Fortuna Health, a leading platform for consumer Medicaid navigation, has secured $18 million in Series A funding, led by Andreessen Horowitz with additional participation from Y Combinator and several industry leaders. This funding will enhance Fortuna’s AI-driven workflows, support its expansion into new states, and scale infrastructure to meet rising demand from health systems and managed care plans.
Currently, Medicaid, CHIP, and Marketplace programs serve approximately 100 million people; however, accessing and maintaining coverage can be challenging. Recent changes in federal rules have introduced stricter eligibility requirements for nearly 11 million people, which could jeopardize their coverage. Fortuna partners with health systems and managed care plans to provide a streamlined experience for Medicaid enrollment and recertification.
Fortuna’s technology streamlines public benefits administration by consolidating the various eligibility criteria and documentation standards of the 56 Medicaid programs across the U.S. into a personalized interface. This multilingual platform enables users to manage their applications and recertifications with confidence, while connecting them with live navigators for support. It has been shown to reduce churn by 15%, helping more people maintain their coverage.
Supporting over 25 million Medicaid beneficiaries, Fortuna collaborates with regional health plans and Fortune 50 companies. It also partners with financial experience firms like Cedar to enable hospitals to reduce uncompensated care by up to 53%, allowing teams to focus on higher-impact tasks.
How the funding will be used: With this new funding, Fortuna plans to further develop AI and automation features in response to federal policies such as work requirements. These enhancements aim to lessen administrative burdens for hospitals, health plans, and state agencies, while boosting enrollment and renewal efficiency. Additionally, Fortuna is expanding its technical and operational partnerships with state and county agencies, recognizing the vital role of public sector teams in delivering services with limited resources. This comes at a time when federal reforms are increasing demands on state Medicaid infrastructure.
KEY QUOTES:
“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. Fortuna is building the consumer-friendly co-pilot to make Medicaid work—and definitionally helping the most vulnerable and underserved navigate their healthcare benefits. We’re so proud to continue backing Fortuna as they build the trusted clearinghouse for Medicaid administration.”
Julie Yoo, general partner at a16z Bio + Health
“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. Fortuna’s platform brings both innovation and empathy to one of the most complex challenges in health care: Medicaid navigation. 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.”
MVP Health Care’s President, Dr. Richard Dal Col
“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. 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.”
Jim Burgess, Senior Vice President, Operations at Highmark Wholecare
“Healthcare providers are facing intensifying financial strain as recent federal reforms add new layers of complexity to Medicaid eligibility. With millions of patients at risk of losing coverage, hospitals and physician groups are bracing for a surge in uncompensated care and tighter margins. 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.”
Florian Otto, CEO and Co-founder of Cedar
“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. 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.”
Jennifer Langer Jacobs, CEO of Medicaid Works and the former Medicaid Director of New Jersey
“Medicaid’s infrastructure is long overdue for modernization. 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.”
Nikita Singareddy, CEO and co-founder of Fortuna Health
