HealthMe
HealthMe is a healthcare marketplace platform that enables independent medical practices to bundle and price services for direct-pay patients and self-insured employers, with automated Good Faith Estimate compliance and ACH-based provider payments. It serves a 47-state Direct Specialty Care network of 2,200+ specialty physicians via its core marketplace, CareNav, and the Agent Dora agentic AI care navigation solution.
- Company typePrivate
- Founded2016
- HeadquartersNaples, United States
- Headcount1–10
- GTM typeB2B
- OfferingSoftware
What HealthMe does
HealthMe Technology, Inc. is a private healthcare marketplace and revenue engagement platform founded in 2016 by orthopedic surgeon Dr. Michael Havig and headquartered in Naples, Florida. The company enables independent medical practices to create, price, and transact transparently-priced bundled healthcare packages for direct-pay patients and self-insured employers, processing payments via ACH within 72 hours and eliminating insurance billing workflows. Its core technology includes a digital marketplace, a CPT-code-to-package matching algorithm, over 300 standardized package templates, an automated Good Faith Estimate (GFE) Engine for No Surprises Act compliance, and SOC 2 Type 1 certified infrastructure (achieved October 2024). In June 2026, HealthMe commercially launched Agent Dora, an agentic AI care navigation solution that uses conversational AI to help care teams route patients to appropriate, transparently-priced providers.
HealthMe operates a two-sided marketplace monetized primarily through a 4%-8% HMT transaction fee on every care package sold, with the fee bundled into the package price paid by the patient and provider subscription/platform fees layered on top. The platform is free to self-insured employers and third-party administrators; medical practices pay the technology fee and receive implementation support. Go-to-market combines enterprise field sales to medical practices (with onboarding timelines as short as two weeks), direct contracting through self-funded employers, distribution via care-navigation partners (Vensure Employer Solutions, Ault International Medical Management, Patient Choice Health), and network-level agreements such as The OrthoForum Value Network.
The company serves a national Direct Specialty Care network spanning 47 states with over 3,500 physicians (including 2,200+ active specialty physicians), and has facilitated more than 30,000 episodes of care in the 12 months ending October 2024. Customer outcomes cited include an average of $50,000 in incremental annual revenue per physician, a 1000%+ increase in direct-pay business at Boston Hernia within nine months, and a 100% year-over-year increase in direct-pay revenue at Orthopedic Associates of St. Louis. HealthMe remains founder-controlled with a disclosed headcount of 1-10 employees and only $20,000 of disclosed outside capital (a 2020 Florida Early Stage Capital Conference prize), suggesting that its scale metrics have been achieved with limited external funding.
HealthMe firmographics
Firmographics- Name
- HealthMe
- Legal name
- HealthMe Technology, Inc.
- Website
- https://healthmedocs.com
- Company type
- Private
- Founded year
- 2016
- Operating status
- Operating
- Headcount range
- 1–10 employees
- Short description
- HealthMe is a healthcare marketplace platform that enables independent medical practices to bundle and price services for direct-pay patients and self-insured employers, with automated Good Faith Estimate compliance and ACH-based provider payments. It serves a 47-state Direct Specialty Care network of 2,200+ specialty physicians via its core marketplace, CareNav, and the Agent Dora agentic AI care navigation solution.
- Ownership category
- akta.pro rank
HealthMe industry classification
Industry- Product category
- Healthcare Marketplace Platform
- NAICS
- Health Care and Social Assistance (62)
- SIC
- Services-Prepackaged Software (7372)
- akta.pro primary industry
- Patient Financial Engagement (Estimates, Billing Presentment, Payments) (HLACAEAI)
- akta.pro secondary industries
- Healthcare Billing & Patient Payments Presentment (FSAMAJAH), Patient Intake, Registration & Digital Forms (HLACADAD)
Keywords
Where HealthMe is headquartered
LocationHeadquarters
- HQ city
- Naples
- HQ country
- United States
- HQ region
- North America
Offices2 records
Markets served
HealthMe business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Personnel, Technology or R&D, Marketing or Sales, Operations, Infrastructure
Revenue model
- Transaction/Marketplace Fees: HealthMe charges healthcare providers a transaction fee (HMT Fee) ranging from 4% to 8% of the Medical Services Fee for each care package sold through the platform. This fee is bundled into the total package price paid by the patient and is non-refundable once services are rendered.
