The challenge
You carry the risk. You should have the visibility and control.
Costs are rising faster than ever, and an estimated quarter of healthcare spending delivers no meaningful value.
Contracts are complex, claims are opaque, vendor incentives are misaligned — and the volume of data makes real oversight impossible without the right technology.
Grounded Health changes that.
By the numbers
Health costs are out of control.
AI now writes the notes, codes the claims and prices the care — billing your plan more, at scale.
+9%
projected 2026 cost increase for large employers — the steepest in over a decade.
Business Group on Health, 2026 Employer Health Care Strategy Survey
25%
of health-care dollars is waste — up to $935B a year that employers help fund but never see.
Shrank et al., JAMA, 2019
1.7%
of total health spend is now AI upcoding alone.
Garner Health, 2026
49%
of plans took a $1M+ claim last year — up from 23%.
Aegis Risk, 2025
For benefits and people teams
Built to elevate people teams.
You don't need another platform to run. You need someone on your side of the table telling you what's working, what's leaking, and what to do about it.
Reporting that comes to you
Findings land in your inbox or Slack. No new dashboard, no new login, no weekly meeting.
Vendor accountability
Everyone who promised savings gets scored on what they delivered. We don't replace your vendors; we make them perform.
Contract review
We read the language nobody else does and flag terms that cost you money — before renewal, while you can still act.
Margin, tracked to the dollar
Recovered dollars show up in operating income, not a vendor's slide deck.
How it matures
Start with the easiest savings. Grow into continuous oversight.
What we need from you
What you get
Contract Review
Sign an NDA
Just your contract documents — your PBM agreement, fee schedules, plan docs. No claims data, no PHI.
The contract diagnostic: your PBM contract scored against ten fiduciary-aligned standards — spread pricing and retained rebates, missing audit and data-ownership rights, network steering, hidden admin fees, and clean-exit barriers — plus your CAA 2026 readiness and the model language to close each gap at renewal.
Claims Recovery & Assurance
De-identified claims data
Runs inside your own cloud; nothing sensitive leaves. To recover, only the flagged claims and the PHI our partner needs are shared — you approve exactly what's exposed.
Money found and recovered: every claim checked — not a 1% sample — for billing that doesn't match your contract, duplicate and erroneous charges, and above-market rates. A vetted partner recovers the overpayments on contingency (we take $0), and agents keep every vendor accountable so it never drifts back.
Care Quality Verification
BAA + EHR authorization
A signed BAA and your authorization to pull clinical EHR data — matched inside your cloud, surfaced only as de-identified, aggregate insight.
Is the care any good: billed-vs-delivered verification, which of your people are the clinical outliers, care-gap and acute early warnings, and your population's trends vs. national norms — proof your people get the care you pay for.
The platform
Your plan, actively managed — $1.81M freed to reinvest.
Start here
Get your free assessment.
Public Form 5500 data only — a first read on the plan signals worth investigating, before you share anything.
Get your free assessment