Carrum Health
Category: AI in Healthcare
A value-based healthcare marketplace that connects self-insured employers to top-tier medical providers through a transparent, bundled-payment model. Carrum Health was founded in 2014. The company is led by Sachin Jain. Based in San Francisco, USA. Team size: 100-500. Total funding raised: $146M total. Latest round: Series B ($45M, May 2023) - led by OMERS Growth Equity. Key investors include OMERS Growth Equity, GV (Google Ventures), Tiger Global Management, 7wireVentures, Wildcat Venture Partners.
- Founded
- 2014
- Headquarters
- San Francisco, USA
- Team size
- 100-500
- Total funding
- $146M total
Value proposition
Reduces employer surgical spend by 30-45% per procedure while eliminating member out-of-pocket costs and improving clinical outcomes through access to the top 10% of providers.
Products and solutions
Centers of Excellence (COE) Platform, Surgical Bundles (Orthopedic, Cardiac, Bariatric, and Vascular), Comprehensive Cancer Care Program, AI-Driven Provider Quality Matching Engine, Digital Patient Navigation & Concierge App
Unique value
The first platform to successfully productize 'bundled payments' at scale for the private sector, creating a predictable 'sticker price' for complex surgeries.
Target customer
Large self-insured employers, public sector benefit administrators, and Fortune 500 companies looking to reduce healthcare spend.
Industries served
Healthcare Technology, Enterprise Employee Benefits, InsurTech, Human Resources & Benefits
Technology advantage
Utilizes a proprietary 'Carrum Quality Score' powered by AI to evaluate surgical outcomes and complication rates, alongside a financial clearinghouse that automates the reconciliation of bundled medical claims.
How they differentiate
Proprietary AI-driven 'Carrum Quality Score' that identifies the top 10% of providers, combined with a first-of-its-kind bundled payment model that offers 30-45% cost savings with zero member out-of-pocket costs.
Main competitors
Transcarent, SurgeryPlus (Employer Direct Healthcare), Hinge Health
Key partnerships
Top-tier Health Systems (Mayo Clinic, Cleveland Clinic, Johns Hopkins Medicine), Lyra Health (integrated specialty care + mental health, Jan 2026), Virta Health (full-spectrum weight management, Mar 2026), Teladoc Health, Quantum Health, Included Health, AccessHope, Personify Health, Sharecare, Major Consulting Firms (Mercer, Willis Towers Watson), Strategic Investors (OMERS Growth Equity, GV, Tiger Global)
Notable customers
3M, US Foods, Prudential, United Airlines, Sodexo, Charter Communications, State of Tennessee, State of Maine, Public Employees Health Program (PEHP) of Utah
Major milestones
Launched commercial market's first value-based oncology bundled payment program (2021/2022), Secured $45M Series B (May 2023) led by OMERS Growth Equity, Partnered with GRAIL (Oct 2022) to offer Galleri MCED testing via employer benefits, Doubled covered lives to 6.7M in 2025, Lyra Health mental health integration partnership (Jan 2026), Virta Health weight management partnership (Mar 2026), Appointed CPTO Kulesh Shanmugasundaram and SVP Data & AI Ravi Garimella (Apr 2026), Harvard Business School case study on scaling value-based care
Growth metrics
Doubled covered lives to 6.7M in 2025 (from 3.1M), adding 3.6M lives in one year—more than first 11 years combined; serves Fortune 10/50 and multi-state public sector employers; five national/multi-state health plans integrate Carrum; NPS ~80.
Market positioning
Leading value-based Centers of Excellence (COE) platform for self-insured enterprises.
Geographic focus
North America (United States)
Patents and IP
Proprietary data models and scoring algorithms; no specific public utility patents disclosed, focusing instead on trade-secret data integrations.
About Sachin Jain
Sach Jain founded Carrum Health in 2014 after more than a decade in healthcare payment systems. Prior roles include leadership in value-based care at Booz & Company (now Strategy&) and Accretive Health (now R1). Computer scientist/engineer by training; founding member of Muvee Technologies (AI video-editing). MBA, University of Chicago Booth; BS Computer Science, IIT Delhi.
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Official website: https://carrumhealth.com