Foundation Health
- Company typePrivate
- Founded2023
- HeadquartersSan Francisco, United States
- Headcount11–50
- GTM typeB2B
- OfferingSoftware
Foundation Health firmographics
Firmographics- Name
- Foundation Health
- Legal name
- Foundation Health Global, Inc.
- Website
- https://foundationhealth.com
- Company type
- Private
- Founded year
- 2023
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Ownership category
- akta.pro rank
Foundation Health industry classification
Industry- Product category
- Pharmacy Operations Software
- NAICS
- Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (5182)
- SIC
- Services-Prepackaged Software (7372)
- akta.pro primary industry
- Specialty Pharmacy & Complex Therapy Management Platforms (HLACAKAG)
- akta.pro secondary industries
- Virtual Pharmacy & Medication Management Integration Platforms (HLALABAL), 340B Program Administration & Contract Pharmacy Services (HLAFALAL), Adherence, Reminders & Engagement Automation (Medication/Follow-up) (HLACAEAJ)
Keywords
Where Foundation Health is headquartered
LocationHeadquarters
- HQ city
- San Francisco
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Foundation Health business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Technology or R&D, Personnel, Supply Chain, Operations, Marketing or Sales, Infrastructure
Revenue model
- Platform/SaaS Licensing: AI operating system platform licensed to health systems for pharmacy operations automation. White-labeled digital pharmacy platform provided to enterprise customers including health systems, pharma manufacturers, and health plans.
- API/Developer Access: API access to pharmacy, telehealth, and diagnostics services for developers and partners building healthcare applications. Credentials provisioned during onboarding for production and sandbox environments.
- Specialty Pharmacy Services: Specialty pharmacy services integrated through Shields Health Solutions network of nearly 80 health systems nationwide, with initial focus on prior authorizations expanding to medication adherence and care coordination.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Annual | Enterprise Platform - Custom pricing based on health system size and integration scope |
Go-to-market motion3 records
Distribution channels4 records
Marketing channels4 records
Foundation Health product offering
Product offeringCore offering
Foundation Health sells an AI-powered pharmacy operating system, branded PAIGE AI, that automates specialty pharmacy workflows including prior authorization, refill authorization, patient communication, 340B optimization, and financial assistance for large health systems, pharma manufacturers, and health plans. The platform is delivered as a white-labeled, modular SaaS accessible via a RESTful API and embedded into EHRs such as Epic and Cerner, with integrated nationwide pharmacy fulfillment, telehealth, and diagnostics services.
Product overview
Foundation Health operates as an AI-powered pharmacy operating system with a platform-plus-modules architecture. The core PAIGE AI assistant serves as the central automation engine, supported by specialized modules including Prior Authorization Automation, Refill Authorization, MSOT Queue Automation, Financial Assistance, 340B Optimization, and Patient Communication (SMS & VoiceAI). The platform also encompasses integrated service verticals for Pharmacy Fulfillment (up to 100,000 daily prescription capacity), Telehealth (async/sync visits, 24/7, 50 states), and Diagnostics (home collection, mobile phlebotomy, in-lab testing). All capabilities are accessible via the Platform API for developer integration. Target segments include Health Systems (with Epic/Cerner EHR integrations), Consumer Health Brands, Pharma Manufacturers, and Health Plans/Insurers.
Differentiator
Problem solved
Functional benefit
Brands
- PAIGE AI: AI pharmacist assistant that automates patient communication, prior authorization, and refill processing workflows for pharmacy operations.
Products and services
- PAIGE AI AI pharmacist assistant that automates repetitive pharmacy operations including prior authorization workflows, refill processing, patient communication, benefits verification, and financial assistance enrollment for health system and enterprise pharmacy teams. Reduces care team manual workload by up to 75% and increases refill authorization throughput 2x per FTE.
- Digital Pharmacy Platform White-labeled, complete digital pharmacy experience enabling prescription management, patient support, nationwide fulfillment, and pharmacy operations with customizable branding and integrations.
- AI-powered Prior Authorization Automation
Quantifiable outcome
- Reduces care team manual workload by up to 75%
- +4 more outcomes
Companies that use Foundation Health
Customer profileNamed customers3 records
Segments4 records
Ideal customer profiles4 records
Foundation Health technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- Yes
- API docs
- API detail
Core technology
AI maturity
App detail
Integration3 records
AI capability5 records
Feature9 records
Foundation Health partnerships and signals
Strategic signalPartnerships
Four partnerships are on record, tiered strategic and core.
- OpenAIstrategicIntegration with OpenAI's GPT-Realtime voice models for healthcare applications. Foundation Health is already building and testing applications with GPT-Realtime-Translate (70+ languages to 13 output languages), GPT-Realtime-Whisper (low-latency streaming speech-to-text), enabling voice interfaces that can listen, reason, translate, transcribe, and take action in pharmacy patient communications.
- Shields Health SolutionscoreStrategic partnership integrating Foundation Health's AI-powered pharmacy technology into Shields' specialty pharmacy services across nearly 80 health systems nationwide. Initial focus on prior authorizations (process 94% of providers report causes care delays), expanding to medication adherence, patient experience, financial assistance, and care coordination. Shields also making significant investment in Foundation Health to advance AI-enabled technology across specialty pharmacy workflows.
- Amazon PharmacycoreCollaboration to provide real-time prescription price transparency through API integration, allowing Foundation Health customers to display Amazon Pharmacy pricing and fulfillment options. Initiative aims to reduce surprise costs, support medication adherence, and enable faster access to critical therapies like GLP-1 treatments. Supports broader care models and improves medication access across different care settings.