- Provider Platform Subscription: Medical practices pay to use HealthMe's platform for listing and pricing services, managing direct-pay patients, and processing payments. Implementation and onboarding support included.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Transaction based/ take rate | Pay-as-you-go | Provider Transaction Fee (4%-8%) |
| Freemium | Pay-as-you-go | Free for Employers |
Go-to-market motion2 records
Distribution channels5 records
Marketing channels8 records
HealthMe product offering
Product offeringCore offering
HealthMe operates a digital healthcare marketplace and revenue engagement platform that enables medical practices to create, price, and sell transparently-priced bundled healthcare packages (office visits, diagnostics, physical therapy, surgical bundles) to direct-pay patients and self-insured employers. Providers receive ACH payment within 72 hours of treatment after patients pre-purchase redemption codes, while the platform also delivers AI-powered care navigation (Agent Dora), Good Faith Estimate compliance (GFE Engine), and employer care navigation (CareNav).
Product overview
HealthMe is a revenue engagement platform for healthcare that enables medical practices to create, price, and transact transparently-priced bundled healthcare packages for direct-pay patients. The platform consists of a core direct-pay marketplace, the Agent Dora AI care navigation solution (agentic AI with conversational interface), the GFE Engine for Good Faith Estimates compliance with the No Surprises Act, and CareNav for employer care navigation. HealthMe serves patients, providers, and self-insured employers through a Direct Specialty Care network spanning 47 states with over 3,500 physicians. Practices can generate approximately $50,000 incremental annual revenue per physician through the platform.
Differentiator
Problem solved
Functional benefit
Products and services
- Agent Dora Agentic AI care navigation solution that uses conversational AI to help care teams connect patients to appropriate, transparently priced healthcare providers across HealthMe's Direct Specialty Care network. Draws on millions of structured data points across provider capabilities, location, bundled pricing, and care pathways. Deployed via care navigation partners such as Vensure Employer Solutions and Ault International Medical Management.
- HealthMe Direct-Pay Marketplace Platform Core revenue engagement platform connecting patients, doctors, and self-insured employers to transparently priced bundled healthcare. Enables practices to create and price packages, lets patients pre-pay with credit card, Google Pay, Apple Pay, or financing, and pays providers via ACH within 72 hours after treatment.
- GFE Engine Automated Good Faith Estimate solution integrated with the HealthMe direct-pay platform to enable compliance with the No Surprises Act. Legally reviewed, requires no additional software installation, and had been adopted by 18 major orthopedic practices as of its general availability launch at ViVE 2022.
- CareNav Turnkey care navigation solution that simplifies direct contracting between independent medical practices and self-insured employers, streamlining care navigation and eliminating intermediaries.
Quantifiable outcome
- Average incremental annual revenue of $50,000 per physician for practices using HealthMe
- +4 more outcomes
Companies that use HealthMe
Customer profileNamed customers11 records
Segments5 records
Ideal customer profiles3 records
HealthMe technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration6 records
AI capability5 records
Feature6 records
HealthMe partnerships and signals
Strategic signalPartnerships
13 partnerships are on record, tiered core and minor.
- Vensure Employer SolutionscoreLeading care navigation organization implementing HealthMe's Agent Dora solution to support self-funded employers. Vensure will use Agent Dora to help care teams connect patients to appropriate, transparently priced healthcare providers within their network.
- Ault International Medical ManagementcoreCare navigation organization serving as development and deployment partner for Agent Dora. Implementing the agentic AI solution to support self-funded employers and improve care navigation for their clients.
- Patient Choice HealthcoreCare navigation company using HealthMe's platform for self-insured employers. Director of Care Navigation Dora Pozuc emphasizes importance of data security and platform compliance for their employer clients.
- The OrthoForum Value NetworkcoreStrategic agreement to feature deployment of HealthMe's Direct-Pay Platform to power the OrthoForum Value Network. Expanding patient and employer access to value-based MSK care through HealthMe's technology.
- Boston HerniacoreSpecialized hernia care practice partnered with HealthMe in January 2024. Transitioned from traditional insurance-based model to Direct Specialty Care using HealthMe's platform. Achieved over 1000% increase in direct-pay business and $267K revenue in first 9 months.
- Golden State Orthopedics & SpinecoreWalnut Creek, California orthopedic group partnering with HealthMe for price transparency and direct-pay platform implementation.
- Fondren Orthopedic GroupcoreHouston, Texas orthopedic group partnering with HealthMe for price transparency and direct-pay platform implementation.
- Newport Orthopedic GroupcoreNewport Beach, California orthopedic group partnering with HealthMe for price transparency and direct-pay platform implementation.
- BregminorPartnership to launch patient direct-pay solution for orthopedic cold therapy products. Extends HealthMe's bundled care approach to ancillary medical products.
- Tennessee Orthopaedic Clinics / Tennessee Orthopaedic AlliancecoreMajor Tennessee orthopedic practice deployed HealthMe for digital payment and price transparency platform. First practice in Tennessee to offer transparent prices on 30+ surgical bundles including surgeon, facility and anesthesia fees.
