Carrum Health

What Carrum Health does

Carrum Health is a value-based Centers of Excellence (COE) platform founded in 2014 and headquartered in San Francisco. The company contracts directly with a curated network of high-quality healthcare providers to deliver pre-negotiated, all-inclusive bundled payments for surgical, cancer, and substance use disorder episodes of care. As of 2026, the platform covers nearly 7 million members through approximately 300 employer groups, with a provider network spanning 400+ cancer facilities and 1,200+ vetted COE providers across musculoskeletal, bariatric, cardiac, gastroenterology, and substance use conditions. Each bundled episode carries a provider-held warranty (30 days for surgery, two years for cancer care), with reported outcomes of 45% lower costs per procedure, 80% lower readmissions, and 30% of members avoiding unnecessary surgery — figures independently validated by the RAND Corporation and published in Health Affairs.

The platform is delivered with a 24/7 care concierge mobile app that manages medical records collection, provider scheduling, travel logistics, and pre/post-operative coordination. AI is applied to patient identification and care coordination, and the company recently hired a Chief Product & Technology Officer and a Senior Vice President of Data and AI to scale these capabilities. Distribution combines direct enterprise sales to self-insured employers and public sector entities with channel partnerships through CVS Caremark, Accolade, Sidecar Health, Lyra Health, Teladoc Health, Virta Health, and other benefits platforms.

The company generates revenue primarily through bundled episode-of-care payments on a value-based, outcome-tied pricing model, with multi-year contracts to employers and health plans. Notable clients include 3M, Prudential, Walgreens, United Airlines, Charter Communications, US Foods, Sodexo, State of Maine, and Self-Insured Schools of California. Cumulative venture funding is approximately $96 million, including a $45 million Series B led by OMERS Growth Equity in May 2023. The company reports 100% client retention since inception.

Name

Carrum Health

Legal name

Carrum Health, Inc.

Website

https://carrumhealth.com

Company type

Private

Founded year

2014

Operating status

Operating

Headcount range

251–500 employees

Short description

Carrum Health is a value-based Centers of Excellence platform that negotiates bundled specialty care payments with a curated network of top providers, serving approximately 300 self-insured employers, health plans, and public sector entities covering nearly 7 million members across surgical, cancer, and substance use care.

Ownership category

akta.pro rank

Product category

Value-Based Specialty Care

NAICS

Offices of Physicians (6211), Direct Health and Medical Insurance Carriers (524114)

akta.pro primary industry

Direct Primary Care (DPC) & Concierge Medicine (HLAFAGAD)

akta.pro secondary industry

Clinical Document & Data Exchange (C-CDA, CCD, Direct Messaging) (HLACABAI)

Keywords

• Value-based care
• Centers of excellence
• Specialty care benefits
• Bundled payment healthcare
• Employer health benefits

Headquarters

HQ city

San Francisco

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. Bundled Episode-of-Care Payments: Carrum Health generates revenue by negotiating and administering pre-negotiated, all-inclusive bundled payments for surgical and cancer care episodes. Employers pay a fixed, upfront rate for an entire episode of care (facility, provider, and treatment fees bundled together), with warranties on outcomes. This shifts provider incentives from volume to value, enabling cost savings to be shared between Carrum, employers, and members. ROI for clients has been reported as high as 12:1.

Pricing tiers

Go-to-market motion1 record

Distribution channels6 records

Marketing channels6 records

Core offering

Carrum Health operates a value-based Centers of Excellence (COE) network that negotiates directly with top-quality healthcare providers to deliver bundled specialty care (surgical, cancer, substance use, cardiac, musculoskeletal, bariatric, gastroenterology) to self-insured employers and their employees. The offering includes pre-negotiated all-inclusive episode pricing with provider-held warranties on outcomes, an AI-driven care coordination platform, and a 24/7 concierge app that handles medical records, scheduling, travel logistics, and pre/post-op support.

Product overview

Carrum Health is a value-based Centers of Excellence (COE) network that provides employers with access to high-quality specialty care at pre-negotiated, bundled rates. The core platform centers on Surgical Centers of Excellence (covering musculoskeletal, bariatric, cardiac, and general surgeries) and the Carrum Cancer Care Program (covering nearly all cancer types through 400+ facilities). Additional programs include the Carrum Substance Use Treatment Program (for alcohol and opioid disorders), Weight Management solutions, Gastroenterology, and Heart Surgeries. The offering is delivered as an employer-sponsored benefit with warranties on outcomes, care coordination, and reported savings of up to 45% per surgical episode. Individual services like Second Opinions are also offered as standalone features.

