Value Based Care Intelligence

Health benefits navigation and care platform for self insured employers and health plans, indexed for its AI navigation layer with the surrounding care services as context. WayFinding is a generative AI experience launched in 2024 and scaled through 2025, combining benefits navigation, clinical guidance, and care access in one interface, delivering tailored recommendations from a member's own history so a member can determine what is covered, what it will cost, and where to go. Agentic capabilities were added in January 2026. The company completed a $621 million merger with Accolade in April 2025, taking the formerly NASDAQ listed company private and combining WayFinding and the Cancer Care, Surgery Care, Weight Health, and pharmacy benefit experiences with Accolade's health advocacy, expert medical opinion, virtual primary care, and its True Health Actions platform, which draws on employer data, health plan data, and electronic health records for targeted guidance. The combined organization reports serving more than 20 million members across more than 1,700 employer and health plan clients. Buyers should be clear that this is a hybrid: a substantial share of what is delivered is human advocacy, virtual clinical care, and second opinion services rather than AI. A $126 million Series D in May 2024 was raised specifically to build AI capability. Led by Glen Tullman.

AI utilization management, and the only vendor in this index positioned to sit between payer and provider rather than serving one side. The Dragonfly platform (formerly CORTEX) uses real time predictive analytics to continuously assign an objective medical necessity score, the proprietary Care Level Score, and an anticipated level of care for every patient, with the stated intent of removing subjectivity from patient status determination so both parties work from the same evidence. Product lines cover Utilize for utilization review and case management, Navigate for discharge readiness and length of stay, Advise for physician advisor workflow and peer to peer escalation, and revenue integrity for denials and appeals. Precision UM is the deepest tier, a shared utilization management approach between a health system and a health plan built on common clinical data and historical determination patterns. Integration with the EMR is bidirectional. The company also sells Physician Advisor Services, supplementing night and weekend coverage or operating fully outsourced, so buyers should separate the platform from the staffed service. Named outcome: AnMed reported 14.6x return on investment over a twelve month period and 1,221 hours of front end review time saved through Precision UM with a national health plan. A third party study found Dragonfly rendered clinical review determinations 38 percent faster than fax and 15 percent faster than through the EMR. Headquartered in Franklin, Tennessee; co-founded by Joan Butters.

Healthcare data and agentic AI platform, described by the company as an agentic cloud for healthcare, built in three stages: data connectivity integrating Epic, Cerner, MEDITECH, and Allscripts with payer claims, pharmacy, lab, remote monitoring, and social determinants sources across a reported 80 million plus patient records; applications on top of that data; and now autonomous agents. Gravity is the underlying data platform, continuously trained on real world healthcare data including claims denials and edge cases, which the company argues gives each new agent institutional context at launch. Sara is the AI assistant line spanning insights, care management, and clinical documentation via Sara Scribe. A suite of pretrained voice enabled agents covers appointment scheduling, protocol intake, referral management, routine patient inquiries, prior authorization, care gap closure, hierarchical condition category coding, and transitional care management, supporting clinicians, care managers, risk coders, patient navigators, and contact center staff. The stated architectural claim is end to end workflow connection: a prior authorization agent can hand off to coding and denial management agents rather than each operating in isolation. Reports serving six of the top 10 US health systems and more than 130 healthcare organizations, with named customers including Kaiser Permanente, Ascension, and Trinity Health. Best in KLAS recognition across data and analytics, population health management, and CRM categories. Founded 2014; $675 million raised in total including a $275 million Series F, with investors including Kaiser Permanente and Banner Health.

Housing stability platform sold to health plans and employers, addressing housing instability as a driver of avoidable medical utilization. The model is explicitly hybrid and the company describes it as human led and AI accelerated: licensed social workers and housing specialists called Care Guides deliver the intervention, supported by proprietary AI for acuity stratification, case summarization, and predictive housing matching against a curated database of public and non public affordable housing inventory. The company states it deliberately avoids general purpose language models in favor of a purpose built social determinants matching framework. Serves Medicaid, Medicare Advantage, D-SNP, commercial, and employer sponsored populations across the full continuum from crisis intervention to long term tenancy support, and reports partnerships with more than 17 national, regional, and state health plans across 10 states including four of the largest US payers, with a named Medicaid housing supports contract from UnitedHealthcare of New Jersey. Reported results include more than half of enrolled members stabilized within 90 days. Founded 2020; raised a $20 million Series A in June 2026 led by Aquiline with Flare Capital Partners.

Value based care enablement platform for Medicare providers: AI powered predictive insights identify the highest urgency patients so care teams intervene before costs escalate, alongside financial risk modeling and workflow automation for scheduling and post discharge follow up. Supports more than 10,000 providers across 40+ states serving roughly 250,000 Medicare beneficiaries, with about $3.6 billion in annualized medical spend under management. Raised $110 million in July 2026 ($50 million equity led by Andreessen Horowitz plus a $60 million credit facility). Pearl is a hybrid: predictive software wrapped in risk bearing value based care enablement, and this record covers the platform.