A health system for America

Prescience was founded by doctors, engineers, and patients who believe our system is broken. We believe that abundant intelligence will bring forth a new, prescient system.

Prescience team at work on a modern rooftop terrace
Harvard Medical School
Massachusetts General Hospital
Y Combinator
Brigham and Women's Hospital
Broad Institute
Beth Israel Deaconess Medical Center

The problems

None of this is an accident. It's the predictable output of a system where everyone in the middle wins when care gets more expensive.

Inc.

Cost

Health Plans Will Cost More in 2026. Here’s What Businesses Are Doing About It

Mercer’s survey of 1,700 employers finds companies anticipate a 9% jump in 2026 health care costs, even after plan changes to push more onto workers.

October 2025

Seattle Times

Talent

Healthy Workers Are Ditching Company Insurance to Save $1,000 a Month

KFF finds employer-coverage rates fell to 61% from 64% in 2020 as workers waive plans they can’t afford to use.

March 2026

ProPublica

Denials

Inside UnitedHealth’s Playbook for Limiting Mental Health Coverage

Internal records expose a rebranded algorithm targeting therapy “overuse” long after New York banned the original ALERT system for denying 34,000 sessions.

2025

Peterson–KFF

Inequity

How Much and Why Premiums Are Going Up for Small Businesses in 2026

Median proposed premium increase across 318 small-group insurers is 11%, the steepest small-business jump in over fifteen years.

October 2025

Associated Press

Trend

Affordable Care Act Enrollment Projected to Plunge by 5 Million as Costs Spike

ACA sign-ups fall from 22.3M to 17.5M in 2026, with average deductibles up over $1,000 and monthly premiums up $65.

April 2026

KFF

Premium

Annual Family Premiums for Employer Coverage Rise 6% in 2025, Nearing $27,000

Family premium hit $26,993, with workers contributing $6,850 out of pocket. Premiums up 26% in five years; wages up 28.6%.

2025 Employer Health Benefits Survey

!

These aren't edge cases. They're what happens when an insurance company's profit is your premium.

Our name

/ˈpreSH(ē)əns/noun

1. foresight; knowledge of events before they take place.

Health costs aren't random. They're predictable, if you have the data and the models to read them, and the discipline to act on the prediction before the bill arrives.

That's what our name commits us to: seeing the cost before it happens, then using that intelligence to negotiate, route, and steer every employee toward care that actually works.

The opposite of prescience is the system we have today, where the first signal anyone gets is the claim that already broke the budget.

Who's building it

Our founders

Doctors, engineers, and operators who believe US healthcare is broken by design, and that the chassis is finally ready to be rewritten.

Rishab Jain

Rishab Jain

Chief Executive Officer

  • Former CEO of Qurios Ventures and ICOR Therapeutics
  • Author of 10+ research papers in ML and health
  • Neuroscience and CS from Harvard

Fun fact: Has 150,000+ subscribers on YouTube

Aditya Jain, MD

Aditya Jain, MD

Chief Operating Officer

  • M.D. from Harvard Medical School & a Crohn's patient
  • AI Researcher at the Broad Institute
  • Health Policy, Op-Med Fellow at Doximity

Fun fact: Coded a Foundation strategy card game as a hobby

What we believe

Our convictions

Each one shows up in the care we provide, code we write, and partnerships we make.

01
MD-LED

Plans should be designed by doctors, not actuaries.

Every Prescience plan is shaped by an in-house MD team. We pick the networks, the carve-outs, and the prior-auth rules, because the people closest to patient care should be the people writing the policy.

02
RIGHT CARE

The right care is the cheapest care.

Cost-control through denials and narrow networks costs more in the long run. We invest in primary care, early intervention, and direct routing to high-quality providers. The savings compound.

03
DIRECT

Direct contracts beat middlemen.

Brokers, carriers, and PBMs each take a cut to introduce parties who could otherwise transact directly. We replace that chain with direct provider contracts and a transparent platform fee.

04
ALIGNED

Incentives have to point the same way.

Employers, employees, and providers all want the same thing: healthier people at a sustainable cost. Prescience aligns the contracts, the plan design, and our own pricing so every party wins together.

Ready to your benefits?

Tell us about your team. We'll show you exactly what we'd build and what you'd save.

Get your quote