- Epic SystemscoreTechnology integration partnership enabling Foundation Health to connect with Epic MSOT queues and integrate via HL7/FHIR APIs. Platform can embed within Epic MyChart patient portal with Single Sign-On integrations.
Scale indicators9 records
Recent moves6 records
Expansion highlights6 records
Foundation Health competitors and assessment
Company assessmentDirect peers
- Truepill: B2B digital pharmacy platform and telehealth/diagnostics infrastructure powering consumer health brands and health systems. Most directly comparable because it was founded by the same entrepreneur (Umar Afridi, co-founder) and pursues a near-identical API-first digital pharmacy thesis at greater scale.
- Alto Pharmacy: Digital-first pharmacy combining mail-order fulfillment with a technology platform for providers and patients. Comparable to Foundation Health's digital pharmacy + telehealth + diagnostics stack, with similar patient-experience focus and partner-driven distribution.
- Capsule: Consumer digital pharmacy with proprietary technology for prescription management, prior authorization, and same-day delivery. Comparable as a tech-centric pharmacy platform with white-label/partner enablement ambitions aligned with Foundation Health's health-system and consumer health segments.
- CareMetx: Specialty pharmacy hub services and technology platform that automates prior authorization, financial assistance, and patient onboarding for biopharma and health systems. Comparable as a specialty-pharmacy technology vendor competing directly for the same health-system and pharma manufacturer workflows.
Broad incumbents
- CoverMyMeds: McKesson-owned prior authorization and patient-access platform used by the majority of US pharmacies, providers, and payers. Comparable because it sits on top of the same PA workflow Foundation Health automates and bundles within larger pharma services.
- Surescripts: Nationwide ePrescribing and clinical interoperability network connecting EHRs, pharmacies, payers, and pharmacy benefit managers. Comparable as an incumbent infrastructure layer that touches the same Epic/Cerner pharmacy workflows Foundation Health is integrated with.
- Express Scripts (Evernorth): Largest US pharmacy benefit manager with embedded digital pharmacy, prior authorization, and adherence tools. Comparable because it operates pharmacy technology at massive scale and is positioned to expand or acquire PA and adherence automation capabilities.
Emerging players
- Cohere Health: AI-driven prior authorization and intelligent utilization management platform for health plans and providers. Comparable because it directly competes for the same PA automation budget and increasingly for specialty pharmacy workflows.
- Arine: AI medication management and adherence platform for health plans and provider organizations. Comparable because it competes for the same medication-adherence and patient-engagement workflows Foundation Health delivers via SMS and VoiceAI modules.
- TailorMed: Financial assistance platform that automates identification and enrollment in manufacturer copay programs and patient assistance foundations for specialty medications. Comparable because it competes head-on with Foundation Health's Financial Assistance module.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks7 records
Key highlights7 records
Customer concentration
Foundation Health social profiles
Digital presenceFoundation Health compliance and trust
Trust signalCompliance4 records
Foundation Health financial estimates
Financial estimateRevenue estimate
Valuation estimate
Foundation Health leadership team
Management profileNumber of profiles
Profiles1 record
Foundation Health funding detail
Funding detailFunding overview
Funding rounds2 records
Investors11 records
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Foundation Health M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Foundation Health
What does Foundation Health do?
Foundation Health sells an AI-powered pharmacy operating system, branded PAIGE AI, that automates specialty pharmacy workflows including prior authorization, refill authorization, patient communication, 340B optimization, and financial assistance for large health systems, pharma manufacturers, and health plans. The platform is delivered as a white-labeled, modular SaaS accessible via a RESTful API and embedded into EHRs such as Epic and Cerner, with integrated nationwide pharmacy fulfillment, telehealth, and diagnostics services.
Is Foundation Health a public or private company?
Foundation Health is a private company. It is classified as venture growth investor backed and is currently operating.
When was Foundation Health founded?
Foundation Health was founded in 2023. It employs 11 to 50 people.
Where is Foundation Health based?
Foundation Health is headquartered in San Francisco, United States, in the North America region.
How does Foundation Health make money?
Three revenue lines are on record. Platform/SaaS Licensing is the primary driver. The others are API/Developer Access and specialty Pharmacy Services.
Who are Foundation Health's main competitors?
Direct peers on record are Truepill, Alto Pharmacy, Capsule and CareMetx. Broad incumbents are CoverMyMeds, Surescripts and Express Scripts (Evernorth). Emerging players are Cohere Health, Arine and TailorMed.
Does Foundation Health have an API?
Yes. Foundation Health provides a RESTful, JSON-based API that enables developers to integrate pharmacy, telehealth, diagnostics, and fulfillment services. The API supports OAuth 2.0 Client Credentials authentication, with separate production and sandbox environments for USA and Europe regions. Key endpoints include Patients, Consultations, Prescribing, Fulfillment (Orders), Diagnostics (Lab Tests), Webhooks, and Media. A rate limit of 1024 requests per minute is enforced. The API uses an additive versioning philosophy (non-versioned) to avoid breaking changes. Developer documentation is at docs.foundationhealth.com.
What industry is Foundation Health in?
Foundation Health's product category is Pharmacy Operations Software. Its primary akta.pro industry code is HLACAKAG, Specialty Pharmacy & Complex Therapy Management Platforms, with a secondary code of HLALABAL, Virtual Pharmacy & Medication Management Integration Platforms. Its NAICS code is 5182 and its SIC code is 7372.