Fortuna Health Raises $18M Led by Andreessen Horowitz to Modernize Medicaid Access and Infrastructure Amid Federal Reforms

Fortuna Health在Andreessen Horowitz领投下筹集1800万美元，以在联邦改革之际实现医疗补助计划的现代化和基础设施升级。

NEW YORK, July 21, 2025-- Fortuna Health, the leading consumer Medicaid navigation platform, announced it has raised $18 million in Series A funding. The round was led by returning investors Andreessen Horowitz with participation from Y Combinator and founders and executives from Abridge, DoorDash, Hex, One Medical, Oscar Health, Scale, and Vanta.

纽约，2025年7月21日——领先的消费者医疗补助导航平台Fortuna Health宣布已在A轮融资中筹集了1800万美元。本轮融资由回归投资者Andreessen Horowitz领投，Y Combinator以及来自Abridge、DoorDash、Hex、One Medical、Oscar Health、Scale和Vanta的创始人和高管参与其中。

The funding will accelerate Fortuna’s investments in AI-powered workflows, fuel expansion into new states, and help scale infrastructure to meet surging demand from health systems, managed care plans, and government partners..

这笔资金将加速Fortuna在人工智能驱动的工作流程方面的投资，推动其向新的州扩展，并帮助扩大基础设施规模，以满足来自卫生系统、管理式医疗计划和政府合作伙伴激增的需求。

“Navigating Medicaid shouldn’t be an obstacle course. Complexity, administrative red tape, and a flood of policy changes are leaving millions uninsured for procedural reasons, not to mention providers going unpaid and payors losing membership,” said Julie Yoo, general partner at a16z Bio + Health. “Fortuna is building the consumer-friendly co-pilot to make Medicaid work—and definitionally helping the most vulnerable and underserved navigate their healthcare benefits.

“申请医疗补助不应该是障碍赛。复杂的程序、繁琐的行政手续以及大量的政策变化，导致数百万人因程序原因无法参保，更不用说医疗服务提供者未获付款以及支付方失去会员。” a16z生物健康领域的普通合伙人Julie Yoo表示，“Fortuna正在构建用户友好的辅助工具，让医疗补助真正发挥作用，并帮助最脆弱和最边缘化的群体获取他们的医疗福利。”

We’re so proud to continue backing Fortuna as they build the trusted clearinghouse for Medicaid administration.”.

我们非常自豪能够继续支持福图纳，因为他们正在建立一个值得信赖的医疗补助管理清算所。

Medicaid, CHIP, and Marketplace programs cover around 100 million people, but accessing and retaining this coverage remains challenging. Recent federal reconciliation introduces stricter eligibility rules including more frequent recertifications and 80-hour work requirements for certain adults. Around 11 million people are expected to face new procedural steps that put their coverage at risk.

医疗补助、儿童健康保险计划和市场项目覆盖了大约1亿人，但获取和保持这些保障仍然具有挑战性。最近的联邦调整引入了更严格的资格规定，包括更频繁的重新认证和某些成年人80小时的工作要求。预计约有1100万人将面临新的程序步骤，这使他们的保障面临风险。

Fortuna partners with health systems and managed care plans to offer a simple, modern experience that guides patients and members through these Medicaid enrollment and recertification processes..

Fortuna与卫生系统和管理式护理计划合作，提供一种简单、现代的体验，引导患者和成员完成这些医疗补助计划的注册和重新认证流程。

“At MVP Health Care, we recognize that true access to care goes beyond coverage—it requires removing the systemic barriers that too often stand in the way,” said MVP Health Care’s President, Dr. Richard Dal Col. “Fortuna’s platform brings both innovation and empathy to one of the most complex challenges in health care: Medicaid navigation.

“在MVP Health Care，我们认识到真正的医疗获取不仅仅在于覆盖范围——还需要消除常常成为阻碍的系统性障碍，”MVP Health Care总裁理查德·达尔·科尔博士表示。“Fortuna的平台为医疗保健领域最复杂的挑战之一——医疗补助导航——带来了创新与同理心。”

We are proud to support Fortuna’s mission and technology, which reflect a deep understanding of the communities and customers we serve. Together, we are driving meaningful progress toward a more equitable, streamlined experience that helps individuals and families stay connected to the care they need.”.

