Grounded Health

Why we exist

Everyone else at your table earns more when your plan spends more.

Brokers, TPAs, PBMs, carriers, care navigators — nearly every party in the chain is paid in a way that rewards opacity over outcomes. You are paying them to fight back against you.

That isn't a failure of your team. The system is confusing by design, and it stayed that way because it paid to be.

How we're built

We are a public benefit corporation.

Our directors are legally bound to weigh the interests of plan members and the employers who sponsor them alongside those of shareholders.

Plenty promise alignment in a deck. Ours is a duty in our founding documents.

Our public benefit purpose

To improve the health of people covered by health plans, and lower what they and their sponsors pay for care, by making plan spending transparent and accountable to the health of those covered.

Our revenue doesn't move when your spend does.

Not a promise — a structure. Every incumbent would have to give up a revenue stream to say the same thing.

Flat fee
Not PEPM. It doesn't move with your headcount.
No commissions
Nobody pays us to place business.
No cut of your spend
Our fee is the same whether you spend more or less.
No cut of recoveries
When money comes back, all of it is yours.
No broker, carrier, TPA or PBM ownership
Nobody we assess has a stake in us.
“Insurance companies and PBMs have departments of people and AI to find new ways to downcode, add fees, mark up, deny, underpay and more. Employers cannot even get claims data reliably. And that is by design.”
Mark Cuban · @mcuban on X, July 26, 2026 · see the post

How we compare

Independent by design.

Unlike brokers and third-party administrators,
we provide proactive, independent oversight across your whole healthcare program.
Unlike traditional auditors,
we continuously verify claims — not just during a one-time review.
Unlike point solutions,
we connect benchmarking, contracts, claims, recovery and care oversight in one platform.

Start here

See what an independent check finds.

Tell us your company name. We'll build your assessment from public filings — no claims data, no obligation.