HealthEngine

What HealthEngine does

HealthEngine is a privately held U.S. healthcare technology company that operates a dynamic, multi-sided marketplace connecting insured consumers with physicians and healthcare facilities to enable price competition on medical and diagnostic services. Founded in 2012 by physician-CEO Jonathan Weiss, MD, and Harvard Kennedy School health economist Amitabh Chandra, the platform serves four stakeholder groups—individual consumers (typically with high-deductible commercial plans), physicians, facilities (hospitals, surgery centers, imaging centers), and self-funded employers—with the explicit exclusion of Medicare, Medicaid, and TriCare populations.

The core technology is the Value Pricing Marketplace, a dynamic pricing engine where healthcare facilities compete to offer rates below health plan-negotiated prices, with savings up to 70% of the negotiated rate shared among the patient, plan sponsor, and HealthEngine. Supporting components include QualMap®, a proprietary quality-assessment methodology that pairs clinical-quality data with pricing; Provider Pages that allow physicians and facilities to publish profile information; and a human-assisted Care Concierge team that books appointments, verifies network participation, and requests Value Pricing on patients' behalf in real time. The platform indexes 1.2 million+ providers across nearly 300 medical and diagnostic services, and is accessible via web and mobile without a public API or developer SDK.

HealthEngine's business model is purely transactional: consumers, physicians, and facilities access the platform free of charge, and HealthEngine earns a share of realized savings when a Value Pricing transaction closes. Employer customers are billed on a quarterly outcome basis, with self-funded plans receiving direct savings-share distributions and fully-insured plans receiving the benefit of reduced employee cost burden. Marketing combines earned media (Fox News, WGN Midday News), content marketing, and direct enterprise sales to employers, while distribution to consumers and providers runs through self-serve onboarding augmented by the Care Concierge inside-sales function. No external institutional funding rounds are disclosed despite 12+ years of operation.

Name

HealthEngine

Legal name

HealthEngine, LLC

Website

https://healthengine.com

Company type

Private

Founded year

2012

Operating status

Operating

Headcount range

11–50 employees

Short description

HealthEngine operates a U.S. healthcare marketplace where facilities compete to offer prices below health plan-negotiated rates, serving insured consumers, physicians, facilities, and self-funded employers through a free consumer platform with a human-assisted Care Concierge team and savings-share economics.

Ownership category

akta.pro rank

Product category

Healthcare Price Transparency Marketplace

NAICS

Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292), Insurance Agencies and Brokerages (524210)

SIC

Services-Prepackaged Software (7372), Insurance Agents, Brokers & Service (6411), Hospital & Medical Service Plans (6324)

akta.pro primary industry

Pricing & Contracting Strategy (HLAIAKAA)

akta.pro secondary industries

Group Pharmacy Benefit (Rx) Coverage & PBM-Integrated Plans (FSAIAFAN), Medication Pricing, Copay Assistance & Patient Financial Support Tools (HLACAKAN)

Keywords

• Healthcare price transparency
• Healthcare marketplace platform
• Value-based care
• Medical cost reduction
• Healthcare navigation services

Headquarters

HQ city

Chicago

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B and B2C

Offering type

Software

Cost components

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

Revenue model

1. Value Pricing Commission/Savings Share: HealthEngine generates revenue by sharing in the savings created when patients choose Value Pricing providers. The savings are split between the patient, the plan sponsor (employer or insurance carrier), and HealthEngine. Facilities compete by offering rates below health plan-negotiated prices.

Pricing tiers

Go-to-market motion2 records

Distribution channels5 records

Marketing channels5 records

Core offering

HealthEngine operates a dynamic marketplace platform that connects consumers with physicians and healthcare facilities to enable price competition on medical and diagnostic services. Facilities compete by offering Value Pricing rates that fall below health plan-negotiated amounts, with the savings split between the patient, the plan sponsor, and HealthEngine. A dedicated Care Concierge team books appointments and negotiates Value Pricing on behalf of patients, while the QualMap® methodology assesses clinical quality alongside price transparency.

Product overview

HealthEngine is a healthcare technology company operating a consumer-facing marketplace platform that connects patients with healthcare providers. The core product is the HealthEngine Marketplace Platform, which is supported by the Care Concierge service (a team that books appointments, verifies insurance, and requests Value Pricing on patients' behalf), Value Pricing (dynamic pricing where facilities offer rates below health plan-negotiated amounts), Get Paid To Save™ rebates (where patients share in savings), and Provider Pages (profiles for physicians and facilities). The platform covers over 1.2 million providers across nearly 300 medical and diagnostic services, and works with all commercial insurance except HMOs, excluding government-sponsored plans.

