HealthPlan Data Solutions

HealthPlan Data Solutions

Private
Columbus, OhioHealthcare & Life Scienceshttps://www.hds-rx.com

Last Round

Growth Equity

Apr 29, 2025

Total Funding Raised

$15M

Momentum Score

50 /100

Company Overview

HealthPlan Data Solutions (HDS) is a pharmacy data analytics company that provides a software-as-a-service (SaaS) platform to enhance transparency and control over pharmacy benefit expenses for payers like health plans and self-insured employers. The company's platform utilizes over 500 proprietary algorithms and AI to continuously monitor 100% of prescription claims in near real-time, identifying billing errors, overpayments, and contractual misalignments with Pharmacy Benefit Managers (PBMs). Founded in 2010 by pharmacists and IT professionals, HDS aims to help clients optimize their pharmacy benefit plans, reduce waste, and ensure compliance. The company is venture-backed and headquartered in Columbus, Ohio.

Sector

Healthcare & Life Sciences

Verticals

Healthcare Analytics, Vertical SaaS, Compliance, Business Intelligence

Business Model

B2B

Customer Profile

Subscription SaaS, Services & Consulting, Government Contracts

AI Layer

Application

Keywords

pharmacy analyticsPBM oversightpayment integrityPBM contract compliancepharmacy cost containmentclaims auditingreal-time monitoringpharmacy benefit managerPBMdrug spend managementPBM transparencyRx analyticsSaaS platformPBM auditPMPM pricingpayer solutionsself-insured employersMedicaid analytics

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Caplight Momentum Score

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HealthPlan Data Solutions Comps

Public and private peers based on sector, stage, and business model.

CompanyStatusEst. ValuationRev Multiple
OpenAIPrivate$86.0B~40x
CoherePrivate$5.0B--
Competitor 1Public$XX.XBXXx
Competitor 2Public$XX.XBXXx

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HealthPlan Data Solutions Funding Rounds

Historical fundraising activity

RoundDateAmount RaisedValuationInvestorsSources
Growth EquityApr 29, 2025

Key People

Founding team and executive leadership

Ron Hamm

President And Chief Operating Officer, Chief Executive Officer And Board Member

Executive Team

Clark Seiling

COO CFO

Executive Team

HealthPlan Data Solutions Investors

Notable investors and investment history

InvestorRounds
MK CapitalGrowth Equity
Tamarind HillGrowth Equity
Rev1 VenturesGrowth Equity
JobsOhioGrowth Equity

Market signals

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  • Apr 29, 2025

    $15M round raised

HealthPlan Data Solutions Filings

SEC and related filings with document metadata.

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HealthPlan Data Solutions Filings

SEC and related filings with document metadata.

Frequently Asked Questions

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Firmographic Details

HeadquartersColumbus, Ohio
Employee Range37
Year Founded2010
Last FundingApr 29, 2025

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