Simple Healthcare

What Simple Healthcare does

Simple Healthcare is a privately held, research-driven data company founded in 2023 and based in Orlando (with a San Francisco office referenced in job postings), operating in the U.S. healthcare price transparency market. Its core technical offering is a pipeline that ingests raw Transparency in Coverage (TiC) machine-readable files from payers, applies a peer-reviewed methodology to identify and filter ghost rates (negotiated prices for services providers do not actually perform), removes duplicates and invalid entries, and produces validated, analysis-ready datasets across geographies, providers, specialties, sites of care, payers, billing codes, and group sizes. The company's published research indicates that 84-97% of negotiated rates in typical TiC files are ghost rates, and that ghost rates appear in 91.8% of insurers' data across a sample of 61 payers, framing the cleaning pipeline as the central value proposition.

The company distributes these capabilities through three products: Simple Benchmark, a web-based SaaS analysis platform with a free tier offering nationwide billing code benchmarks and a paid premium tier for full functionality; Simple Price, a data licensing product that delivers enriched datasets via API or flat-file on a quarterly refresh cycle to analytics providers, healthcare navigation platforms, and consulting firms; and Consulting Services, providing custom research, diligence, and strategy engagements tailored to client context. The go-to-market combines product-led growth through the free SaaS tier, enterprise sales for large healthcare organizations, life sciences companies, and investors, and API-first data licensing for embedded integrations.

Simple Healthcare serves providers and physician groups, life sciences commercial teams, healthcare investors (PE/VC/institutional), consulting firms, and healthcare navigation platforms. Revenue is generated through subscription SaaS fees, data licensing royalties, and professional services consulting. The team of six named members is led by health economics researchers, including founder and CEO David Muhlestein, whose ghost rate research has been published in Health Affairs and the Journal of Health Economics. The company has partnered with the Peterson Center on Healthcare (which funded 49 state-level price analyses), Gallup, and the West Health Institute, and has engaged with the Senate Finance Committee through Office Hours presentations.

Name

Simple Healthcare

Legal name

Simple Healthcare

Website

https://simple-healthcare.com

Company type

Private

Founded year

2023

Operating status

Operating

Headcount range

1–10 employees

Short description

Simple Healthcare is a U.S.-based, research-driven data company that cleans raw Transparency in Coverage files into validated healthcare rate datasets, delivering a SaaS analysis platform (Simple Benchmark), licensed data feeds (Simple Price), and consulting services to providers, life sciences, healthcare investors, consulting firms, and navigation platforms.

Ownership category

akta.pro rank

Product category

Healthcare Price Transparency Analytics

NAICS

Health Care and Social Assistance (62), Scientific Research and Development Services (5417)

SIC

Services-Computer Programming, Data Processing, Etc. (7370), Services-Health Services (8000)

akta.pro primary industry

Price Transparency, Estimates & Patient Financial Clearance (HLACACAK)

Keywords

• Healthcare price transparency
• Negotiated rate benchmarks
• Reimbursement data analytics
• Healthcare data licensing
• Medical pricing intelligence

Headquarters

HQ city

Orlando

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Software

Cost components

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

Revenue model

1. SaaS Platform Subscription: Analysis Platform subscription providing access to validated pricing data with tiered free and paid options. Free tier offers nationwide billing code benchmarks by region; paid tiers unlock full platform capabilities.
2. Data Licensing: Enriched, analysis-ready datasets licensed to analytics providers, healthcare navigation platforms, consulting firms, and product companies. Delivered via API or flat-file on quarterly refresh cycle.
3. Consulting Services: Custom research and strategy engagements for policy groups, payers, providers, investors, and life sciences teams. Deliverables include two-page briefs to full working models tailored to client context and timeline.

Pricing tiers

Go-to-market motion3 records

Distribution channels3 records

Marketing channels6 records

Core offering

Simple Healthcare transforms raw Transparency in Coverage (TiC) machine-readable files into validated, analysis-ready datasets of negotiated commercial healthcare rates. It delivers this through three offerings: Simple Benchmark (a SaaS analysis platform with a free tier for billing code benchmarks), Simple Price (licensed enriched datasets delivered via API or flat-file), and consulting services for custom research and strategy engagements. The offering targets healthcare providers, life sciences companies, investors, payers, and consulting firms across all U.S. markets.

