Quantum Health

Name

Quantum Health

Legal name

Quantum Health, Inc.

Website

https://quantum-health.com

Company type

Private

Founded year

1998

Operating status

Operating

Headcount range

1–10 employees

Ownership category

akta.pro rank

Headquarters

HQ city

Columbus

HQ country

United States

HQ region

North America

Offices3 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Healthcare Navigation Services: Subscription-based healthcare navigation services provided to self-insured employers. Revenue model based on per-member-per-month (PMPM) pricing. Services include care coordination, clinical support, virtual care integration, and pharmacy navigation. Clients report 6% claims savings in year 1 and 10% savings in year 3.

Pricing tiers

Go-to-market motion3 records

Distribution channels4 records

Marketing channels8 records

Core offering

Quantum Health provides healthcare navigation and care coordination services to self-insured employers and their employees. The platform combines AI-powered technology (Real-Time Intercept model, Agentic AI Platform) with human-led Care Coordinators in a specialized pod model to engage members proactively—typically 90-110 days before their first claim—and guide them to high-quality, cost-effective care across pharmacy, virtual care, oncology, and specialty care journeys.

Product overview

Quantum Health is a healthcare navigation platform offering a unified solution portfolio built around its Real-Time Intercept® engagement model. The platform operates as a platform-plus-modules architecture with three primary solution tiers: Quantum Signature (full-service/comprehensive), Quantum Flex (configurable), and Embold Plus (digital-first entry). The expanded January 2026 suite introduced an agentic AI platform that deploys individual AI agents for clinical risk detection, outreach, provider recommendations, scheduling, and claims resolution. Key modules include Pharmacy Navigation (with GLP-1 management), Oncology Navigation, Virtual Care via CirrusMD acquisition, Centers of Excellence, Care Finder provider search, and Action to Impact analytics. The platform is powered by proprietary data from over 230 million healthcare journeys and integrates technologies from the 2025 Embold Health acquisition. Quantum Health serves self-insured employers and their employees across the United States.

Differentiator

Problem solved

Functional benefit

Products and services

• Quantum Signature Quantum Health's most comprehensive healthcare navigation offering delivering the highest level of clinical integration, provider engagement, and return on investment for self-funded employers. Includes full Real-Time Intercept engagement, pod-based Care Coordinator support, virtual care, pharmacy navigation, oncology navigation, Centers of Excellence, and Action to Impact analytics.
• Quantum Flex A configurable healthcare navigation solution allowing employers to select capabilities aligned with their benefits strategy, budget, and timeline. Provides modular access to navigation components including Real-Time Intercept, Care Coordinators, virtual care, and analytics based on employer-selected configuration.
• Embold Plus An entry-level, digital-first healthcare navigation solution providing AI-powered digital guidance and access to Care Coordinators when needed. Designed for minimal disruption while keeping the existing carrier, allowing employers to add navigation value without changing insurance relationships.
• Agentic AI Platform Core technology platform combining agentic AI, clinically validated provider steerage, and human-led coordination to drive action and accountability across healthcare. Individual AI agents are deployed across the member journey for clinical risk detection, outreach, provider recommendations, appointment scheduling, cost estimation, and claims resolution.
• Care Finder (by Embold Health) AI-powered provider search tool evaluating providers by appropriateness, effectiveness, and cost using data from 230+ million healthcare journeys, with daily data refresh and multilingual support. Uses Embold's patented quality scoring methodology with peer comparisons and risk-adjusted cohorts.
• Action to Impact Analytics AI-powered analytics capability providing transparent reporting that connects specific navigation actions to quantifiable cost savings and outcome improvements. Proves at the member level how the navigation model reduces costs, improves outcomes, and enhances employee experience.
• Real-Time Intercept Proprietary engagement model that identifies members at risk and engages them an average of 90-110 days before the first claim is received, enabling proactive intervention. Trademarked proprietary navigation model that creates the company's defensible technology moat.
• Pharmacy Navigation Solution Comprehensive pharmacy navigation including GLP-1 management, prescription cost guidance across 17,000+ medications, specialty drug cost management, biosimilar outreach, pricing comparisons, and therapeutic alternatives. Integrated with Scripta Insights prescription savings technology.
• GLP-1 Weight Management Solution Weight management solution leveraging the Vida Health partnership to help employers manage costs of GLP-1 medications. Supports employees on weight management drugs with clinical guidance, adherence support, and cost management to address the rapidly growing GLP-1 market.
• Oncology Navigation Solution Comprehensive oncology navigation supporting members facing complex cancers including treatment coordination, cost management, Centers of Excellence referrals, and family support throughout the cancer care journey.
• Virtual Care (CirrusMD) Physician-led virtual care including chat-first services connecting members to doctors in under 60 seconds, 24/7/365. Includes virtual primary care, urgent care, behavioral health, and preventive screenings, integrated into the navigation platform.
• Centers of Excellence Built-in Centers of Excellence for specialty surgical and cancer care, providing high-quality outcomes and cost predictability through partnerships with Lantern, Carrum Health, and Vanderbilt Health Affiliated Network.
• Expert Second Opinion Medical second opinion service for complex diagnoses and treatment decisions, providing members access to specialist expertise to validate or refine treatment plans.
• Early Steps Maternity Maternity support program guiding expecting mothers through pregnancy and postpartum care, providing clinical and benefits navigation throughout the maternity journey.
• Pod Model Care Coordination Service Specialized care coordination service where small teams of Care Coordinators, nurses, benefits experts, and behavioral health professionals work together to guide members through their healthcare journey using AI-powered technology and real-time data.

