The big picture: For 50 million Americans, obtaining insurance-covered home medical equipment (DME) like walkers or continuous glucose monitors is a bureaucratic nightmare. The process often involves disconnected doctors, insurers, and suppliers, leading to wait times exceeding 50 days. Conduit Health is building the “Easy Button” for home care, vertically integrating clinical evaluation, insurance authorization, and fulfillment into a single coordinated system.
Why it matters:
- Access Gap: Despite eligibility, fewer than 10% of patients successfully receive the supplies they are entitled to due to complex paperwork and “prior authorization” bottlenecks.
- Agentic Efficiency: By deploying “agentic AI” to navigate hundreds of thousands of payer-specific rules, Conduit has compressed a weeks-long process into days, recently seeing more patients in a single month than in its entire first half of 2025.
- Beyond Equipment: The company is building the infrastructure to manage other “post-acute” benefits that are notoriously difficult to access, including medically tailored meals, non-emergency transportation, and home modifications.
How it works:
- CareOS Engine: At the core is the Conduit Authorization and Reimbursement Engine (CareOS), an AI platform trained on over 50,000 patient interactions to predict approval likelihood and automate documentation routing in real time.
- Vertical Integration: Conduit assumes “denial risk” by handling the entire stack—prescribing via its own telehealth clinicians, verifying coverage, and managing door-to-door delivery.
- Omnichannel “Front Door”: Designed to meet partners where they are, the platform accepts referrals via email, web portal, phone, or even direct AI-agent system integration, while still supporting legacy faxing workflows.
The catch: Conduit is entering a highly regulated and fragmented market where “fax-first” legacy players still dominate. While its AI-driven model offers superior speed, the company must maintain 100% compliance across varying state-specific Medicaid rules while scaling its fulfillment logistics. Much like the hurdles in enterprise learning operations, Conduit must prove it can handle the nuanced “human” element of healthcare—ensuring that automation doesn’t come at the cost of the personalized support vulnerable patients require.
Key Details
- Funding: $17M (Series A; $22M total raised)
- Lead: Drive Capital
- CEO: Natan Wise
- Sector: HealthTech / InsurTech
