Carrum Health runs a value‑based Centers of Excellence network that contracts directly with specialty‑care providers to bundle payments and guarantee outcomes. The platform routes eligible employees to vetted providers, eliminates most copays for non‑HDHP plans, and delivers up to 45% lower procedure costs while reducing unnecessary surgeries.
Funding
$45M raised to dateRaised to date based on public sources. This may differ from the amount the company actually raised and is based only on what is publicly available on the internet.
4OOGFounders
Product
Problem
Employers face high and rising costs for specialty medical procedures, many of which are unnecessary or overcharged, leading to significant out‑of‑pocket expenses for employees and inefficient use of health‑plan funds.
Solution
Carrum Health operates a value‑based Centers of Excellence network that contracts directly with top specialty‑care providers. By bundling payments, guaranteeing provider accountability, and offering procedure warranties, the network aligns incentives toward high‑quality, necessary care. Employers receive a plug‑and‑play platform that routes eligible members to vetted providers, eliminates most copays for non‑HDHP participants, and provides transparent cost savings. The model delivers up to 45% lower per‑procedure costs while maintaining superior health outcomes, and it reduces the incidence of unnecessary surgeries by about 30%.
Target Audience
Primary customers are self‑insured employers and large health‑plan sponsors seeking to control specialty‑care spend while improving clinical outcomes for their employee populations.
Features
- Direct contracts with leading specialty‑care providers forming a nationwide Centers of Excellence network
- Value‑based bundled payment arrangements that cap procedure costs and include warranties
- Provider accountability mechanisms and outcome guarantees to ensure high‑quality care
- Integrated platform that automates member enrollment, referral routing, and claims processing
- Transparent cost‑savings analytics and reporting for employers
- Elimination of most out‑of‑pocket expenses for patients enrolled in non‑HDHP plans