MedImpact

MedImpact

Independent PBM reducing prescription costs

Overview

MedImpact is an independent pharmacy benefit manager (PBM) serving health plans, self-funded employers, and government entities. It designs and administers prescription drug benefits to lower costs and improve member health, including core PBM services, clinical programs, and specialty drug management. It operates at a large scale with transparency and flexible pricing, negotiating rebates and processing claims for clients. Its goal is to reduce prescription drug costs while improving health outcomes through data-driven, end-to-end benefit management.

Significant Headcount Growth

About MedImpact

Simplify's Rating
Why MedImpact is rated
C
Rated C on Competitive Edge
Rated B on Growth Potential
Rated D+ on Differentiation

Industries

Data & Analytics

Healthcare

Company Size

1,001-5,000

Company Stage

Seed

Total Funding

$2.8M

Headquarters

San Diego, California

Founded

1989

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Simplify's Take

What believers are saying

  • GLP-1 Benefit 360 targets obesity-drug spend with capped pricing and coaching.
  • Maryland county outreach at MACo expands public-sector pipeline for pharmacy-benefit optimization.
  • SRS Benefit Partners and MSL Captive Solutions deepen employer cost-management offerings.

What critics are saying

  • PBM reform limiting spread pricing or rebates would compress core economics.
  • State Medicaid mandates can pressure margins and reduce flexibility in public-sector contracts.
  • GLP-1 price competition and direct channels can bypass traditional claims and rebate leverage.

What makes MedImpact unique

  • Largest independent PBM serving 50 million lives across public and private plans.
  • Offers modular Medicaid PBM/PBA services on a single integrated platform.
  • Bundles PBM, specialty management, cash cards, 340B automation, and home delivery.

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Funding

Total Funding

$2.8M

Below

Industry Average

Funded Over

2 Rounds

Seed funding is usually the first official round after pre-seed, when a startup has a prototype or concept. It’s typically used to develop the product, test the market, and start building the team. Investors here are often angel investors or early-stage venture capitalists.
Seed Funding Comparison
Below Average

Industry standards

$3.3M
$1.5M
Slack
$2M
Netflix
$2.3M
Instacart
$3M
Robinhood

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Wellness Program

Unlimited Paid Time Off

Paid Vacation

401(k) Company Match

Life Insurance

Disability Insurance

Tuition Reimbursement

Employee Referral Bonus

Growth & Insights and Company News

Headcount

6 month growth

12%

1 year growth

12%

2 year growth

13%
Anne Arundel County
Jul 16th, 2026
MedImpact to present on optimizing pharmacy benefits at MACo Summer Conference.

MedImpact to present on optimizing pharmacy benefits at MACo Summer Conference. The Maryland Association of Counties announced on July 16 that MedImpact will host a session titled "Optimizing Pharmacy Benefits for Counties" during the Solutions Showcase at its 2026 Summer Conference. The event is scheduled to take place at the Roland Powell Convention Center in Ocean City, Maryland, from August 12 to August 15. According to the announcement, MedImpact's session will address strategies for making pharmacy benefits easier to understand and more cost effective for counties. The session description states, "For most employer-sponsored health insurance plans, pharmacy benefits are the most frequently used and challenging. MedImpact seeks to make these benefits easy to understand and cost effective." It also notes that while pharmacy benefit managers are under scrutiny from mandates affecting Maryland pharmacies and retailers, there may be opportunities within the State of Maryland's current employee benefits contract that could benefit county governments. The Solutions Showcase session is set for August 14 from 12:15 p.m. to 12:45 p.m. Organizers encourage attendees to register for the conference in order to participate in this and other sessions. MACo's Summer Conference theme this year is "Build What's Next." Additional information about registration pricing, sponsorship opportunities, exhibitor details, hotel rates, and related activities such as a golf tournament can be found through MACo's official channels. Questions regarding the event can be directed to Virginia White.

