HealCo is B2B SaaS for self-funded employers, priced per member per month. Headquartered in New Jersey. Market • ~100M people are in self-funded plans • At $1.75 per member per month, that’s about $2.1B a year for the Control Tower alone, before routing • One broker with 50,000 covered lives is about $1M a year Go-to-market The CFO buys us. Brokers and TPAs scale us: each advises dozens of employers and can offer HealCo to all of them. Starting in Florida and New Jersey, including city and county plans. Competition • Analytics tools (Springbuk, Artemis, Innovu) show where costs rose after the claim. • Navigation apps (Transcarent, Included Health) suggest options members can ignore. • HealCo sets the employer’s rules before the service and keeps the record. Team • Kirat Kharode, Co-founder & CEO. Former hospital COO and health system chief strategy officer; 20 years in health system leadership; JD. • Dr. Rakhee Patel, Clinical Co-founder. Board-certified OB/GYN; direct care delivery and clinical pathway design. Programs: Capital Factory All Access, Ambition Accelerated (Embarc / Florida Council of 100), NVIDIA Inception.
See something off about this company?
Kirat Kharode
founder
Self-funded employers pay every medical claim from their own budget, but they see the bill only after the care. Family coverage costs about $27K a year, and employers are paying hospitals 254% of Medicare rates. The same back case costs ~$13K when care starts in the right place and ~$47K when it starts in the hospital, and every case like that also raises next year’s renewal. Since 2021, new laws let employers see their own claims data, so they’re now accountable for it.
HealCo finds the waste, tracks it and stops it before the next claim. 1. A paid plan diagnostic reviews the plan’s claims and contracts. 2. Our Control Tower software watches every issue monthly, names an owner and records every decision. 3. Routing sends people to the right care first, at $0 out of pocket where the plan allows. HealCo runs on the employer’s existing claims administrator (TPA) and network. No plan replacement.
• $931M in claims analyzed across 4.8M claim lines • First diagnostics found $15M a year in GLP-1 spend with no prior authorization, 1 in 6 out-of-network claims paid at full billed price, and $8.5M in cancer infusions with a third at one hospital • 5,000+ members routed since 2023: 17% fewer ER visits than expected, 99% got care within 24 hours • $53K in paid plan diagnostics (Sept 2026). A broker is now putting HealCo into every municipal RFP it bids on • 3 national brokers working with us; 19,000+ members in the pipeline
HealCo helps self-funded employers lower health plan costs by deciding where care starts, before the claim. First diagnostics found $15M a year in GLP-1 spend with no prior authorization and 1 in 6 out-of-network claims paid at full billed price. 3 national brokers are working with us, with 19,000+ members in the pipeline. Deck available to investors on this profile.
With our first active deployments underway (~19,000 enrollees), we've now analyzed $931M in paid claims over 5M lines - and we have some thoughts to share. We will be sending out our first Governance Report this week! Reach out if you're interested in receiving a copy. Also actively looking to meet and reconnect Seed+/ Series A investors and partners in the employee benefits / health insurance space to compare notes (Spring 2027 raise projected). Also anyone connected to HIF, JIFs, municipal, and taft-hartley plans.