Differentiator

Problem solved

Functional benefit

Products and services

• HealthEngine Marketplace Platform A dynamic online marketplace providing quality and price information for more than 1.2 million physician and facility providers across nearly 300 medical and diagnostic services. Facilities compete by offering Value Pricing that provides rates below health plan-negotiated amounts, and consumers, physicians, and employers can each interact with the marketplace to shop, refer, or contain cost.
• Care Concierge A team of healthcare professionals who partner with patients to navigate the healthcare system, book appointments, confirm network participation, and request Value Pricing from providers in real time on behalf of patients. Available to consumers for free through the HealthEngine platform.
• Value Pricing (Get Paid To Save™) A pricing and rebate program through which healthcare facilities dynamically offer savings below health plan-negotiated rates. Savings up to 70% are split between the patient, the plan sponsor (employer or insurance carrier), and HealthEngine, and patients can receive rebate checks when their savings exceed their initial out-of-pocket responsibility under the Get Paid To Save™ program.
• Provider Pages Profile pages that allow physicians and healthcare facilities to share information about themselves to inform patient choice, including experience, expertise, and practice philosophy, and to position themselves for value-based patient acquisition.

Quantifiable outcome

• Up to 70% savings achieved through Value Pricing Marketplace
• +3 more outcomes

Named customers4 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

Feature4 records

Scale indicators4 records

Recent moves5 records

Expansion highlights4 records

Direct peers

• Healthcare Bluebook: Healthcare Bluebook is a long-standing price-transparency tool that benchmarks fair prices for medical procedures and is sold primarily to employers and health plans. It is the closest direct analogue to HealthEngine's Value Pricing marketplace, using a similar employer-channel GTM and quality-plus-cost comparison model.
• Turquoise Health: Turquoise Health is a healthcare price-transparency platform publishing negotiated rates between payers and providers and enabling service-level price shopping. It directly overlaps with HealthEngine on the provider-search and pricing-comparison experience for consumers and employers.
• Castlight Health: Castlight Health provides employee-facing healthcare navigation and price-transparency software sold primarily to self-funded employers and health plans. It uses a similar benefits-channel distribution model and the same multi-stakeholder value proposition (lower employee cost, lower employer spend, panel for providers).
• Amino Health: Amino Health is an employer-paid care-navigation platform that matches members to cost-effective, in-network providers using a curated provider directory and cost data. It competes head-to-head with HealthEngine in the employer benefits market on price transparency and appointment booking.

Emerging players

• GoodRx: GoodRx operates a consumer-facing price-transparency and discount marketplace, but for prescription drugs rather than medical/diagnostic procedures. It is comparable as the canonical example of a Get-Paid-To-Save-style consumer rebate mechanic applied to healthcare.
• Solera Health: Solera Health runs a value-based care marketplace that connects payers, employers, and consumers with high-quality, cost-effective providers across chronic care and preventive services. It overlaps with HealthEngine on value-based, multi-sided marketplace dynamics for non-acute services.
• MDsave: MDsave operates a bundled-pricing marketplace where consumers prepay for procedures at fixed, transparent prices, sharing margin with participating providers. It mirrors HealthEngine's Get-Paid-To-Save economics and provider-side dynamic pricing mechanic.
• DocASAP: DocASAP is a patient-access and provider-search platform enabling online appointment booking, network matching, and provider routing for payers and providers. It is comparable as adjacent infrastructure for the booking and routing workflows underlying HealthEngine's Care Concierge service.

Broad incumbents

• Zelis: Zelis is a large healthcare-cost-management platform offering network, claims-cost, and payment-integrity solutions to payers and providers. It is comparable as the broad-incumbent counterpart to HealthEngine's narrow cost-savings-share model, providing the consolidator backdrop against which HealthEngine competes.
• MultiPlan: MultiPlan is a long-standing healthcare cost-containment and PPO-network vendor serving insurers and employers with repricing, network, and negotiation services. It represents the incumbent cost-containment channel that employer benefits buyers compare HealthEngine against.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks7 records

Key highlights7 records

Customer concentration

• Xx.com/healthengineus
• Facebookfacebook.com/healthengineus
• LinkedInlinkedin.com/company/healthengine-com

Revenue estimate

Valuation estimate

Number of profiles

Profiles3 records

Funding overview

Funding rounds

Investors

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 HealthEngine