Flume Health offers a managed, API-enabled Health-Plan-as-a-Service platform that simplifies the design, administration, and real-time management of healthcare plans. Its platform operates as a central nervous system for health plans, enabling novel plan building, point-solution integration, and real-time member visibility. Flume positions itself to power digital-first health plans tailored to patients’ unique needs and preferences and to enable established or emerging insurers and care providers to launch tailored plans. The company highlights use cases including Firefly Health, which used Flume OS to go from concept to operational within six months, and Hue Health, which builds custom plans for self-funded employers. Led by CEO and founder Cedric Kovacs-Johnson, Flume is focused on expanding adoption among challenger plans, value-based primary care practices, and employers. Financially, the company announced a $30M Series A and has raised $40M in total to date. Flume Health operates a health plan administration platform that enables self-insured employers and their workforces to unbundle traditional plans and augment or replace legacy off-the-shelf plans with specialized providers. Its model targets specific populations and conditions, including MSK pain, diabetes, and mental health. The company was launched in 2020 and is led by founder and CEO Cedric Kovacs-Johnson. Flume is based in New York City and serves the broader healthcare ecosystem. The firm raised $6M in a Seed II equity round and plans to use the proceeds to expand operations and grow its business reach. The round brought the company’s total capital raised to $10M. Flume Health offers a digital health plan administration service that pre-authorizes procedures, secures cash prices with providers, and pays at or before the time of service (or within three days) to obtain discounts. The company lets employers pick independent services rather than buying bundled packages from carriers, reducing claims processing and administrative overhead. Flume has signed eight customers so far, initially pulling clients from unions and school districts across five states. Cedric Kovacs-Johnson launched the company in February 2017 after encountering opaque billing in his family’s care. The New York–based startup hired Kevin Schlotman, formerly SPBA chairman, as chief operating officer to help navigate third‑party administrator relationships. Financially, Flume has raised $4 million from New York investors to support its early commercial rollout.

Total raised

$40M

Funding rounds

3

Latest round

Series A

Latest activity

Mar 2022