Healthcare spending in the US medical system has been ballooning for decades. Administration contributes a substantial portion to this, constituting almost three times what other developed countries spend proportionate to their healthcare budget - and taking up valuable physician hours. The detrimental impact this has on the quality and affordability of care has meant solutions are becoming urgent, and Candid Health is contributing a strong one.
The data and AI-driven platform helps healthcare providers automate the process of submitting, chasing, and appealing insurance claims. It’s regularly audited by HIPAA, helping the company dodge the tightening data protection net that’s stunted the progress of some medtech startups. Having passed this obstacle the company is running at modest capacity - the challenge now is to lock in a broader client base, which could prove challenging.
Companies like Change Heathcare and Flobotics, for example, offer automated claims submissions as part of a broader robotic process automation service for medical institutions. It may be that this holistic administrative software proves more attractive for overburdened providers. For now, however, Candid Health is gaining a respectable amount of traction and enjoyed a funding round of $29 million in 2024.
Steph
Company Specialist at Welcome to the Jungle
