fortuna-health

JSON twin: https://www.healthaidb.com/software/fortuna-health.json

Company Name

Fortuna Health

Product URL

https://www.fortunahealth.com/

Company URL

https://www.fortunahealth.com/

Categories

Summary

Consumer‑facing digital platform that streamlines Medicaid eligibility screening, enrollment, and renewals for health plans and provider partners in the U.S.

Description

Fortuna Health is a commercial SaaS platform and consumer navigation service that performs fast eligibility screens (≈30 seconds), guides end‑to‑end Medicaid enrollment and renewals, provides multilingual live navigation and automated notifications, and delivers closed‑loop reporting for partner health plans and providers. The product is oriented toward increasing application approvals, renewal rates, and visibility across the eligibility-to-enrollment funnel.

Api Available

unknown

Certifications

Company Founding

2023

Company Offices

Compliance

Customers

Data Residency

Data Standards

Deployment Model

Features

Id

P0627

Integration Partners

Integrations

Languages Supported

Last Updated

2025-09-07

License

commercial proprietary

Links

Market Segment

Optional Modules

Os Platforms

Pricing Details

Contact vendor for pricing; offered to health plans and provider partners (no public consumer pricing); contact Fortuna for demo/trial.

Pricing Model

enterprise_quote

Privacy Features

Ratings

Regions Available

Release Year

2023

Security Features

Specialties

Support Channels

System Requirements

Target Users

Training Options

Type

product

User Reviews

Version

1.0

Canonical JSON

{
  "company_name": "Fortuna Health",
  "company_url": "https://www.fortunahealth.com/",
  "company_offices": [
    "United States"
  ],
  "company_founding": "2023",
  "product_url": "https://www.fortunahealth.com/",
  "categories": [
    "patient-facing",
    "administrative",
    "eligibility & enrollment",
    "benefits navigation",
    "consumer access",
    "care coordination"
  ],
  "market_segment": [
    "enterprise",
    "smb",
    "consumer"
  ],
  "links": [
    "https://www.fortunahealth.com/",
    "https://www.fortunahealth.com/about-us",
    "https://www.fortunahealth.com/health-plans",
    "https://www.fortunahealth.com/providers",
    "https://www.fortunahealth.com/security-policy",
    "https://www.fortunahealth.com/privacy-policy",
    "https://elion.health/products/fortuna-health",
    "https://a16z.com/announcement/investing-in-fortuna-health/",
    "https://www.modernhealthcare.com/health-tech/mh-fortuna-health-andreessen-horowitz-y-combinator/",
    "https://www.businesswire.com/news/home/20250721481890/en/Fortuna-Health-Raises-%2418M-Led-by-Andreessen-Horowitz-to-Modernize-Medicaid-Access-and-Infrastructure-Amid-Federal-Reforms"
  ],
  "summary": "Consumer‑facing digital platform that streamlines Medicaid eligibility screening, enrollment, and renewals for health plans and provider partners in the U.S.",
  "description": "Fortuna Health is a commercial SaaS platform and consumer navigation service that performs fast eligibility screens (≈30 seconds), guides end‑to‑end Medicaid enrollment and renewals, provides multilingual live navigation and automated notifications, and delivers closed‑loop reporting for partner health plans and providers. The product is oriented toward increasing application approvals, renewal rates, and visibility across the eligibility-to-enrollment funnel.",
  "target_users": [
    "Medicaid consumers / patients",
    "Health plans / payers",
    "Healthcare providers / clinics",
    "Licensed navigators / enrollment specialists",
    "Case managers / social workers",
    "Health system administrators",
    "Government/state Medicaid offices"
  ],
  "specialties": [
    "Medicaid enrollment",
    "Eligibility screening",
    "Renewal/recertification management",
    "Benefits navigation",
    "Care coordination support",
    "Patient engagement",
    "Health plan member services",
    "Reporting & analytics"
  ],
  "regions_available": [
    "United States"
  ],
  "languages_supported": [
    "English",
    "Spanish",
    "Supports more than 7 languages"
  ],
  "pricing_model": "enterprise_quote",
  "pricing_details": "Contact vendor for pricing; offered to health plans and provider partners (no public consumer pricing); contact Fortuna for demo/trial.",
  "license": "commercial proprietary",
  "deployment_model": [
    "SaaS"
  ],
  "os_platforms": [
    "Web"
  ],
  "features": [
    "Medicaid eligibility screening",
    "Guided enrollment and renewal workflows",
    "Multilingual live navigation and support",
    "Licensed navigator case management",
    "Automated reminders and notifications",
    "Virtual mailbox for document receipt",
    "24/7 consumer support",
    "Closed-loop reporting and analytics",
    "State- and program-specific dynamic enrollment logic",
    "Document collection and secure upload",
    "Application status tracking",
    "Data-driven outreach and engagement"
  ],
  "optional_modules": [
    "Partner/health-plan integration onboarding",
    "Custom reporting/dashboards",
    "Multilingual content localization"
  ],
  "integrations": [
    "State Medicaid agencies (electronic/state portals)",
    "Health plans / payers",
    "Providers/clinics"
  ],
  "data_standards": [],
  "api_available": "unknown",
  "system_requirements": "",
  "compliance": [
    "HIPAA"
  ],
  "certifications": [
    "AICPA (SOC-related badge displayed)"
  ],
  "security_features": [
    "Data encryption in transit and at rest",
    "Audit logs",
    "Hosting on HIPAA-compliant infrastructure (Aptible referenced)"
  ],
  "privacy_features": [
    "Business Associate Agreement (BAA) usage with health plans/providers (described)",
    "Consent-based data sharing",
    "De-identification/aggregate reporting"
  ],
  "data_residency": "",
  "customers": [
    "Centers for Medicare & Medicaid Services (CMS)"
  ],
  "user_reviews": [],
  "ratings": [],
  "support_channels": [
    "email",
    "24x7 chat",
    "SMS",
    "phone"
  ],
  "training_options": [
    "documentation",
    "help_center",
    "webinars",
    "live_online"
  ],
  "release_year": "2023",
  "integration_partners": [
    "Praia Health",
    "Providence (via Praia ecosystem)",
    "managed care plans / health plans"
  ],
  "id": "P0627",
  "slug": "fortuna-health",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-09-07",
  "links_json": {
    "self": "https://www.healthaidb.com/software/fortuna-health.json"
  }
}