NEW YORK–(BUSINESS WIRE)–Fortuna Health, the leading consumer Medicaid navigation platform, announced it has raised $18 million in Series A funding. The round was led by returning investors Andreessen Horowitz with participation from Y Combinator and founders and executives from Abridge, DoorDash, Hex, One Medical, Oscar Health, Scale, and Vanta. The funding will accelerate Fortuna’s investments in AI-powered workflows, fuel expansion into new states, and help scale infrastructure to meet surging demand from health systems, managed care plans, and government partners.

Medicaid’s infrastructure is long overdue for modernization. Access shouldn’t come at the expense of integrity or efficiency.Share

“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,” said Julie Yoo, general partner at a16z Bio + Health. “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.”

Medicaid, CHIP, and Marketplace programs cover around 100 million people, but accessing and retaining this coverage remains challenging. Recent federal reconciliation introduces stricter eligibility rules including more frequent recertifications and 80-hour work requirements for certain adults. Around 11 million people are expected to face new procedural steps that put their coverage at risk. Fortuna partners with health systems and managed care plans to offer a simple, modern experience that guides patients and members through these Medicaid enrollment and recertification processes.

“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,” said MVP Health Care’s President, Dr. Richard Dal Col. “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.”

Fortuna’s technology is purpose-built to address the fragmented nature of public benefits administration. Each of the 56 Medicaid programs across U.S. states and territories has its own eligibility rules, documentation standards, and renewal timelines. Fortuna unifies that variation into a single, personalized interface for consumers to manage eligibility, applications, recertifications, appeals, updates, and state-required actions with clarity and confidence. Fortuna’s intelligent, multilingual platform integrates with trusted data verification sources and pairs with live navigators that support consumers every step of the way. Fortuna’s technology helps reduce churn by 15%, keeping more people consistently covered.

“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,” said Jim Burgess, Senior Vice President, Operations at Highmark Wholecare. “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.”

Fortuna supports payers that collectively serve more than 25 million Medicaid lives, from regional health plans to Fortune 50 companies. It also serves as the Medicaid enrollment partner to leading patient payment and financial experience companies like Cedar, helping hospitals reduce uncompensated care by up to 53% and freeing up revenue cycle teams for higher-impact work.

“Healthcare providers are facing intensifying financial strain as recent federal reforms add new layers of complexity to Medicaid eligibility,” said Florian Otto, CEO and Co-founder of Cedar. “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.”

With this latest round of funding, Fortuna will further invest in AI and automation, building features to respond to new federal policies like work requirements. These updates are designed to reduce administrative burden for hospitals, health plans, and state agencies, while improving the efficiency of enrollment and renewal.

Fortuna is also expanding its technical and operational partnerships with state and county agencies, recognizing the essential work of public sector teams delivering services with limited resources. This comes at a moment when federal reforms are placing new demands on state Medicaid infrastructure.

“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,” said Jennifer Langer Jacobs, CEO of Medicaid Works and the former Medicaid Director of New Jersey. “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.”

“Medicaid’s infrastructure is long overdue for modernization,” said Nikita Singareddy, CEO and co-founder of Fortuna Health. “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.”

About Fortuna Health

Fortuna Health is the leading consumer-first platform for navigating Medicaid and government coverage. Fortuna Health is backed by Andreessen Horowitz, BoxGroup, and Y Combinator. For more information, visit fortunahealth.com.

Contacts

Media: info@fortunahealth.com

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