HealthPlan Data Solutions raises $15 million to advance real-time pharmacy benefit oversight

Columbus HealthTech company HealthPlan Data Solutions (HDS) has raised $15 million in growth equity funding led by Chicago-based venture firm MK Capital, with participation from JobsOhio, Rev1 Ventures, and Tamarind Hill. The investment will help HDS accelerate its real-time pharmacy benefit monitoring technology amid rising national pressure for Pharmacy Benefit Manager (PBM) reform.

Why it matters

As pharmacy costs surge and scrutiny around PBMs grows, employers and health plans are demanding better oversight tools. HDS’s Claim Scan platform continuously monitors 100% of pharmacy claims in near real-time using more than 500 customizable algorithms.

According to the company, since its inception, HDS has saved payers millions and protected more than 8 million covered lives by identifying overpayments to PBMs. HDS technology allows sponsors to identify adjudication errors, correct contract misalignments, and recover costs that would otherwise go unnoticed.

The Ohio angle

Founded and headquartered in Columbus, HDS has already helped protect over 8 million covered lives and recovered millions for health plans nationwide. This latest funding continues to signal Ohio’s strong position as a leader in health data innovation and HealthTech solutions. JobsOhio, Rev1 Ventures, and Tamarind Hill joined this round as local Ohio investors.

What they’re saying

“This investment allows us to expand our technology platform, develop more robust analytics, and enhance service capabilities so health plans and employers can take control of their pharmacy spend in real-time—not months after the fact,” said Ron Hamm, CEO of HDS.

What’s next

HDS plans to add new Claim Scan algorithms, streamline user workflows, and introduce further automation across its Spotlight platform—all aimed at helping health plans make smarter, faster decisions in a rapidly evolving pharmacy benefits landscape.