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Healthcare · head to head

Included Health vs Signant Health

Included Health logo

Included Health

Healthcare

Care navigation and virtual care in one contract for self funded employers and health plans

From
On request
Rated
-
Signant Health logo

Signant Health

Healthcare

eCOA-first clinical trial platform that has grown outward into EDC, eConsent and televisits

From
On request
Rated
-

The short version

  • Each has a real cost: Included Health owning both the navigation recommendations and the virtual care delivery creates a structural incentive to steer members to the vendor own clinicians, and an employer should require disclosure and measurement of how often that happens.; Signant Health no pricing is published, and the software licence is a minority of the real bill once instrument licensing, translations, device provisioning and services are added, so early budget estimates are routinely too low.
  • They diverge on capability: Included Health covers Care navigation, Signant Health covers eCOA and ePRO.
  • Prices and features above were last checked on 1 September 2026.

Where they differ

Only the attributes on which Included Health and Signant Health actually diverge.

Attributes where Included Health and Signant Health differ
AttributeIncluded HealthSignant Health

Identical on both: starting price (On request), pricing model (quote), free tier (No), platforms (Web, iOS, Android), user rating (Not yet rated), category (Healthcare).

What each one covers

Drawn from each product's published feature list. An absence here means we hold no record of it - not that the product lacks it.

Only in Included Health

  • Care navigation
  • Provider quality steerage
  • Expert medical opinion
  • Virtual primary care
  • Virtual behavioural health
  • Virtual urgent care
  • Benefits integration
  • Employer reporting

Only in Signant Health

  • eCOA and ePRO
  • Unified platform
  • eConsent
  • Randomisation and supplies
  • TeleVisits
  • Rater training
  • Data surveillance
  • Instrument library

What people use each for

The jobs each tool is most often brought in to do.

Included Health

  • A large self funded employer whose members cannot tell which specialist to see and who currently absorbs the cost of poor referral decisionsnot Signant Health
  • An employer that has bought several point solutions and needs one front door that routes members to the ones already paid fornot Signant Health
  • A self funded plan wanting expert second opinions before high cost elective surgery, where a changed recommendation pays for the programmenot Signant Health
  • An employer replacing separate navigation and telehealth vendors with one contract and one member experiencenot Signant Health

Signant Health

  • A central nervous system or psychiatry trial where the primary endpoint is a rated scale and rater consistency decides the readoutnot Included Health
  • A global study needing an outcome instrument translated and linguistically validated across a dozen languagesnot Included Health
  • A decentralised or hybrid protocol combining televisits, eConsent and at-home patient reported outcomesnot Included Health
  • A sponsor consolidating separate eCOA, eConsent and randomisation vendors onto one platform to cut reconciliation worknot Included Health

Where each one falls short

Documented limitations, not opinions. Every one is a constraint you would hit in normal use.

Included Health

  • Owning both the navigation recommendations and the virtual care delivery creates a structural incentive to steer members to the vendor own clinicians, and an employer should require disclosure and measurement of how often that happens.
  • Pricing is per employee per month across the whole eligible population, so a plan with low navigation engagement pays for everyone to serve the minority who call.
  • Savings claims rest on avoided costs and changed referral decisions, which are counterfactual by nature, so performance guarantees need very careful definition or they measure activity rather than money.
  • The company is a merger of three organisations with different origins, and members and benefits teams still encounter seams between navigation, virtual primary care and behavioural health that the single brand implies are absent.
  • It sells primarily to large self funded employers, so mid market employers and fully insured plans find both the pricing and the implementation effort disproportionate to their size.

Signant Health

  • No pricing is published, and the software licence is a minority of the real bill once instrument licensing, translations, device provisioning and services are added, so early budget estimates are routinely too low.
  • Linguistic validation is charged per instrument per language and is on the critical path to first patient in, so adding a country late in start-up produces both a cost and a schedule hit.
  • Provisioned participant devices bring logistics, replacement, shipping and cellular connectivity obligations that persist for the life of the trial and are frequently underestimated.
  • The EDC component is newer than the eCOA heritage, so sponsors with complex data management requirements often keep an incumbent EDC and lose the single-database benefit that justifies the platform.
  • It is priced and scoped for sponsor-grade trials, which makes it a poor fit for investigator-initiated or academic studies that need outcome collection without the services layer.

Pricing, plan by plan

Included Health

On request
  • Included Health$undefined/year
    • Per employee per month across the eligible population, quoted not published
    • Navigation and virtual care modules priced separately or bundled
    • Some components offered with performance guarantees tied to measured savings

Signant Health

On request
  • SmartSignals Unified Platform$undefined/year
    • Priced per study through a sales process
    • Modules selected per protocol: EDC, eCOA, randomisation, eConsent, TeleVisits
    • Instrument licensing paid to scale owners on top of platform cost

Which should you pick?

Choose Included Health if

  • You need care navigation.
  • You work on Web, iOS, Android.
  • You also want provider quality steerage.

Choose Signant Health if

  • You need ecoa and epro.
  • You work on Web, iOS, Android.
  • You also want unified platform.

Questions people ask

Is Included Health or Signant Health better?
Neither clearly leads. Included Health starts at On request and Signant Health at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
Which is cheaper, Included Health or Signant Health?
Included Health starts at On request and Signant Health at On request.
Does Included Health or Signant Health run on more platforms?
Both run on Web, iOS, Android, so platform support will not decide this one for you.
What is Included Health best used for?
Included Health is most often used for a large self funded employer whose members cannot tell which specialist to see and who currently absorbs the cost of poor referral decisions, an employer that has bought several point solutions and needs one front door that routes members to the ones already paid for, a self funded plan wanting expert second opinions before high cost elective surgery, where a changed recommendation pays for the programme, an employer replacing separate navigation and telehealth vendors with one contract and one member experience. Of those, a large self funded employer whose members cannot tell which specialist to see and who currently absorbs the cost of poor referral decisions and an employer that has bought several point solutions and needs one front door that routes members to the ones already paid for are not what Signant Health is typically brought in for.
What can Included Health do that Signant Health cannot?
Included Health covers Care navigation, Provider quality steerage, Expert medical opinion, Virtual primary care. Signant Health covers eCOA and ePRO, Unified platform, eConsent, Randomisation and supplies.

Answered from the vendors’ own pages

Included Health: What exactly is Included Health?

The combination of Grand Rounds Health navigation, Doctor On Demand virtual care and the original Included Health concierge service, operating under one brand since late 2021.

Signant Health: What is Signant best at?

Electronic clinical outcome assessment, particularly rated scales in central nervous system and psychiatry trials, together with rater training and endpoint quality services.

Included Health: Who pays for it?

The self funded employer or the health plan pays a per employee per month fee. Virtual care visits may also carry member cost sharing depending on plan design.

Signant Health: Is pricing published?

No. Everything is quoted per study, and instrument licences, translations and devices sit on top of the platform cost.

Included Health: Is there a minimum size?

No published minimum, but it sells primarily to large self funded employers and the pricing and implementation effort do not suit small organisations.

Signant Health: Can I use it only for eCOA?

Yes. The modules are selected per protocol, and many sponsors take eCOA and eConsent while keeping an existing EDC.

Included Health: How does it recommend providers?

Through data driven quality analysis rather than a plain directory. Ask specifically how those recommendations are produced and how often they resolve to the company own virtual clinicians.

Signant Health: What drives the timeline?

Translation and linguistic validation of outcome instruments, which is per language per instrument and sits on the critical path to study start.

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