Quantifiable outcome

• 6% claims savings in year 1, 10% in year 3
• +7 more outcomes

Named customers17 records

Segments4 records

Ideal customer profiles4 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration7 records

AI capability10 records

Feature7 records

Partnerships

Ten partnerships are on record, tiered core, preferred, strategic and minor.

• Scripta InsightscoreTechnology or Integration · 11 May 2026Strategic partnership integrates Scripta's clinically governed prescription savings technology into Quantum Health's navigation platform. Supports 100+ employer/health plan clients, mapped 17,000+ medications, generated $100M+ in client savings with 5.05x lifetime ROI. Enables prescription savings identification, biosimilar outreach, pricing comparisons.
• CirrusMDcoreStrategic or Co-development Partner · 3 March 2026Acquired CirrusMD, a Denver-based on-demand virtual care company. Integration adds physician-led virtual care with chat-first services connecting members to doctors in under 60 seconds. Enhances Real-Time Intercept navigation model to enable earlier clinical engagement and reduce healthcare costs.
• LanternpreferredStrategic or Co-development Partner · 26 February 2026Partnership expands access to value-based specialty care for self-insured employers. Clients can include Lantern's specialty surgical and cancer solutions emphasizing high-quality Centers of Excellence and outcomes-based solutions. Lantern negotiates lower costs while ensuring high-quality care.
• Embold HealthcoreStrategic or Co-development Partner · 17 June 2025Acquired Embold Health, a physician-led healthcare technology company. Unlocks AI-powered personalization and provider search capabilities. Embold remains independent entity operating from Nashville, Tennessee. Combined companies serve more than 8 million members nationwide.
• Vida HealthpreferredTechnology or Integration · 21 March 2025Partnership launches GLP-1 weight management solution as part of Quantum Health's premier pharmacy navigation platform. Addresses growing GLP-1 market forecasted to grow from $22 billion in 2024 to $105 billion by 2030.
• ProgynypreferredStrategic or Co-development PartnerPartnership launches family-building benefits offering. Supports reproductive healthcare navigation for family building including fertility treatments and services.
• Carrum HealthpreferredTechnology or IntegrationSelected as Centers of Excellence Partner in Quantum Health's Preferred Partner Program. Enables more accessible surgery care through value-based surgical Centers of Excellence.
• Vanderbilt Health Affiliated NetworkstrategicStrategic or Co-development PartnerIndustry-first collaboration with Vanderbilt Health Affiliated Network. Integrates provider network and clinical expertise into navigation platform.
• Kirkland & EllisminorImplementation/ SI/ Consulting PartnerLegal counsel advising Quantum Health on acquisition of CirrusMD. Provided legal advisory services for the transaction.
• Mayer Brown LLPminorImplementation/ SI/ Consulting PartnerLegal counsel to Embold Health during acquisition by Quantum Health.

Scale indicators18 records

Recent moves7 records

Expansion highlights6 records

Market position

Competitive moat6 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/playlist?list=PLKUn4W7MUSPCtqyvcqecPno0JNmOm-T3d
• LinkedInlinkedin.com/company/quantum-health
• Xx.com/QuantumHealth1
• Facebookfacebook.com/quantumhealth1

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles13 records

Subsidiaries2 records

Funding overview

Funding rounds2 records

Investors4 records

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

M&A2 records

Investments

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

Frequently asked questions about Quantum Health