Our AI-Enabled Clinical Efficacy Platform allows plan sponsors to

Make prior authorizations more clinically meaningful while lowering the cost of specialty pharmacy.

Make sure the therapies you’re spending money on are working, then make it simple for patients to get the ones that are.

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Who We Are

Our Story of Innovation in Healthcare

Our History

Ethicos Health was founded by a group of healthcare leaders to address the risk to plan sponsors, and the healthcare system at large, of the exorbitant cost created through a pharmacy payment system built on misalignment and obscure payment models.

Our Point of View

We believe a Clinical Efficacy approach honors both fiscal responsibility and patient welfare.

The principle is straightforward: plans should pay for medications only when they demonstrably work for individual patients, as measured by whether they achieve their intended clinical endpoints. This isn’t about denying care or creating barriers. It’s about ensuring that the substantial resources we devote to specialty pharmacy actually translate into meaningful clinical outcomes.

Our platform allows plans to measure clinical efficacy to inform coverage decisions – rather than making eligibility determinations based solely on rebates, formularies, or financial arrangements that may not align with patient interests. Using our platform, payers can certify and re-certify medications based on whether they’re achieving their clinical goals for each member—nothing more, nothing less.

Meet Our Team

Our team is composed of healthcare leadership with deep expertise in the challenges high pharmacy costs pose to employers and plan sponsors as they ensure high-quality, effective programs for their members.

J. Mark McConnell

J. Mark McConnell

Co-Founder & CEO

Mark brings more than three decades of leadership and experience in building and scaling healthcare companies across multiple verticals.  Most recently he served as CEO of Guide Well Venture Group, overseeing portfolio companies in care navigation, home based advance primary care and consumer engagement. Mark’s leadership experience spans roles from General Motors to executive roles at healthcare organizations such as Onlife Health, Healthways, HealthFitness, and Verizon Mobile Health where he scaled both high growth and legacy companies, leading to successful exits.

Leigh Ann Ruggles

Co-Founder & Chief Growth Officer

Leigh Ann is an executive healthcare leader with extensive experience building commercial organizations, driving growth and market share for digital health companies to increase company value. She has a strong background across the entire client lifecycle, from revenue acquisition to retaining and growing market share, with deep expertise in all facets of Go to Market functions. Leigh Ann most recently served as Chief Commercial Officer at GuideWell Venture Group and has also led growth at companies such as Onlife Health, MDLive, and Verizon Mobile Health.

Jim Notaro, R.Ph., Ph.D.

Co-Founder, Chief Pharmacy & Product Officer

Jim is a healthcare entrepreneur with deep expertise in managed care, pharmacy services, and health tech. He founded CSS Health, growing it into a leading medication therapy management provider, and led the development of MTMPath, which supported drug utilization solutions for over 120 healthcare clients. Jim has held leadership roles at Univera Health Care and Centrus, and built multiple venture-backed startups. He holds degrees from Albany College of Pharmacy, Union College (MHA), and UNC Chapel Hill (PhD in Operations Research), and is a licensed pharmacist in NY and NC.

Mark Nathan

Co-Founder & Advisor

Mark is the CEO and Founder of Mongoose Venture Studio, and Burrow Software, an AI-driven no-code development platform. Prior, he was the Founder and CEO of Zipari, a SaaS-based consumer experience platform for health insurance and led that to a very successful exit in six years. His deep experience in healthcare includes prior roles as CTO of Freelancers Insurance and leading a $110M Customer Experience Program at Guardian Insurance. Mark has thirty years of experience in the technology sector including leadership positions at Apple, NeXT, Guardian and NASA.

“Today’s (and tomorrow’s) specialty drugs represent a massive opportunity to better serve patients. But they also pose serious risks to individual payer and self-funded employer group economics, and the healthcare system at large if pricing strategies and cost management aren’t effectively navigated.”

Oliver Wyman: Specialty Drugs: A Prescription for Managing Cost and Care Needs

Driving Ethical Healthcare Evolution

Our Vision, Mission & Values

Our Vision
Our Vision is to be the leading innovator in healthcare technology, revolutionizing clinical guideline management through our intuitive SaaS platform, driving lower costs, improved health outcomes and optimal provider support.
Our Mission
Our Mission is to provide transparency and clarity on the cost and efficacy of specialty pharmacy and other complex therapies so plan sponsors can ensure their members receive the most clinically appropriate and cost-effective treatment.
Our Values
Leveraging our core values of integrity, transparency, innovation and empowerment, Ethicos Health acts as an honest mediator of healthcare services to assist in delivering optimal cost, quality and outcomes for your plan members.