Proof
The framework already works. We just make it easier to run.
Transparent, fiduciary-aligned health plans aren't a theory — hundreds of employers have already cut costs 20–40% per capita this way, years before us.
In the wild
“If you care about healthcare costs, read this.”
Co-founder, Cost Plus Drugs · posting @mcuban on X, linking to Grounded Health
July 26, 2026 · 200.4K views · see the post
“The analytical sophistication is exceptional. Grounded Health is asking important questions and providing clear answers.”
Professor, UCLA · Board Member, Blue Cross Blue Shield of Massachusetts · National Academy of Medicine Leadership Consortium
Invitation-only beta
Who we're working with now.
We're working with a hand-selected group of early beta customers — invitation only. Here are some of the people we're partnering with right now, and what they're saying as they put the platform to work. Anonymized to role to protect privacy.
“I didn't even think this was possible — it wasn't something I was wishing for. We've all had this apathy of thinking we don't have any control over any of it. And I've never been able to get data that's actually actionable around this.”
CHRO
Private-equity-backed healthcare company
“Relying on your broker to check this is kind of like letting the fox guard the henhouse.”
SVP
Fortune 500 payments company
“After five years in healthcare, this is the problem Alyssa has finally cracked — a powerful capability for giving enterprises real visibility into what they're actually paying their brokers.”
Health-plan advisor and author
Former benefits executive
“This is me sending it to my boss saying, look how good I am at my job. And are you going to kill all the point solutions? That alone would be great for my inbox.”
Head of Benefits
Fortune 500 technology company
“Part of what this does is empower employers to stop feeling like victims of the system — which is exactly where they are right now.”
Benefits advisor & connector
Independent advisory network
“It's amazing how much data you've accumulated to support decision-making. I've always believed the person with the most data wins — and I like what I'm seeing.”
Third-generation benefits broker
Independent brokerage
It's all public
Every employer files it. Almost none of them read it.
These employers self-fund — they pay their own claims. Their Form 5500 discloses the fees flowing to the brokers, TPAs, and consultants who run the plan, right there in the public record. Here's what a few large self-funded employers' most recent filings show.
Delta Air Lines, Inc.
$2.7M
in disclosed fees to plan service providers — brokers, TPAs & consultants
4,402 covered lives · self-funded · plan year 2025
Source: IRS Form 5500, Schedule C (public record)
Emerson Electric Company
$9.3M
in disclosed fees to plan service providers — brokers, TPAs & consultants
11,113 covered lives · self-funded · plan year 2024
Source: IRS Form 5500, Schedule C (public record)
U-Haul Holding Company
$5.5M
in disclosed fees to plan service providers — brokers, TPAs & consultants
12,467 covered lives · self-funded · plan year 2024
Source: IRS Form 5500, Schedule C (public record)
Wondering where your plan lands?
Your filing is public too. We'll show you in minutes — free, no obligation.
See your scorecard — freeEmployers already running transparent, fiduciary-aligned plans
The track record
Employers already running this playbook.
These are results from employers who adopted transparent, fiduciary-aligned health plans through the Health Rosetta community — not Grounded clients. Median savings run 20–40% per capita. It's the approach we build on. The results here belong to the employers and advisors who earned them, not to us.
| Employer | Employees | Industry | Result |
|---|---|---|---|
| Rosen Hotels & Resorts | 5,700 | Hospitality | $315M cumulative · 40% below industry avg |
| DeSoto Memorial Hospital | 220 | Healthcare | $1.2M saved · 54% cost reduction |
| City of Milwaukee | 6,800 | Government | $50M+ saved · 25% below benchmark |
| Robert Wood Johnson Foundation | 650 | Philanthropy | 22% per-capita cut · in year one |
| Aldrich CPAs | 200 | Professional services | $1.2M saved in 2 yrs · 15–20% reduction |
| Employers Council | 280 | Consulting | 24% premium reduction · plus richer benefits |
| Langdale Industries | 2,500 | Manufacturing | Trend flat for 5 yrs · vs. 6–8% market |
| Shea Butter | 350 | Consumer goods | $780K saved · family OOP down 30% |
Source: Health Plan Heroes v2 (Dave Chase / Patients Rising), via the Health Rosetta community — 26 documented cases; advisors operate under Health Rosetta's transparent compensation model.
Better together
Fixing American healthcare isn't a one-company job.
No single company un-breaks US healthcare. These are the partners, methodologies, and voices we build alongside, learn from, and recommend.
Nautilus Health
Independent, fiduciary-aligned analysis of PBM and vendor contracts — open, standardized scoring that shows plan sponsors what their contracts actually say.
Visit →Turquoise Health
Price-transparency data: real negotiated rates, provider by provider — the market benchmark behind our rate intelligence.
Visit →Cost Plus Drugs
Mark Cuban's transparent pharmacy: generics sold at true cost plus a flat 15% markup and a small pharmacy fee — no PBM spread, no rebate games. Proof that honest drug pricing works.
Visit →Avelis Health
AI plus clinician review that audits medical claims and recovers overpayments — reducing plan spend 2–7%.
Visit →Orderly Health
Automated provider-data and roster accuracy — now part of First Choice Health, an independent, fiduciary-aligned TPA.
Visit →Health Rosetta
The open methodology and advisor community proving transparent, fiduciary-aligned health plans at scale. The case studies above come from its network.
Visit →Relentless Health Value
The essential podcast on how employer healthcare really works — sharp, unsparing interviews with the people fixing (and breaking) it. We recommend it without reservation; start anywhere.
Visit →KFF Employer Health Benefits Survey
The definitive annual data on what employers actually pay for coverage — the benchmark everyone in this space cites.
Visit →Health Transformation Alliance
A coalition of large employers pooling data and buying power to fix healthcare — proof the demand side can organize.
Visit →