Founded by practicing clinicians in Providence, Rhode Island, ITO Health is a Public Benefit Company that turns complex eligibility policy into auditable, repeatable actions so the patients who qualify for care can actually get it.
Our Mission
We build tools for healthcare workers, care providers of all kinds, to close the gap between medical care and social needs. Because real health requires both.
Our software helps care teams navigate the complexity of eligibility and coverage so the system works the way it's supposed to, for everyone, regardless of economic standing.
We were founded in 2024 by clinicians and healthcare operators in Providence, Rhode Island, and incorporated as a Public Benefit Corporation because we mean it. We're tired of “healthcare is broken” being said with a shrug. We're here to do something about it.
Our tools are rule-based and auditable, built to turn complex policy into repeatable, defensible action. No black boxes. No guesswork. Just human-centered software that does what it says it does.
ITO Health was founded in 2024 after its clinical team spent years watching the same pattern repeat: patients who qualified for Medicaid, SNAP, and housing support couldn't access those programs. Not because of eligibility, but because the administrative infrastructure around them kept failing.
Notices went to old addresses. Recertification deadlines were missed. Workers juggled dozens of disconnected tools and still fell behind. The system was producing coverage loss as a feature, not a bug.
The founders, practicing physicians and healthcare professionals, decided to build the tools that should have already existed: deterministic AI that encodes policy as software, turning eligibility rules into auditable, repeatable decisions at the point of care.
ITO Health is structured as a Public Benefit Corporation because this work isn't optional. We have a legal obligation to pursue our mission alongside financial performance.
"Every minute a care team spends chasing down paperwork is a minute not spent with a patient. We built ITO Health to give those minutes back."
ITO isn't just a name. It's the framework that shapes how we approach every problem in healthcare access. Information, Tools, Outcomes. In that order, on purpose.
Policy is complex. We make it usable. By translating eligibility rules, benefits criteria, and local resources into structured knowledge your team can actually act on.
Knowledge alone doesn't help people. We build software that puts the right information in the right hands so care workers, navigators, and case managers can move from screening to resolution without delay.
We don't measure success by logins or clicks. We measure it by needs resolved, coverage retained, and people connected to support that changes their lives.
A PBC has a legal obligation to consider the interests of patients and communities alongside shareholder value. It's not marketing. It's in our articles of incorporation.
We're required to balance financial returns with our public benefit purpose. Not just permitted to, required.
Our board is legally obligated to consider impact on healthcare access. Not just quarterly performance metrics.
A decision that harms patient access to care isn't just bad ethics. It's a violation of our governing documents.
Team
ITO Health was founded, and is led, by people who have worked inside the systems they're trying to fix.
Chief Executive Officer
MDA practicing physician who built ITO Health after watching patients lose coverage to procedural failures that had nothing to do with their eligibility. Rahul leads the company with a clinical framework: the same rigor that governs medical decisions should govern eligibility decisions. He drives product vision, partnerships, and the company's mission as a Public Benefit Corporation.
Chief Operating & Growth Officer
Healthcare OperationsDavid brings operational depth across healthcare systems, government partnerships, and growth strategy. He is responsible for the organizational infrastructure that lets ITO Health scale, from customer success and deployment to the health system relationships that bring the platform to the populations who need it most.
Head of Product
Product & DesignA designer-turned-product leader with 20+ years of human-centered design practice across physical product, consumer platforms, and civic technology. Margaret leads ITO Health's product function end-to-end, spanning UX research, product management, and product design, with a focus on making complex policy legible and tools usable for the people who depend on them most.
Head of Technology
MDA physician-engineer who leads the design system and technical architecture underlying ITO Health's deterministic AI approach. Eric designed the rules engine that powers HealthEligible's 120+ program screening and oversees the platform's interoperability, security, and scalability. His conviction: clinical-grade software requires clinical-grade transparency.
Head of Network
LMHCA Licensed Mental Health Counselor with deep roots in community health and social services, James leads ITO Health's network of care organizations and CHW programs. He ensures the platform reflects the workflows and realities of the frontline staff who use it, not just the institutions that deploy it.
How We Build
These aren't values displayed in the office. They're the constraints we argue from when tradeoffs get hard.
Eligibility rules are not inputs to our software. They are the software. Every rule change in Medicaid, SNAP, or state programs should be configurable without a code deploy. We encode policy as infrastructure.
An eligibility determination is only trustworthy if you can trace every decision back to the exact policy it applied. We don't use LLMs for eligibility decisions. Every outcome is deterministic, inspectable, and defensible.
The people who use our tools are CHWs and eligibility specialists with full caseloads. We optimize for them, not for the reporting dashboards executives see once a quarter.
Most Medicaid disenrollment happens because of process failures, not eligibility failures. Missed notices. Unreachable patients. These are solvable with the right infrastructure. That's why we build platforms, not just workflows.
The 2025 budget reconciliation law introduces work requirements and six-month recertification cycles for Medicaid expansion enrollees. Implementation is required by January 1, 2027.
Health systems that don't build operational readiness now will face the same dynamics as the 2023 unwinding. Patients losing coverage for procedural reasons, uncompensated care rising, and continuity of treatment disrupted.
MediKey is our direct response: a Medicaid enrollment and recertification engine that automates the workflows health systems need to prevent procedural disenrollment before the deadline hits.
Whether you're a health system preparing for H.R. 1, an FQHC reducing administrative burden, or a government agency modernizing eligibility, we'd like to understand your situation before we recommend anything.