C

Carrum Health

Facilitates employer bundled payments for care

Overview

Carrum Health builds a platform that connects employers to a network of top healthcare providers through value-based Centers of Excellence. It negotiates upfront bundled payments for medical procedures, then covers the procurement and oversight via a plug-and-play solution that can be deployed nationwide. Providers bill only the bundled price, helping employers save costs while patients access high-quality care and avoid medical bills. The company differentiates itself by direct provider negotiation, a bundled-payment model tied to Centers of Excellence, and an emphasis on easy implementation and clear savings (up to 45% per procedure). Its goal is to reduce employer healthcare spend while improving patient experience and outcomes.

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About Carrum Health

Simplify's Rating
Why Carrum Health is rated
B-
Rated B on Competitive Edge
Rated B on Growth Potential
Rated C on Differentiation

Industries

Data & AnalyticsEnterprise SoftwareHealthcare

Company Size

201-500

Company Stage

Series B

Total Funding

$96M

Headquarters

San Francisco, CA

Founded

2014

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Simplify's take

What believers are saying

  • Carrum reached 6.7 million covered lives in October 2025, nearing seven million in 2026.
  • Included Health’s August 2026 partnership embeds Carrum into a larger employer distribution channel.
  • TeamCare announced a January 2027 launch, adding another $0-cost employer channel.

What critics are saying

  • The 2022 MDsave patent case and 2024 Texas insurance suit keep legal overhang alive.
  • Carrum’s growth depends on employer benefit adoption, and procurement cycles can stall rollouts.
  • If payers commoditize bundled specialty care, Carrum loses pricing power and becomes a feature.

What makes Carrum Health unique

  • On August 18, 2026, Carrum embedded its COE network into Included Health’s Alternative Health Plan.
  • Its C.A.R.E. model ties facility and physician quality, appropriateness, outcomes, and transparency together.
  • Virta, Lyra, and Teladoc partnerships widen Carrum’s reach across specialty, behavioral, and weight care.

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Funding

Total Funding

$96M

Above

Industry Average

Funded Over

4 Rounds

Notable Investors:
Series B funding is typically for startups that have proven their business model and need more funding to expand rapidly—often by entering new markets or adding more products. Investors are usually venture capital firms that specialize in later-stage investments.
Series B Funding Comparison
Above Average

Industry standards

$35M
$45M
$45M
$65M
$100M

Benefits

  • Stock Options
  • Flexible schedules and remote work
  • Self-managed vacation days, within reason
  • Paid parental leave
  • Health, vision, and dental insurance
  • 401K retirement plan

Growth & Insights and Company News

6 month growth

0%

1 year growth

-1%

2 year growth

-2%
TeamCare
Oct 30th, 2026
New benefit coming january 2027: Carrum Health.

New benefit coming january 2027: Carrum Health. Friday, October 30, 2026 The Board of Trustees continually look for ways to improve benefits and access to high-quality care for TeamCare members. TeamCare is excited to announce a new partnership between TeamCare and Carrum Health. Through this partnership, TeamCare members will have access to Carrum Health's network of Centers of Excellence providers and high-quality care services, including surgery, cancer care, and substance use treatment. More choice for members. Carrum Health connects members with top-tier doctors and hospitals that are recognized for delivering quality care, strong clinical outcomes, and a personalized patient experience. Members who choose to use Carrum's services will also have access to dedicated care navigation support to help guide them through their healthcare journey. As with its other patient incentive benefits like QuestSelect, MinuteClinic, Teladoc, and US Imaging, one of the most exciting benefits of this partnership is that TeamCare is offering covered members access to high-quality services through Carrum, at $0 cost. This voluntary benefit will apply to active and retiree plans providing peace of mind to its members. The Carrum network is not replacing the Blue Cross Blue Shield (BCBS) network. As part of this new partnership, Carrum Health will provide TeamCare members with an additional option when seeking medical care. Members will continue to have access to their existing BCBS provider network while also gaining access to Carrum's carefully selected network of high-quality providers for eligible services. Looking ahead. TeamCare look forward to sharing more information about this new benefit as TeamCare get closer to implementation. TeamCare and Carrum Health will provide additional details and resources on how members can take advantage of this enhanced care option.

PR Newswire
Aug 18th, 2026
Included Health selects Carrum Health as preferred partner for value-based Specialty Care.