- Reno Orthopedic CentercoreReno, Nevada orthopedic practice partnered with HealthMe for new price transparency and digital commerce platform.
- Kansas City Orthopedic AlliancecoreNew partnership announced with Kansas City Orthopedic Alliance for price transparency and direct-pay platform deployment.
- Alabama Orthopaedic CliniccoreFirst to deploy HealthMe's new consumer-focused finance option for orthopedic patients.
Scale indicators8 records
Recent moves6 records
Expansion highlights6 records
HealthMe competitors and assessment
Company assessmentEmerging players
- Hint Health: Provider operating platform powering direct primary care and direct-pay practices with membership billing and infrastructure. Comparable focus on enabling direct-pay healthcare economics, but on the DPC side rather than specialty bundles.
- Amino Health: Healthcare navigation platform for employers and payers that helps members find cost-effective, in-network care with transparent cost estimates. Comparable to HealthMe's price transparency + care navigation value proposition.
- HealthJoy: Employee benefits navigation platform for self-insured employers that helps staff find care, manage benefits, and reduce costs. Comparable to HealthMe's Agent Dora employer care-navigation use case, with broader benefits scope.
- Watershed Health: Care coordination and navigation platform focused on value-based and bundled-care arrangements between providers and payers. Comparable in employer-facing care navigation and bundled-care workflows.
Direct peers
- Turquoise Health: Healthcare price transparency platform that helps providers, payers, and employers publish, compare, and contract on negotiated rates. Direct competitor in the price transparency and contracting space, with a broader payer-side footprint than HealthMe.
- MDsave: Online marketplace where patients can purchase bundled healthcare procedures at upfront, transparent prices from local providers. Closest functional peer to HealthMe's direct-pay bundled marketplace model.
- Sesame Care: Direct-pay healthcare marketplace connecting patients with providers for transparent, upfront pricing across primary care, specialty, and telehealth visits. Adjacent marketplace model focused on cash-pay patients and self-employed buyers.
- Carrum Health: Value-based care platform offering bundled surgery and specialty care to self-insured employers via a curated provider network. Directly competes with HealthMe in the self-funded employer + bundled MSK/surgery space.
- Lantern (formerly SurgeryPlus): Specialty care benefit for self-insured employers providing bundled surgical procedures at transparent prices through a Centers of Excellence network. Comparable model to HealthMe on the employer/employer-navigation side.
Broad incumbents
- Zocdoc: Widely-used online marketplace for patients to book provider appointments by insurance and specialty. Larger incumbent with broader provider reach but lacks HealthMe's transparent bundled pricing and direct-pay economics.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat6 records
Key risks6 records
Key highlights7 records
Customer concentration
HealthMe social profiles
Digital presenceHealthMe compliance and trust
Trust signalCompliance3 records
HealthMe financial estimates
Financial estimateRevenue estimate
Valuation estimate
HealthMe leadership team
Management profileNumber of profiles
Profiles2 records
HealthMe funding detail
Funding detailFunding overview
Funding rounds1 record
Investors2 records
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
HealthMe 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 HealthMe
What does HealthMe do?
HealthMe operates a digital healthcare marketplace and revenue engagement platform that enables medical practices to create, price, and sell transparently-priced bundled healthcare packages (office visits, diagnostics, physical therapy, surgical bundles) to direct-pay patients and self-insured employers. Providers receive ACH payment within 72 hours of treatment after patients pre-purchase redemption codes, while the platform also delivers AI-powered care navigation (Agent Dora), Good Faith Estimate compliance (GFE Engine), and employer care navigation (CareNav).
Is HealthMe a public or private company?
HealthMe is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was HealthMe founded?
HealthMe was founded in 2016. It employs 1 to 10 people.
Where is HealthMe based?
HealthMe is headquartered in Naples, United States, in the North America region.
How does HealthMe make money?
Two revenue lines are on record. Transaction/Marketplace Fees are the primary driver. The others are provider Platform Subscription.
Who are HealthMe's main competitors?
Emerging players on record are Hint Health, Amino Health, HealthJoy and Watershed Health. Direct peers are Turquoise Health, MDsave, Sesame Care, Carrum Health and Lantern (formerly SurgeryPlus). Zocdoc is listed as a broad incumbent.
Does HealthMe have an API?
No public API is recorded for HealthMe.
What industry is HealthMe in?
HealthMe's product category is Healthcare Marketplace Platform. Its primary akta.pro industry code is HLACAEAI, Patient Financial Engagement (Estimates, Billing Presentment, Payments), with a secondary code of FSAMAJAH, Healthcare Billing & Patient Payments Presentment. Its NAICS code is 62 and its SIC code is 7372.