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Macro Health

Subscription-based data analytics for payers

Overview

Macro Health provides a subscription-based Intelligent Health Market as a Service (IHMaaS) platform for healthcare payers such as insurance companies and health plan providers. The platform connects and integrates multiple healthcare networks and solutions into one streamlined system and uses real-time data analytics to support informed decisions. It automates processes, shortens implementation timelines, and helps clients reduce costs while maintaining or improving quality and patient outcomes. Compared with competitors, Macro Health emphasizes creating cohesive

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About Macro Health

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

Industries

Data & AnalyticsEnterprise SoftwareHealthcare

Company Size

51-200

Company Stage

Series A

Total Funding

$41M

Headquarters

Kirkland, WA

Founded

2017

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Simplify's take

What believers are saying

  • September 9, 2026 CFO Erica Tingley strengthens finance discipline for marketplace expansion.
  • July 2025 ClearCost Health and June 2025 FPS added transparency and pharmacy capabilities.
  • January 2026 Archimedes partnership broadened specialty PBM distribution into coalition channels.

What critics are saying

  • UnitedHealth, Optum, and HealthEdge can bundle similar payer workflows by 2027.
  • If claims and provider data standardization stalls, MacroHealth becomes a nice-to-have integration layer.
  • A failed acquisition integration from ClearCost Health or FPS would damage trust and margins.

What makes Macro Health unique

  • MacroHealth’s IHMaaS platform unifies payer, provider, and pharmacy workflows across 45+ partners.
  • August 2025 Gartner named MacroHealth a Representative Vendor in payer network management.
  • Providence Health Plan and Aetna used MacroHealth to speed network implementation and data exchange.

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Funding

Total Funding

$41M

Above

Industry Average

Funded Over

1 Rounds

Series A funding typically happens when a startup has a product and some customers, and now needs funding to scale. This money is usually used to grow the team, expand marketing, and improve the product. Venture capital firms are frequently the main investors here.
Series A Funding Comparison
Above Average

Industry standards

$15M
$8.2M
$15M
$30M
$41M

Benefits

  • Health Insurance
  • Dental Insurance
  • Vision Insurance
  • 401(k) Company Match
  • Company Equity
  • Paid Vacation
  • Remote Work Options

Growth & Insights and Company News

6 month growth

0%

1 year growth

0%

2 year growth

1%
PR Newswire
Sep 9th, 2026
MacroHealth appoints Erica Tingley as CFO to scale marketplace growth

MacroHealth, a marketplace connecting healthcare payers and plan administrators with partners, has appointed Erica Tingley as chief financial officer. Tingley brings over 25 years of healthcare experience across investment banking, M&A, corporate finance, and operations. She will help scale the company's financial and operational foundations as it adds new marketplace categories and capabilities. Most recently, Tingley served as president and CFO of Knowtion Health, a revenue cycle management partner to health systems. Previously, she was COO and CFO of Bluesight. MacroHealth's platform enables payers to compare vendors, implement solutions quickly, and optimise continuously using claim-level analytics. The company says it reduces total cost of care for its over 300 partners by 6–8%. Tingley holds degrees from Harvard University and Wharton School.

BenefitsLink
Aug 1st, 2025
Intelligent Health Marketplace Acquires Organization to Improve Transparency and Drive Affordability

MacroHealth Acquires ClearCost Health to Further Improve Healthcare Access, Cost and Quality KIRKLAND, Wash. - MacroHealth, a healthcare technology company offering an intelligent healthcare marketplace for payers and their vendor partners, today announced the acquisition of ClearCost Health, a leader in provider search and price transparency solutions.

PR Newswire
Jul 22nd, 2025
MacroHealth Acquires ClearCost Health for Transparency

MacroHealth, a healthcare technology company, has acquired ClearCost Health to enhance transparency and affordability in healthcare. ClearCost Health, serving over 3.5 million users, offers customizable provider search and price transparency solutions. This acquisition will improve MacroHealth's platform by optimizing networks and enhancing member experience with a unified provider directory, helping health plans lower care costs and make smarter care decisions.

V3 Media
Jun 4th, 2025
Acquisition Accelerates Innovation to Drive Pharmacy Transparency and Choice in Health Marketplace

MacroHealth expands its marketplace offerings with acquisition of Foundational Pharmacy Strategies

PR Newswire
Jun 3rd, 2025
MacroHealth Acquires FPS for Pharmacy Innovation

MacroHealth, a healthcare technology company, has acquired Foundational Pharmacy Strategies (FPS) to enhance its marketplace offerings. This acquisition aims to address pharmacy costs across medical and pharmacy benefits, empowering benefit advisors, consultants, health plans, and employers to optimize high-cost drugs. In 2023, US retail prescription drug spending reached $450 billion, an 11.4% increase from the previous year. The move seeks to create a more transparent marketplace for pharmacy benefit management solutions.

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