Differentiator

Problem solved

Functional benefit

Products and services

• Surgical Centers of Excellence Value-based Centers of Excellence network providing surgical care across musculoskeletal, bariatric, cardiac, and other conditions with pre-negotiated bundled pricing, warranties on outcomes, and 45% cost savings per procedure. For self-insured employers and their employees.
• Carrum Cancer Care Program First value-based treatment program for nearly all cancer types, supported by a network of 400+ top facilities nationwide providing access to expert cancer teams, comprehensive treatments, complete care coordination, and on-demand physical and emotional support for the duration of care.
• Carrum Substance Use Treatment Program Evidence-based substance use disorder treatment delivering care for alcohol, opioid, cannabis, sedative, and stimulant use disorders with immediate access to top-rated centers nationwide, focused on long-term recovery and reducing relapses.
• Weight Loss Surgery Coverage Gastric sleeve, bariatric, and weight loss surgeries covered through top network providers with travel arrangements and little to no cost for eligible members.
• Musculoskeletal Surgery Joint replacement, hip, knee, and musculoskeletal surgeries performed by top 10% of providers nationwide.
• Gastroenterology Digestive health screenings and procedures including colonoscopies, upper endoscopies, sigmoidoscopy, and hemorrhoid banding at top centers.
• Heart Surgeries Non-emergency heart procedures including coronary artery bypass, cardiac implants, and cardiothoracic surgery through top cardiac surgeons.
• Hysterectomy Hysterectomy procedures covered through Carrum's network of top providers.

Quantifiable outcome

• 45% lower costs per surgical procedure ($16,144 average savings per procedure)
• +8 more outcomes

Named customers10 records

Segments4 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

16 partnerships are on record, tiered flagship, core and minor.

• Virta HealthflagshipStrategic or Co-development Partner · 10 March 2026Exclusive partnership launched March 10, 2026, to offer a comprehensive weight management solution for self-insured employers. The collaboration integrates Virta's nutrition-first virtual care, GLP-1 medications, and behavioral support with Carrum's surgical COE network. The partnership addresses fragmented care by creating coordinated pathways allowing patients to move between conservative weight management and surgical options without starting over. Carrum refers members needing pre-surgical weight loss to Virta; Virta refers members requiring bariatric surgery to Carrum.
• Lyra HealthcoreChannel Partner/ Reseller/ Distributor · 27 January 2026Partnership to integrate Carrum's specialty care services—including surgical, cancer care, and substance use disorder treatment—with Lyra's behavioral health offerings. Enables coordinated care pathways for high-need, high-cost patients with seamless referrals between the two networks without extra procurement. Carrum claims the collaboration can reduce unnecessary procedures by up to 30%, lower readmissions by 80%, and save employers up to 45% per surgical episode.
• Sidecar HealthcoreChannel Partner/ Reseller/ Distributor · 23 September 2025Sidecar Health partnered with Carrum Health to expand access to specialty care for its members. The partnership provides access to over 1,200 vetted COE providers for surgical, cancer, and substance use treatment. The partnership includes bundled pricing with a 30-day warranty on surgery and two years on cancer care. This was Sidecar Health's first collaboration with a COE network.
• Teladoc HealthcoreChannel Partner/ Reseller/ Distributor · 11 March 2025Carrum Health added as a new partner in Teladoc Health's connected care partnerships, enabling technology integrations that allow care providers to view member eligibility and refer patients to Carrum's COE programs at the point of care.
• CVS Health / CVS CaremarkflagshipChannel Partner/ Reseller/ DistributorAfter extensive evaluation of clinical, data security, and business processes, Carrum Health was chosen by CVS Health as the Centers of Excellence solution for their Point Solutions Management program. CVS Caremark clients and their members access the best and most appropriate surgical care at reliably lower costs through Carrum. The partnership includes simplified contracting through the CVS Caremark contract, streamlined procurement, and ongoing monitoring and oversight.
• AccoladecoreChannel Partner/ Reseller/ DistributorCarrum Health is integrated into Accolade's COE Integration Program as a Trusted Partner. Accolade provides personalized clinical guidance and navigation to get members to the best possible specialty care with Carrum's national value-based COE network for surgical, cancer, and substance use care. Simplified contracting is available through Accolade.
• Personify HealthminorChannel Partner/ Reseller/ DistributorPartner ecosystem member listed on Carrum Health's website. Personify Health is a health platform integrated with Carrum's COE specialty care network.
• SharecareminorChannel Partner/ Reseller/ DistributorPartner ecosystem member listed on Carrum Health's website. Sharecare is a digital health company integrated with Carrum's specialty care network.
• Quantum HealthminorChannel Partner/ Reseller/ DistributorPartner ecosystem member listed on Carrum Health's website. Quantum Health is a healthcare navigation company integrated with Carrum's COE network.
• Included HealthminorChannel Partner/ Reseller/ DistributorPartner ecosystem member listed on Carrum Health's website. Included Health is a healthcare navigation platform integrated with Carrum's specialty care COE network.
• Hinge HealthminorChannel Partner/ Reseller/ DistributorPartner ecosystem member listed on Carrum Health's website. Hinge Health is a digital MSK company whose members can be referred to Carrum's surgical COE when surgery is needed.
• ColorminorChannel Partner/ Reseller/ DistributorPartner ecosystem member listed on Carrum Health's website. Color provides genetic testing and health services integrated with Carrum's care network.
• BusinessolverminorChannel Partner/ Reseller/ DistributorPartner ecosystem member listed on Carrum Health's website. Businessolver is a benefits administration platform that may integrate Carrum's COE solution.
• Castlight HealthminorChannel Partner/ Reseller/ DistributorPartner ecosystem member listed on Carrum Health's website. Castlight Health is a health navigation platform integrated with Carrum's specialty care offerings.
• Leap HealthminorChannel Partner/ Reseller/ DistributorPartner ecosystem member listed on Carrum Health's website. Leap Health is a health platform integrated with Carrum's specialty care COE network.
• Sword HealthminorChannel Partner/ Reseller/ DistributorPartner ecosystem member listed on Carrum Health's website. Sword Health is a digital MSK therapy company whose members can access Carrum's surgical COE when conservative treatment isn't sufficient.

