedStartr community members. Join now
T

Takescare

Get Involved in Takescare
Only accessible to MedStartr community members. Join now
C

Carepoynt

Get Involved in Carepoynt

Showing 24 of 92 innovations. Browse them all →

Payer Innovations Salon

Share photos and talk with people who care about Payer Innovations. Please follow the community rules.

Sign in to join the conversation.

Sign in to comment
Be the first to comment.
💬

Hi, I'm Syggy!

MedStartr's AI healthcare innovation superhero. Just click me for whatever you need! 🥰

💬
Hi, I'm Syggy
your healthcare innovation buddy
💬

Ask Syggy anything

What MedStartr is, how it can help you, events, joining...

You're chatting as a visitor: this conversation stays in this browser, isn't linked to any account, and doesn't move over if you join. Join free