Gravie Funding, Investors & Competitors

Elevance Health remains one of the leading health insurers in the US, providing medical benefits to 46 million medical members as of June 2025. The company offers employer, individual, and government-sponsored coverage plans. Elevance differs from its peers in its unique position as the largest single provider of Blue Cross Blue Shield branded coverage, operating as the licensee for the Blue Cross Blue Shield Association in 14 states. Through acquisitions, such as the Amerigroup deal in 2012 and MMM in 2021, Elevance's reach expands beyond those states through government-sponsored programs, such as Medicaid and Medicare Advantage plans, too. It is also an emerging player in pharmacy benefit management and other healthcare services.

Cigna primarily provides pharmacy benefit management and health insurance services. Its PBM and specialty pharmacy services, which were greatly expanded by its 2018 merger with Express Scripts, are mostly sold to health insurance plans and employers. Its largest PBM contract is with the Department of Defense (current contract through 2029), and it recently won a multiyear deal with top-tier insurer Centene. In health insurance and other benefits, Cigna primarily serves employers through self-funding arrangements, and the company operates mostly in the US with 17 million US and 2 million international medical members covered as of December 2024.

Humana is one of the largest private health insurers in the US, and the firm has built a niche specializing in government-sponsored programs, with nearly all its medical membership stemming from Medicare, Medicaid, and the military's Tricare program. Beyond medical insurance, the company provides other healthcare services, including primary-care services, at-home services, and pharmacy benefit management.

DailyPay is a payroll platform enabling employees to access earned wages on-demand before payday. It integrates with employer systems to promote financial wellness, retention, and engagement across various industries.

Collective Health is a San Francisco-headquartered health benefits platform integrating medical, dental, vision, pharmacy, and wellness services. It serves employers with employee-facing apps for navigation and payments, alongside analytics for cost control. The company operates offices in Chicago and Lehi, supporting thousands of members nationwide.

Nayya is a New York-based benefits platform using machine learning on billions of data points to deliver personalized guidance for employees during open enrollment, onboarding, and life events. Its tools cover health insurance, retirement, and financial wellness, deployed by mid-sized employers across the US. Founded in 2020, Nayya integrates with carriers like UnitedHealthcare and Fidelity for real-time recommendations.

UnitedHealth Group is one of the largest private health insurers and provides medical benefits to about 51 million members globally, including 1 million outside the US as of December 2024. As a leader in employer-sponsored, self-directed, and government-backed insurance plans, UnitedHealth has obtained massive scale in medical insurance. Along with its insurance assets, UnitedHealth's Optum franchises help create a healthcare services colossus that spans everything from pharmaceutical benefits to providing outpatient care and analytics to both affiliated and third-party customers.

Spring Health is a New York-headquartered provider of mental health benefits for employers and health plans. Its Precision Mental Healthcare platform matches employees to therapies, coaching, medication management, or digital programs using clinical data. The company serves Fortune 500 firms and insurance carriers, operating in the US with tools for depression, anxiety, and stress treatment.

Judi Health is a health technology company streamlining pharmacy benefit management through a transparent pricing model and clearinghouse platform. It processes millions of prescriptions annually for self-insured employers, reducing drug costs by negotiating directly with pharmacies and PBMs nationwide. Headquartered in New York, the firm integrates with electronic health records to improve adherence and outcomes in employer-sponsored plans.

Chapter is a Brooklyn-headquartered Medicare navigation platform assisting seniors with health coverage selection. It evaluates all plan options from insurers like UnitedHealthcare and Humana to recommend coverage matching individual needs at lowest costs. The service employs independent advisors free from carrier commissions to align recommendations with consumer interests.

Garner Health is a New York-headquartered healthcare technology company delivering bundled payment solutions to employers. The platform facilitates direct access to high-quality physicians at reduced costs, improving employee care experiences nationwide. Garner partners with self-insured employers to manage medical spend through transparent pricing models for procedures like orthopedics, cardiology, and radiology. Launched in 2018, it processes claims across multiple states, emphasizing compliance and data analytics for healthcare savings.

Wellhub is a São Paulo-headquartered corporate wellness platform formerly known as Gympass, serving over 2000 companies worldwide. The service connects employees to 50,000 gyms, studios, and apps in 14 countries, promoting physical activity to boost engagement and performance.

Transcarent is a health benefits navigation platform connecting employees to primary care, mental health, and specialty services. The service integrates with self-insured employer plans to provide virtual consultations via partnerships with One Medical and Lyra Health. Users access bundled episodes of care for orthopedics, cardiology, and maternity starting at fixed copays. Backed by investors including Andreessen Horowitz, Transcarent operates nationwide from its San Francisco headquarters.

Thyme Care is a New York-based oncology care management company partnering with health plans to deliver integrated support for cancer patients. The platform coordinates navigation, symptom management, psychosocial care, and financial assistance across 20 US states. Thyme Care's clinicians collaborate with oncologists at over 100 provider sites, using data analytics to personalize care journeys for members of payers like Aetna and Cigna. Founded in 2020, the company has enrolled thousands of patients in its whole-person care model.

Pomelo Care is a San Francisco-headquartered provider of virtual maternity care serving employers and health plans nationwide. The company offers 24/7 clinical support from preconception through the infant's first year, combining telemedicine with in-person doula visits. Pomelo employs data analytics to manage risks in high-need pregnancies, partnering with commercial insurers and Medicaid programs to enhance maternal health outcomes.

Main Street Health is a value-based healthcare company, founded in 2021 and based in Nashville, Tennessee, that partners exclusively with rural primary care clinics in the United States. It places Health Navigators inside partner clinics and provides data and tools that help those clinics manage Medicare patients under value-based care, working with clinics that on average have 2.5 providers in towns of 3,000 to 5,000 people. The company has reported improvements in quality scores alongside reductions in hospitalizations and medical costs among the patient populations it serves.

MediTrust Health is a Shanghai-based healthcare platform that connects pharmaceutical companies, insurers, hospitals, and patients across China. Launched in 2015, it distributes diverse health insurance products alongside medical benefits and services like telemedicine and drug delivery. MediTrust integrates high-quality resources to offer families economical, personalized healthcare protection and hospital access. The platform forms a closed-loop ecosystem among payers, suppliers, and end-users, with operations spanning major Chinese cities and partnerships with leading insurers.

Grand Rounds, now operating as Included Health, is a San Francisco-based healthcare navigation company providing virtual and in-person care coordination. It offers advocacy services for urgent care, primary care, behavioral health, and specialties, serving over 10 million members. Rebranded in 2022, it partners with employers and insurers to reduce costs through expert physician matching and claims optimization.