Turquoise Health

Overview

Turquoise Health provides a SaaS platform aggregating price transparency data from hospital and payer machine-readable files (MRFs) to enable healthcare pricing analysis, managed care contract intelligence, and direct contracting. It serves providers, payers, life sciences companies, and employers by powering pricing benchmarks, contract modeling, reimbursement insights for physician-administered drugs, and transaction workflows. The platform unifies pricing data, claims, Medicare benchmarks into verifiable rates and uses AI for contract analysis, reducing admin costs and enabling upfront patient pricing.

Services & Capabilities

• • Price transparency data aggregation and analysis (Analyze/Clear Rates)
    - Managed care contract intelligence and modeling (Clear Contracts)
    - Direct contracting platform for providers/payers
    - Drug reimbursement data and reports for life sciences (utilization by geo/provider/payer)
    - AI

Competitive Position

• • Largest library of normalized price transparency data from MRFs (>1B rates)
    - AI-driven contract analysis and pricing unification (Clear Rates/Contracts)
    - Serves full revenue cycle: pricing, contracting, transactions for multi-stakeholder use

Recent Developments

$40M Series C (Mar 2026) to build OS for contracts/payments ; $30M Series B (Jan 2024) ; Partnership w/ Policy Reporter (Sep 2024); NYC Health Care Price Comparison Tool; CPO hire (Mar 2024); Drug Reimbursement Report webinar.

Client & Partner Ecosystem

3 of top 25 health systems, 4 of top national payers, 3 of top 10 pharma firms, 4 of top 10 brokers; Loma Linda University Health, UNC Health, Mass General Brigham, NYC Health, top 10 pharma (unnamed); UNC Health (case study, $2M savings), Loma Linda University Health, Innovu

Technology Platform

Turquoise Platform (Clear Rates, Clear Contracts, AskTQ); PATIENTS framework; MRF parsing/generation; APIs/dashboards

Therapeutic Focus

broad/all (physician-administered drugs)

Target Customers

Healthcare providers/health systems, payers/insurers, life sciences/pharma companies, employers, brokers

Sources

• Turquoise Health Homepage, Life Sciences Page, CBInsights Profile, Yahoo Finance Series C, Growjo, Pulse2 Series C, HFMA