Judi Health

Judi Health

Cloud-based platform streamlining pharmacy operations

Overview

Judi Health offers a cloud-based platform, JUDI, to help health insurers and health-plan managers streamline pharmacy operations and plan management. The platform runs in the cloud and lets clients modify health plan designs in minutes for large populations (up to 180 million lives) and includes internal financial management with security features like SSO and granular data access, while enforcing regulatory compliance. It stands out with transparent pricing (no hidden admin or rebate fees), a clear rebate framework, and strong scalability and data security for large-scale plans. Its goal is to help plan administrators quickly adapt plan designs and operations while staying compliant and financially transparent through a scalable cloud solution.

Significant Headcount Growth

About Judi Health

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

Industries

Data & Analytics

Enterprise Software

Cybersecurity

Healthcare

Company Size

501-1,000

Company Stage

Series F

Total Funding

$585M

Headquarters

New York City, New York

Founded

2017

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Simplify's Take

What believers are saying

  • September 3, 2026 adds Color Health, WellTheory, and Cylinder to clinical ecosystem.
  • August 11, 2026 Inc. 5000 ranking signals five straight years of growth.
  • January 12, 2026 surpassed five million contracted PBM lives and 80 partnerships.

What critics are saying

  • St. Luke’s-related fraud suit from 2023 persists, exposing contract and misrepresentation risk.
  • CVS’s non-compete litigation shows talent and IP disputes with incumbents remain live.
  • If unified claims adoption stalls, Judi becomes another niche PBM against CVS/Cigna.

What makes Judi Health unique

  • Judi Health’s July 15, 2026 Unified Claims Processing merges pharmacy, medical, dental, vision.
  • September 8, 2026 StarkRx with Employers Health offers modular cost-plus PBM flexibility.
  • July 30, 2026 FedRAMP Ready status differentiates Judi for federal healthcare buyers.

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Funding

Total Funding

$585M

Above

Industry Average

Funded Over

6 Rounds

Notable Investors:
Series F funding comparison data is currently unavailable. We're working to provide this information soon!
Series F Funding Comparison
Coming Soon

Benefits

Health Insurance

Remote Work Options

Hybrid Work Options

Wellness Program

Mental Health Support

Conference Attendance Budget

Professional Development Budget

Growth & Insights and Company News

Headcount

6 month growth

↑ 12%

1 year growth

↑ 15%

2 year growth

↑ 20%
Associated Press
Sep 8th, 2026
Employers Health and Judi Health launch StarkRx transparent PBM solution for self-funded plans

Employers Health has launched StarkRx, a transparent pharmacy benefit solution developed with Judi Health. The cost-plus model aims to give self-funded plan sponsors greater visibility into pharmacy costs and more control over their benefit plans. StarkRx offers flexible plan designs backed by Judi Health's technology platform. Features include a broad retail pharmacy network using cost-plus reimbursement, a specialty pharmacy network including Amazon and Accredo by Evernorth, and integration with third-party solution providers. The offering allows Employers Health's 500-plus clients, covering 2.5 million lives and nearly $6.1 billion in spend, to work collaboratively whilst avoiding restrictions associated with traditional spread models. Chris Goff, Employers Health's CEO, said the platform enables clients to identify market innovators and implement solutions more quickly.

HIT Consultant
Jul 15th, 2026
Capital Rx rebrands as Judi Health, raises $400M to unify pharmacy, medical, dental and vision claims

Capital Rx has rebranded as Judi Health following a $400 million funding round. The transparent pharmacy benefit manager is expanding beyond prescription drugs to launch Unified Claims Processing, consolidating pharmacy, medical, vision, and dental benefits on a single cloud platform called Judi. The company has achieved 20,000% organic enrolment growth over five years, now serving over 50 million individuals across commercial, Medicare, and Medicaid segments. Judi Health operates through three divisions: Judi Rx (pass-through pharmacy benefit model), Judi Care (medical benefit administration), and Judi Cloud (platform licensing for health plans). A June 2026 survey by Employee Benefit News found that 100% of transparent pharmacy benefit manager adopters would choose the pass-through framework again, with most migrating from traditional incumbents.

Associated Press
Jul 15th, 2026
Capital Rx rebrands to Judi Rx after $400M funding, launches medical benefits and cloud licensing arms

Judi Health has rebranded its pharmacy benefit manager Capital Rx to Judi Rx and launched two new divisions: Judi Care for medical benefit administration and Judi Cloud for platform licensing. The announcement follows a $400 million financing round. Founded in 2017, the company has grown its contracted lives by 20,000% over five years to more than 50 million across commercial, Medicare, and Medicaid. A June 2026 survey found transparent PBMs are now expected to dominate the industry over the next three to five years. The company's proprietary Judi platform consolidates pharmacy and medical benefit administration on a single system. Judi Care handles medical, dental, and vision solutions, whilst Judi Cloud enables health plans and third-party administrators to license the technology.

Business Wire
Feb 12th, 2026
Judi Health names John Nicolosi as CAO following $400M funding round

Judi Health has appointed John Nicolosi as Chief Administrative Officer to lead its newly established Administrative Services function. Nicolosi will oversee client-facing operations including implementation, client services, customer care and government programmes. Nicolosi brings over 20 years of healthcare and pharmacy benefit management experience, with a track record in driving organisational growth and client satisfaction. He previously held multiple leadership roles overseeing large-scale implementations and clinical strategy. The appointment follows Judi Health's significant expansion, including over 80 new partnerships, a $400 million funding round, and the launch of its unified pharmacy and medical claims adjudication platform. Nicolosi holds a Doctor of Pharmacy degree from Midwestern University and a bachelor's degree from the University of Illinois.

Associated Press
Jan 20th, 2026
Industry veterans launch Judi Group to tackle hidden costs and compliance gaps in employer health plans

The Judi Group, the first health benefits advisory firm focused on fiduciary compliance and cost control, has officially launched. Founded by industry veterans including Jeffrey Hogan, the firm conducts forensic-level reviews of employer health plans to eliminate hidden costs, contractual conflicts and compliance gaps. The advisory team includes Chris Deacon, Director of Growth and Strategy; Julie Selesnick, Director of Legal and Compliance; and Jason Aulakh, Director of Product and Innovation. The firm offers comprehensive services including contract reviews, regulatory compliance evaluations, fiduciary risk assessments and data analytics. The Judi Group aims to provide transparency in healthcare spending, typically an organisation's second-largest expense, by challenging the status quo and holding vendors accountable. The firm is backed by Judi Health, an enterprise health technology company.

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