Scale indicators12 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Hinge Health: Digital MSK therapy platform that has expanded upstream into surgical referral and COE-adjacent offerings. Directly comparable because both compete for the same self-insured employer MSK and surgical care dollars, with Hinge Health positioning itself as a digital front door that can route into surgical COEs.
• Sword Health: Digital MSK care provider integrating virtual physical therapy with in-person surgical pathways. Comparable as a direct competitor in MSK and employer specialty care, and listed as a Carrum channel partner that can refer members into Carrum's surgical COE.
• Included Health: Employer-focused healthcare navigation and virtual care platform combining primary care, behavioral health, and specialty referrals. Comparable because both sell COE and specialty care navigation to self-insured employers and Included Health is listed as a Carrum partner.
• Accolade: Personalized healthcare navigation and benefits platform for employers that integrates COE partners like Carrum into its Trusted Partner program. Comparable as a parallel employer healthcare navigation offering and as a channel partner that resells Carrum's COE specialty care.
• Virta Health: Virtual care company focused on type 2 diabetes reversal and weight management, including GLP-1 medication support. Comparable through the exclusive March 2026 Carrum partnership that integrates Virta's conservative weight management with Carrum's surgical COE for the same employer customers.
• Lyra Health: Employer-sponsored behavioral health benefits platform. Comparable because Lyra integrates Carrum's surgical, cancer, and substance use disorder COE services into its care pathways for high-need, high-cost members, making it both a peer in the employer benefits space and a distribution partner.
• Quantum Health: Healthcare navigation and care coordination platform serving large self-insured employers. Comparable as a competitor and partner in specialty care navigation, and is integrated with Carrum's COE network per the company's partner ecosystem.
• Sharecare: Digital health company providing health navigation, benefits administration, and well-being tools to employers and health plans. Comparable as a direct peer in the employer digital health space and is listed in Carrum's partner ecosystem.
• Personify Health: Employer-focused health navigation and benefits platform (formerly Virgin Pulse/Personify). Comparable as a direct peer selling navigation and specialty care solutions to self-insured employers, and is listed as a partner integrated with Carrum's COE specialty care network.

Broad incumbents

• Teladoc Health: Largest publicly traded virtual care company offering telehealth, mental health, and specialty services to employers and health plans. Comparable as a broad incumbent in employer virtual care; Teladoc added Carrum as a connected care partner for COE referrals.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/carrumhealth
• LinkedInlinkedin.com/company/carrum-health
• Facebookfacebook.com/carrumhealth

Revenue estimate

Valuation estimate

Number of profiles

Profiles4 records

Funding overview

Funding rounds6 records

Investors9 records

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Carrum Health