我们很自豪能够支持福图纳的使命和技术，这反映了我们对所服务的社区和客户的深刻理解。我们共同推动着有意义的进步，朝着更加公平、简化的目标前进，帮助个人和家庭与他们所需的护理保持联系。

Fortuna’s technology is purpose-built to address the fragmented nature of public benefits administration. Each of the 56 Medicaid programs across U.S. states and territories has its own eligibility rules, documentation standards, and renewal timelines. Fortuna unifies that variation into a single, personalized interface for consumers to manage eligibility, applications, recertifications, appeals, updates, and state-required actions with clarity and confidence.

Fortuna的技术旨在解决公共福利管理分散的问题。美国各州和领地的56个医疗补助计划各自拥有不同的资格规则、文件标准和续期时间表。Fortuna将这些差异整合到一个单一的个性化界面中，使消费者能够清晰且自信地管理资格、申请、重新认证、上诉、更新以及州政府要求的行动。

Fortuna’s intelligent, multilingual platform integrates with trusted data verification sources and pairs with live navigators that support consumers every step of the way. Fortuna’s technology helps reduce churn by 15%, keeping more people consistently covered..

Fortuna的智能多语言平台与可信的数据验证来源集成，并配备实时导航员，全程支持消费者。Fortuna的技术帮助将客户流失率降低15%，使更多人持续获得保障。

“Through our Living Health model, Highmark Health is relentlessly focused on reimagining health and creating a system that is accessible, transparent, and affordable. As the complexities of Medicaid and Marketplace processes evolve, we seek solutions that streamline the Medicaid renewal process by removing administrative barriers and empower individuals to navigate their health journey with confidence,” said Jim Burgess, Senior Vice President, Operations at Highmark Wholecare.

“通过我们的生活健康模式，Highmark Health 一直在不懈地重新构想健康，并创建一个可及、透明且负担得起的系统。随着医疗补助计划和市场流程的复杂性不断演变，我们寻求通过消除行政障碍来简化医疗补助续签流程，并帮助个人自信地掌控自己的健康旅程，”Highmark Wholecare 高级副总裁兼运营主管吉姆·伯吉斯表示。

“Organizations that supply these solutions are vital in helping us deliver Living Health. They ensure that individuals seamlessly connect to the coverage and care they need to achieve lifelong health and well-being.”.

“提供这些解决方案的组织对于帮助我们实现‘生活健康’至关重要。它们确保个人能够无缝连接到他们所需的覆盖范围和护理，以实现终生的健康和福祉。”

Fortuna supports payers that collectively serve more than 25 million Medicaid lives, from regional health plans to Fortune 50 companies. It also serves as the Medicaid enrollment partner to leading patient payment and financial experience companies like Cedar, helping hospitals reduce uncompensated care by up to 53% and freeing up revenue cycle teams for higher-impact work..

Fortuna支持的支付方总共为超过2500万医疗补助（Medicaid）参保人服务，从区域性健康计划到财富50强公司不等。它还作为医疗补助注册合作伙伴，与领先的患者支付和财务体验公司如Cedar合作，帮助医院将未获补偿的护理减少多达53%，并让收入周期团队腾出时间从事更高影响力的工作。

“Healthcare providers are facing intensifying financial strain as recent federal reforms add new layers of complexity to Medicaid eligibility,” said Florian Otto, CEO and Co-founder of Cedar. “With millions of patients at risk of losing coverage, hospitals and physician groups are bracing for a surge in uncompensated care and tighter margins.

