Judi Health
Unified health benefits, transparent pricing
New York, NY, USA
Judi Health™ is a health technology company providing a comprehensive suite of benefit management solutions for employers, unions, government entities, health systems, health plans, and third party administrators (TPAs). Servicing tens-of-millions of lives for commercial, Medicare, and Medicaid plans in all fifty states, Judi Health™ delivers unequaled transparency, technology, service, and insights. Our divisions include: Judi Rx®: a transparent, full-service pharmacy benefit manager (PBM) for self-insured plan sponsors, fully-insured plan sponsors, and employer group waiver programs (EGWPs). Judi Care™: a full-service medical, dental, and vision administrator for employers, TPAs, and health plans. Judi Cloud®: a single, scalable SaaS solution for health plans and TPAs to manage all administrative workflows for pharmacy, medical, dental, and vision administration. Through these solutions, Judi Health is executing on its mission to give our country the infrastructure it needs for the healthcare we deserve.
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Problem Statement
Judi Health addresses the lack of transparency, efficiency, and unified administration in healthcare benefits, which often results in fragmented systems and opaque pricing, particularly within pharmacy benefit management.
Core Technology
AI-powered unified health benefits platform
Key Differentiators
Unified Claims Processing (industry's first platform to seamlessly administer pharmacy, medical, dental, and vision claims on a single system), Transparency and Flat-Fee Pricing (in pharmacy benefit management), AI-Powered Care Navigation (through Judi Care), Enhanced Data and Analytics (integrating medical and pharmacy claims data), and Customer Care Excellence (high-touch, empathetic customer service).
Clinical Focus
Revolutionizing health benefit administration and claims processing, with the platform supporting various therapeutic areas for administrative purposes.
Target Customers
Employers, third-party administrators (TPAs), health plans, and self-insured employers.
Product Stage
GA/Mature
Company Info
- Business Model
- B2B enterprise SaaS/Platform, providing full-service health benefit management solutions to employers, third-party administrators (TPAs), and health plans. It operates as a transparent pharmacy benefit manager (PBM) for self-insured employers with a flat-fee pricing model.
- Founded
- 2017
- Total Funding
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Categories
Disease Areas
Technologies
Clinical & IP
Clinical Validation
Published research on medication adherence improvement; Clinical programs documented to improve outcomes for diabetes, hypertension, and high cholesterol management; 100% manufacturer rebate pass-through for pricing transparency
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