The Associated Press
Mar 24th, 2026
MedImpact launches GLP-1 Benefit 360 to tackle obesity medication costs with capped pricing

MedImpact, the largest independent pharmacy benefits company in the US, has launched two solutions to manage rising GLP-1 medication costs whilst improving patient access: GLP-1 Benefit 360 and GLP-1 Direct Fund. GLP-1 Benefit 360 offers capped pricing for plans and members, integrated lifestyle support through the MedEmpower Fuel mobile app, and access to registered dietitians. The solution addresses the issue that over half of patients discontinue GLP-1 therapy within three months by providing personalised coaching at no additional cost. The GLP-1 Direct Fund allows healthcare payers to contribute set amounts toward direct-to-consumer pricing, offering members lower out-of-pocket costs whilst protecting plans from unpredictable cost increases. Both solutions bypass traditional high-cost pharmacy models to provide predictable pricing and clinical support.

MedImpact
Mar 16th, 2026
MedImpact Announces Acquisitions of Employer Insurance and Risk Management Companies | MedImpact

SRS Benefit Partners and MSL Captive Solutions provide alternative risk financing solutions that protect employers from sky-high administrative fees and renewals

Captive Review
Mar 16th, 2026
MedImpact acquires MSL Captive Solutions and SRS Benefit Partners from SRS

MedImpact acquires MSL Captive Solutions and SRS Benefit Partners from SRS. Acquisition of the two brands focused on medical stop-loss captive solutions by MedImpact Holdings extends its portfolio of care and coverage solutions MHW Benefit Partners (formerly SRS Benefit Partners) and MSL Captive Solutions have both been acquired by MedImpact Holdings Inc. Both businesses were previously owned by Strategic Risk Solutions. MedImpact is one of the US' largest independent health solutions and pharmacy benefit companies. MHW Benefit Partners helps small and mid-sized businesses, working independently or in groups, form, grow, and evolve captives, consortiums, and other employee benefit programmes. MSL Captive Solutions provides medical stop-loss insurance to protect self-insured employers from potentially catastrophic healthcare claims. Partnering with A-rated insurance companies, it underwrites individual employer stop-loss and captive programmes. Announcing the deals, MedImpact stated they expand its portfolio of care and coverage solutions, "providing employers with modular, cost-effective alternatives to traditional insurance carriers." "By integrating specialised risk management and alternative financing, MedImpact offers small and mid-sized businesses the transparency, flexibility, and cost control typically reserved for large, self-insured corporations," the company said. The two companies join MG Insurance as MedImpact's main risk management and underwriting brands, providing captive programmes and stop-loss protections. "Small and mid-sized businesses today struggle to manage runaway healthcare costs with the inflexible and opaque traditional insurance programmes," said Zach Johnson, MedImpact executive vice president. "We are putting power back in the hands of employers by giving them innovative alternatives, transparency, flexibility, and total control."

Captive Insurance Times
Mar 13th, 2026
MedImpact acquires MSL Captive Solutions and MHW Benefit Partners

Image: MedImpact_MHW Benefit Partners_MSL Captive Solutions_SRS Benefit Partners MedImpact acquires MSL Captive Solutions and MHW Benefit Partners. MedImpact Holdings, Inc., an independent health solutions and pharmacy benefit company, has acquired two risk management firms, MHW Benefit Partners and MSL Captive Solutions. The acquisitions expand MedImpact's portfolio of care and coverage solutions, providing small and mid-sized businesses with alternative financing and specialised risk management typically reserved for large, self-insured corporations. MHW Benefit Partners, formerly known as SRS Benefit Partners, assists businesses in the formation and evolution of captives, consortiums and other employee benefit programmes. MSL Captive Solutions specialises in medical stop-loss insurance, protecting self-insured employers from catastrophic healthcare claims. The firm partners with A-rated insurance companies to underwrite individual employer stop-loss and captive programmes. Commenting on the acquisitions, Zach Johnson, executive vice president at MedImpact, says: "Small and mid-sized businesses today struggle to manage runaway healthcare costs with the inflexible and opaque traditional insurance programmes. We are putting power back in the hands of employers by giving them innovative alternatives, transparency, flexibility, and total control." With the addition of these firms, MedImpact now offers a full suite of risk management and underwriting solutions, including captive programmes and stop-loss protections provided by MHW Benefit Partners, MSL Captive Solutions and MG Insurance. These services are integrated alongside third-party administration through Verdegard, transparent networks via PNOA and drug savings programmes through Ray Savings Solutions and Birdi. Based in San Diego, MedImpact has operated for more than 35 years, delivering tools and services designed to make healthcare more affordable and predictable for employers.

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