Palam HealthPalam Health
PRE-SEED · CONFIDENTIAL · 2026
Healthcare pricing intelligence

Built on evidence,
not estimates.

We turn the price-transparency files the U.S. now mandates into clean, source-traceable rate intelligence — for the teams that negotiate healthcare's prices.

palamhealth.compre-seedno PHI · public-source data
01The problem

Prices are finally public. The data is unusable.

A mandated flood

Every U.S. hospital and insurer must now publish their prices. A single payer's monthly file runs to hundreds of gigabytes.

But it's a disaster

No consistent format, "ghost rates" that were never billable, mismatched units. The data exists, but almost no one can actually use it.

So everyone is stuck

Providers negotiate blind, revenue teams can't benchmark, and the tools built on top can't trust the numbers.

~1 in 10 hospitals still isn't fully compliant, and the files that do exist are barely usable. The bottleneck was never access. It's trust and usability.
02Why now

The regulatory tailwind only gets stronger.

2021

Hospitals must post all prices

The Hospital Price Transparency Rule takes effect — every hospital publishes a machine-readable file.

2022

Insurers must post negotiated rates

Transparency in Coverage forces payers to publish what they actually pay. This is the gold.

2025

"Actual prices, not estimates"

Executive Order 14221 pushes standardized, accurate data and steps up enforcement.

2026

Stricter formats, real penalties

New encoding rules and fines up to ~$2M/yr per hospital — the data keeps improving.

Regulators explicitly expected third parties to turn these files into usable products. We are that third party.
03The solution

The source-traceable rate intelligence layer.

STEP 1

Ingest

Discover & pull hospital and payer files as they publish.

STEP 2

Normalize

Thousands of inconsistent files → one canonical schema.

STEP 3

Keep provenance

Source file, version & timestamp stay attached to every rate.

STEP 4

Query

One source-aware model powers both the app and the API.

We don't ask you to trust a number — we show the source file, version, and timestamp behind every rate. That's the difference between data you bought and evidence you can take into a negotiation.
04Product

The platform is already built.

Normalization engine

Thousands of inconsistent hospital and payer files resolved into one canonical, queryable schema.

App + 200-endpoint API

An enterprise-grade dashboard and REST API that share a single source-aware data model.

Provenance on every record

Source file, version, parser, and timestamp stay attached — the foundation of the whole product.

Secure & agent-ready

No PHI, public-source data, audit-friendly — with OAuth/MCP endpoints built for AI agents.

The build is done. What's left isn't more product, it's depth of coverage.
05Go-to-market

Our wedge: source-cited negotiation leverage.

The buyer

PE-backed GI/ortho platforms and independent surgery centers — they negotiate their own commercial rates and live on rate uplift.

The demo

"Here's what your competitor gets paid by the same insurer, with the source attached." Aha-moment.

Why it lands

A renegotiation needs a few defensible numbers, not statistical completeness. That is exactly our strength.

Depth-first: own one market at a time.

1

Colorado

Prove it — our home market. No CON law, competitive, achievable to saturate fully.

2

A Texas metro

Scale it — no CON, 450+ surgery centers, and the epicenter of PE specialty roll-ups.

the motion

Saturate a market → walk into every negotiation-adjacent team in it with defensible, source-cited numbers → expand scope inside each account.

06Competition

We're not trying to out-data the giants.

Turquoise Health

A contracting suite aimed at large health systems — moving upmarket, enterprise sales.

Serif Health

Raw negotiated-rate data and a developer API at massive scale — built for engineers.

US — PALAM HEALTH

The trustworthy, source-cited workflow layer for the buyer they overlook: independent & PE-backed specialty.

The moat isn't volume. It's provenance, normalization quality in depth, and owning a vertical the incumbents ignore — sold to a buyer they don't serve.
07Market

Large, budgeted, and expanding by mandate.

Mandated & growing

Every U.S. hospital and insurer is a legally required data producer — a public dataset that grows every month.

Thousands of buyers

~6,000 surgery centers plus thousands of specialty groups and PE platforms, each contract worth six-to-seven figures.

Consolidation tailwind

PE roll-ups of specialty care are accelerating, and every platform runs on rate benchmarking to justify its thesis.

~6,000
ASCs + thousands of specialty platforms
$20–60K
ACV in the beachhead alone
9-figure
SAM — before payers, employers, and investors
08Business model

We price the decision, not the data.

Platform subscription

Annual SaaS priced by scope: markets, payers, history depth, plus seats. The base.

API as a separate SKU

Usage bands for developers and AI agents. Never per-row — that races a commodity to zero.

Land & expand

Start with one market, grow by adding scope and seats as the account scales.

Illustrative ACV ladder
$10–15K
Paid pilot
$20–60K
Specialty group
$75K+
Multi-site platform
09Status & roadmap

Built. Now going deep.

Today

Full pipeline, app & API live

Millions of normalized negotiated rates already processed.

Depth-first coverage underway

Saturating our home market, Colorado, before we sell.

Wedge & buyer validated

Clear beachhead: source-cited leverage for specialty platforms.

Next three quarters
Q1

Colorado demo-ready → first design-partner pilots.

Q2

A Texas metro fully covered → pilots convert to paid.

Q3

Multi-market ARR → explore a Seed / Series A raise.

Pre-revenue. Product and infrastructure complete — executing a depth-first coverage + wedge motion, funded by this round.
10Team

Two engineers. One person who sells data for a living.

JS
Justin Scroggins
Co-founder · Engineering
justin@palamhealth.com
LC
Larsen Close
Co-founder · Engineering
larsen@palamhealth.com
JC
Jack Coyle
Co-founder · Commercial
jack@palamhealth.com