Product overview

Simple Healthcare is a research-driven data company offering a platform of pricing intelligence tools built around a core analytical platform and data licensing model. The portfolio consists of Simple Benchmark (a web-based analysis platform providing access to cleaned, validated negotiated healthcare rates with precalculated benchmarks across 50+ billion data points), Simple Price (data licensing for enriched datasets delivered via API or flat-file), and Consulting Services (expert engagements for targeted analysis and strategy support). The platform serves providers, life sciences commercial teams, healthcare investors, payers, and health systems, transforming raw Transparency in Coverage files into decision-ready intelligence.

Differentiator

Problem solved

Functional benefit

Brands

• Simple Benchmark: Analysis Platform providing cleaned and validated negotiated-rate data for healthcare decision-makers, trusted in peer-reviewed health economics research.
• Simple Price

Products and services

• Simple Benchmark A web-based SaaS analysis platform that transforms noisy Transparency in Coverage pricing files into an intuitive analytical workspace. Provides current, validated reimbursement data with peer-reviewed cleaning methods, enabling healthcare providers, life sciences commercial teams, investors, payers, and consulting firms to benchmark negotiated rates across regions, payers, providers, and billing codes without SQL or manual data cleanup. Offers a free nationwide tier for billing code benchmarks by region and a paid premium tier for full platform access.
• Simple Price

Quantifiable outcome

• Covers 100% of U.S. markets with benchmark-grade data
• +3 more outcomes

Segments5 records

Ideal customer profiles5 records

Technology focussed Yes

API detail

Has API

Yes

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

Two partnerships are on record, tiered minor.

• GallupminorStrategic or Co-development PartnerCollaborated on nationally representative survey of 5,000+ U.S. adults assessing public awareness and use of healthcare price transparency, published in peer-reviewed journal.
• West Health InstituteminorStrategic or Co-development PartnerCo-sponsored the Gallup survey on price transparency awareness and usage among U.S. adults, contributing to research on public engagement with healthcare pricing data.

Scale indicators5 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Turquoise Health: Direct competitor in healthcare price transparency contract intelligence and rate benchmarking. Offers negotiated rate data, payer-provider analytics, and price transparency tools for similar buyer personas (providers, payers, life sciences, employers).
• Healthcare Bluebook: Direct peer offering healthcare price transparency and quality comparison tools for employers, providers, and consumers. Competes head-on with the Simple Benchmark platform for reimbursement benchmarking workflows.
• Kyruus Health: Provider data, patient access, and price transparency platform serving similar health system, payer, and life sciences buyers. Overlaps in commercial rate intelligence and analytics-driven decision support.

Broad incumbents

• Definitive Healthcare: Broad incumbent offering comprehensive healthcare commercial intelligence (provider, payer, claims, and analytics data). Competes in life sciences commercial targeting and healthcare investor diligence use cases addressed by Simple Benchmark.
• Komodo Health: Broad incumbent healthcare data and analytics platform serving life sciences, payers, and providers. Overlaps in commercial reimbursement intelligence and market-sizing use cases for life sciences teams.
• Clarify Health: Healthcare analytics platform combining claims, clinical, and pricing data to support payer, provider, and life sciences decisions. Comparable buyer base and pricing-variation analysis use cases.
• Castlight Health: Established healthcare price transparency and benefits navigation platform for employers and payers. Overlaps with Simple Benchmark on enterprise-tier rate benchmarking and employee cost transparency tools.
• IQVIA: Global life sciences commercial intelligence and analytics incumbent. Comparable in life sciences account targeting, payer strategy, and contract analytics where Simple Benchmark competes for commercial reimbursement intelligence.

Emerging players

• Ribbon Health: Provider data and care navigation platform with pricing and cost data integrations. Comparable in serving navigation platforms and member-facing price transparency use cases addressed by Simple Price.
• Prealize Health: Predictive analytics platform for healthcare costs and utilization, serving payers, providers, and employers. Adjacent in market-pricing transparency and actuarial-grade forecasting.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/simplehc

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 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 Simple Healthcare