Grounded Health
Grounded Health provides self-insured employers with an independent analytics platform that audits healthcare spending, contracts, and vendor performance to uncover waste and recover overpayments. The platform analyzes claims data, grades plan contracts against fiduciary standards, and verifies care delivery, all without touching member data or taking a cut of savings. It helps finance and benefits leaders turn fragmented data into measurable action, with documented savings of 20–40% per capita for employers using similar approaches.
- Data & Analytics
- Healthcare Technology
- Software Only
Funding
Founders
Product
Problem
Self-insured employers often lack independent oversight of their healthcare spending, relying on brokers, TPAs, and consultants who may have conflicts of interest. This leads to unchecked waste, inaccurate claims, and under-delivered care-management services, costing millions in avoidable expenses.
Solution
Grounded Health provides a platform that analyzes the business of care—not care itself—by reading plan data and contracts without managing members or touching networks. The platform grades health plans against peer benchmarks, evaluates broker and TPA contracts against fiduciary-aligned standards, and continuously audits claims for duplicates, errors, and mispricing. It also verifies that vendors deliver the care-management services they are paid for and identifies employees who qualify for programs but are not enrolled. All data remains within the employer's infrastructure, and the platform operates on flat fees with no cut of savings, ensuring independent, unbiased intelligence.
Target Audience
Primary customers are finance and benefits leaders at self-insured employers, including CHROs, SVPs, and heads of benefits at mid-to-large organizations across industries like hospitality, manufacturing, and professional services.
Features
- Plan & cost intelligence: grades health plans using public and plan data, and evaluates broker, TPA, PBM, and stop-loss contracts against fiduciary-aligned standards
- Claims quality assurance: continuously identifies duplicate, erroneous, and improperly priced claims, and recovers eligible overpayments through vetted partners
- Care oversight: compares billed services with services actually delivered and flags employees who qualify for care-management programs but are not enrolled
- On-premise data processing: analyzes data within the employer's own infrastructure, ensuring nothing leaves their walls
- Flat-fee pricing model: charges a fixed fee regardless of spend, so the platform's incentives stay aligned with the employer's savings