Included Health selects Carrum Health as preferred partner for value-based Specialty Care. Aug 18, 2026, 09:02 ET Partnership embeds Carrum's high-value Centers of Excellence network directly into Included Health's Alternative Health Plan offering, helping employers connect members to high-quality care with more predictable costs SAN FRANCISCO, Aug. 18, 2026 /PRNewswire/ - Carrum Health, the leader in value-based specialty care, and Included Health, a new kind of healthcare company delivering personalized all-in-one healthcare to millions of people nationwide, today announced a preferred Centers of Excellence (COE) partnership spanning multiple product lines. The relationship features specialty care directly embedded within Included Health's Alternative Health Plan, combined with broader integration across other core solutions to connect members with value-based care. Employers and plan sponsors are facing the steepest healthcare cost increases in more than a decade, with specialty care driving nearly 50% of spending. To bend the cost curve, employers need solutions that go beyond simple provider search to deliver rigorously vetted clinical quality and pre-negotiated bundled rates. By embedding Carrum's specialty care network into Included Health's Alternative Health Plan offering, the partnership connects plan design, navigation, and value-based care in one coordinated experience. This integration delivers greater cost predictability, clinical outcome accountability, and simplified, streamlined contracting, eliminating the administrative burden of managing disconnected point solutions. "Specialty care is often where the biggest decisions and the biggest costs sit," said Ami Parekh, MD, Chief Health Officer at Included Health. "By working with Carrum Health and bringing their value-based specialty care into our alternative plan offering, we can help members reach high-quality care sooner, with clear guidance and clear costs. Together, we're giving employers a more practical way to manage high-cost needs while improving the experience for people who are already going through a lot." Connecting Primary and Specialty Care The collaboration targets high-impact, high-variability procedures including surgeries, cancer care, and substance use disorder treatment. When a member requires complex specialty care, Included Health identifies the need early through primary care visits, navigation touchpoints, in-app behavior, and claims data, and refers them to Carrum. Post-treatment, Carrum transitions the member back to Included for longitudinal support. "If you look at any employer's claims data, the same pattern shows up: specialty care drives the highest costs, the most variable outcomes, and the moments when employees most need guidance and least often get it," said Matthew Eurey, Chief Commercial Officer at Carrum Health. "Our embedded partnership with Included Health offers employers one comprehensive solution to manage primary and specialty care from day one. That means fewer members navigating a surgery, cancer diagnosis, or substance use disorder on their own, and fewer employers dealing with an array of benefits solutions." How Members and Employers Benefit: * For Members: A single, guided, continuous healthcare journey. Members receive concierge support from initial referral through treatment, recovery and follow-up. This eliminates friction, decision fatigue and surprise bills, while ensuring seamless access to high-quality specialty care providers. * For Employers: Higher employee adoption through embedded care workflows, predictable episode costs, reduced readmissions, and a unified health plan structure that eliminates procurement friction and vendor complexity. About Included Health Included Health is a new kind of healthcare company that delivers personalized all-in-one healthcare to millions of people nationwide. We provide healthcare access, answers, and advocacy through a modern experience designed to treat people better, mind, body, and wallet. It is all included: comprehensive virtual and in-person care, system-wide navigation and care coordination, and 24/7 support for every clinical and administrative need. Our members see better doctors, experience better outcomes, and have more healthy days, all at lower cost. Learn more at includedhealth.com. About Carrum Health Carrum Health's mission is to change how we pay for and deliver specialty care. We offer self-insured employers and plan sponsors a value-based specialty care solution that connects their members with a rigorously vetted network of Centers of Excellence providers. Carrum's upfront, all-inclusive bundled pricing, award-winning technology, and dedicated care navigation team help lower costs for both members and employers while delivering a superior member experience. Carrum is independently validated to reduce unnecessary procedures by as much as 30 percent, lower readmissions by 80 percent, and save employers up to 45 percent per episode of surgical care. Learn more at carrumhealth.com. Media Contacts: Padma Nagappan Alex Maynard SOURCE Carrum Health

Carrum Health
Jun 29th, 2026
Client testimonial: Sue Letang of US Foods.

Client testimonial: Sue Letang of US Foods. In this video, Sue Letang - Senior Manager of Health & Welfare Plans at US Foods, a food distributor with around 20,000 employees - explains why she values the partnership with Carrum so much. "When I think about someone not having Carrum, it's like not having food. Because Carrum takes away all the insecurities. They take away all the guesswork. I don't know any other company that paves the way so well." Wondering why Sue is wearing Carrum scrubs in the video? She attended the 2026 Carrum Client Experience, and Carrum Health, Inc. provided its attendees with scrubs for its visits to a few Carrum Centers of Excellence.

PR Newswire
Apr 29th, 2026
Carrum Health adds tech duo to scale AI platform covering 7M members

Carrum Health, a value-based Centers of Excellence platform for specialty care, has appointed Kulesh Shanmugasundaram as Chief Product & Technology Officer and Ravi Garimella as Senior Vice President of Data and AI. The appointments come as the company scales its AI-powered infrastructure after doubling its covered lives to nearly seven million members in 2025. Shanmugasundaram previously served as CTO at Angi, where he rebuilt the entire product as an AI-native platform, and earlier at Handy HQ. Garimella brings marketplace data expertise from Blink Health and Groupon, including developing recommendation systems for millions of consumers. Carrum uses machine learning to identify the 5% of an employer's population most likely to need high-cost specialty care with 95% accuracy. The company claims to reduce unnecessary procedures by 30% and save employers up to 45% per episode of surgical care.

The Healthcare Technology Report
Mar 3rd, 2026
Carrum Health Partners with Lyra Health to Deliver Integrated Specialty and Mental Health Care

Carrum Health partners with Lyra Health to deliver integrated specialty and mental health care. Published. March 3, 2026 Carrum Health and Lyra Health have formed a strategic partnership to combine specialty medical services with behavioral health support for employer-sponsored plans. The collaboration connects Carrum's bundled Centers of Excellence programs in surgery, cancer care, and substance use disorder (SUD) treatment with Lyra's mental health services, creating pathways for high-cost, high-acuity populations. The integrated model enables referrals in both directions, aligning care navigation teams and reducing reliance on out-of-network providers, where behavioral health spending ranges from 25% to 30%, and SUD costs can climb as much as 40%. Become a subscriber. Please purchase a subscription to continue reading this article. Matthew Eurey, Chief Commercial Officer at Carrum Health, stated, "Behavioral health and physical health aren't separate challenges; they're interconnected." He added that members need "support across the full care continuum, not just at the point of crisis." The partnership allows Lyra Care Navigators to refer members to Carrum's specialty network, while Carrum patients gain access to Lyra's mental health programs for step-up and step-down support. The companies aim to reduce fragmented care that often leads to preventable crises and higher claims costs, as nearly 80% of large employers report rising demand for mental health and SUD services. Sean McBride, President of Employer Solutions at Lyra Health, noted, "When members get stuck between services that don't talk to each other, it leads to preventable crises and costly out-of-network claims."

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