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Former Truveris CEO AJ Loiacono’s Judi Health Hits $3.25B Valuation With $252M Raise To Fix Drug Pricing Chaos

AJ LoiaconoStarting the healthcare program Judy Health The costs have reduced 11 % for members of the plan plan and reduced claims for claims from more than six months to 18 days. The 53 -year -old businessman established the company, previously known as the name Capital RXTo address the shortcomings in an industry in which administrative spending reaches a trillion dollars annually, Forbes said.

Judi Health announced on Tuesday an investment of $ 400, including a $ 252 million financing round led by Wellington Management and Gender Catalyst, which has doubled the company’s evaluation to $ 3.25 billion. The financing round is scheduled to be closed in October.

Among the prominent investors are Goldman SACHS Asset Management and Generation Management, headed by the former Vice president Al GoreI mentioned Forbes.

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Loiacono previously participated in the founding of the Pharmacy Consulting Company in its founding truverisWhere he spent eight years the position of CEO and CEO, and witnessed a deep defect in US drug pricing, according to Forbes. Launch the capital RX with colleagues Ryan KellyNow the chief technology official in Judy Health, and Joseph Alexander In 2017.

The company has developed Judi, a cloud standard program that intersects with the price of price with transparency. Instead of playing pricing games, Capital RX receives flat administrative fees on a monthly basis for each member or structure for each claim, according to the port. The prices of medicines are set using a database of the national drug acquisition cost available to the public that is kept by the federal centers for Medicare and Medicaid services.

This approach helped build a great work to manage benefits in the field of pharmacy and expects revenue of $ 3.7 billion this year, an increase of more than 75 % of $ 2.1 billion last year, Forbes said. Technology deals with the administrative work of demands, but the company is not at risk of paying for its price.

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American pharmaceutical spending increased by $ 50 billion in 2024 to $ 487 billion in the net manufacturer’s prices, driven by growth in oncology, immunology, cardiovascular, obesity, and diabetes, with GLP-1 treatments such as Ozemped and Wegovy that PWC cited as major citizens.

“The task of our company is to give our country the infrastructure we need to obtain the health care we deserve,” Locono told Forbes. “Until we control and update that infrastructure, we cannot start progress in care in this country.”

The defect extends deeper than most of them, according to the port. Medical benefits and covering medical prescriptions work through completely separate channels, creating duplication, high costs and massive frustration of doctors and patients. The drug pricing represents a certain maze of discounts, Clawbacks, and fees on fees.

PWC offers the 2026 medical cost trend at 8.5 % for the group market and 7.5 % for the individual market, and reinforces trends 2024 and 2025 higher than previously expected.

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The real prize lies in the medical benefits, which is a much larger market than pharmacy coverage, according to Forsa. The combination of medical claims and pharmacy is the Holy Welfare Cup, eliminating the frequency of industry and administrative waste.

“They build what we think is the first unified claim system, and it is a major shift in how to give benefits,” General catalyst Managing director Holly Malone He said. “We believe that there is a work worth $ 20 billion at all being built here.”

Judy Health The main plans of the employer and the third party official have already signed their technology license, which represents 40,000 life for the new health management product, Forbes said.

Judi Health announced on Wednesday a multi -year partnership with Charlotte Hornets, to become the exclusive Jersey Patch sponsor for the American Professional League team before the opening match on October 22 against Brooklyn Nets.

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This article, former CEO of Truveris Aj Loiacono Judi Health, converts 3.25 billion dollars with an increase of $ 252 million to repair the chaos of drug pricing in Benzinga.com

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2025-09-27 19:01:00

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