“随着最近的联邦改革增加了医疗补助资格的新复杂性，医疗服务提供者正面临日益加剧的财务压力，”Cedar首席执行官兼联合创始人弗洛里安·奥托表示。“由于数百万患者面临失去保险的风险，医院和医生团体正准备应对无偿护理的激增和更紧缩的利润空间。"

At Cedar, we’re focused on helping providers deliver a digital safety net—giving patients the tools to keep coverage, navigate eligibility checks, and access financial support when needed. Our continued partnership with Fortuna allows us to embed modern, patient-friendly Medicaid enrollment directly into the billing experience, reducing friction for patients and financial risk for providers.”.

在Cedar，我们专注于帮助医疗服务提供者构建一个数字化的安全网——为患者提供工具以保持保险覆盖、完成资格检查，并在需要时获取经济支持。我们与Fortuna的持续合作使我们能够将现代化的、对患者友好的医疗补助注册直接嵌入到计费流程中，从而减少患者的不便和提供者的财务风险。

With this latest round of funding, Fortuna will further invest in AI and automation, building features to respond to new federal policies like work requirements. These updates are designed to reduce administrative burden for hospitals, health plans, and state agencies, while improving the efficiency of enrollment and renewal..

通过这一轮最新的融资，Fortuna 将进一步投资于人工智能和自动化，开发功能以响应新的联邦政策，例如工作要求。这些更新旨在减轻医院、健康计划和州机构的行政负担，同时提高注册和续签的效率。

Fortuna is also expanding its technical and operational partnerships with state and county agencies, recognizing the essential work of public sector teams delivering services with limited resources. This comes at a moment when federal reforms are placing new demands on state Medicaid infrastructure..

福图纳还在扩大与州和县机构的技术和业务合作，认识到公共部门团队在资源有限的情况下提供服务所做的重要工作。此时正值联邦改革对州医疗补助基础设施提出新要求之际。

“Urgent timelines, shifting policies, and complex rules make Medicaid eligibility a challenge, both for those who depend on it and for government agencies that administer it. I am excited that Fortuna is showing up with collaborative energy,” said Jennifer Langer Jacobs, CEO of Medicaid Works and the former Medicaid Director of New Jersey.

“紧迫的时间表、不断变化的政策和复杂的规则使得医疗补助资格成为一个挑战，无论是对于依赖它的人还是管理它的政府机构。我感到兴奋的是，福图纳正以合作的能量出现，” Medicaid Works首席执行官、新泽西州前医疗补助主任詹妮弗·兰格·雅各布斯表示。

“Fortuna’s intuitive user experience carefully guides applicants through accurate submission. Their technology activates enrollee outreach through partnering healthcare providers and health plans—and their teamwork with state Medicaid agencies supports more efficient processing and improved compliance with eligibility rules.”.

“Fortuna 的直观用户体验引导申请者准确提交。其技术通过与医疗保健提供者和健康计划合作，激活参保人拓展——并且他们与州医疗补助机构的团队合作支持更高效的处理和改进的资格规则合规性。”

“Medicaid’s infrastructure is long overdue for modernization,” said Nikita Singareddy, CEO and co-founder of Fortuna Health. “Access shouldn’t come at the expense of integrity or efficiency. We’re building the infrastructure to ensure the Medicaid coverage experience is reliable, efficient, and designed around the needs of today’s consumer.”.

“Medicaid 的基础设施早就应该进行现代化改造了，”Fortuna Health 首席执行官兼联合创始人 Nikita Singareddy 表示。“获取医疗服务不应以牺牲诚信或效率为代价。我们正在构建基础设施，以确保 Medicaid 覆盖体验可靠、高效，并围绕当今消费者的需求进行设计。”

About Fortuna Health

关于福图纳健康

Fortuna Health is the leading consumer-first platform for navigating Medicaid and government coverage. Fortuna Health is backed by Andreessen Horowitz, BoxGroup, and Y Combinator. For more information, visit fortunahealth.com.

Fortuna Health 是领先的以消费者为中心的平台，用于导航 Medicaid 和政府保险覆盖。Fortuna Health 得到了 Andreessen Horowitz、BoxGroup 和 Y Combinator 的支持。欲了解更多信息，请访问 fortunahealth.com。

Contact:

联系：

Media: info@fortunahealth.com

媒体：info@fortunahealth.com