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 A 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

  • Judi Health closed $400 million financing in September 2025, led by Wellington and General Catalyst.
  • FedRAMP Ready on July 30, 2026 opens federal, state, and contractor sales.
  • Revelio Labs counted 1,170 employees in March 2026, signaling aggressive hiring and expansion.

What critics are saying

  • Lehigh Valley Health Network's Capital Rx fraud suit still hangs over AJ Loiacono.
  • Unified claims processing takes years to replace entrenched OptumRx and CVS Caremark workflows.
  • A platform outage would halt claims across pharmacy, medical, dental, and vision lines.

What makes Judi Health unique

  • Judi Health unifies pharmacy, medical, dental, and vision claims on one platform.
  • FedRAMP Ready on July 30, 2026, strengthens federal-grade security and procurement credibility.
  • The company pairs PBM operations with Judi Care and Judi Cloud licensing.

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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

7%

1 year growth

13%

2 year growth

14%
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.

Healthcare IT Today
Oct 27th, 2025
Judi Health Secures $400M for Expansion

Capital Rx, now rebranded as Judi Health, announced a $400 million funding round, including a $252 million Series F, led by Wellington Management and General Catalyst. The funds will enhance Judi Health's AI-powered health benefits platform, expanding beyond pharmacy to offer full-spectrum benefits technology for employers. The rebrand reflects its evolution in health benefit management, addressing inefficiencies and rising care costs in the U.S.

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