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🦉 Why Health and Wellness Financing is Broken

Inside the American healthcare system and where ionava fits; especially for founders.

Last week, we introduced you to ionava and the work we did together during NY Tech Week. This week, we want to talk about the broader health and wellness ecosystem, because the more you look at how health and wellness financing works in America, the clearer it becomes that something structural is broken.

Before we get started, which best describes where you are in your health and wellness journey?

We're studying the health & wellness perspectives of our community of founders & investors, as we believe this to be a major area of importance in understanding the future of our industry.

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How the Current System Works

To understand why health and wellness financing is broken, it helps to step back and look at the scale of the system as a whole.

Americans now spend roughly $5.6 trillion a year on healthcare. That works out to over $15,000 per person, and it accounts for nearly a fifth of the entire U.S. economy. For context, that share of the economy has been growing steadily for decades, and it's on track to keep growing. According to the most recent analysis of the Affordable Care Act (ACA) marketplace, the average unsubsidized monthly premium payment rose to over $600 per month on average in 2026. 

But there's a more specific problem buried within the healthcare system. Nothing about traditional health insurance is designed to reward you for staying healthy. Wellness measures like preventative care, physical therapy, supplements, and a consistent fitness routine that keeps you healthy do not move your premium. You can spend years investing in your own wellbeing and your insurance treats you exactly the same as someone who hasn't. The premium you pay is priced around risk and utilization, not around the behaviors that actually reduce both. Whatever you spend on staying well exists entirely outside the system you're already paying into every month. 

The dysfunction of the healthcare system lands particularly hard on founders, freelancers, consultants, and small business owners. Without the negotiating leverage or cost-sharing of a large employer plan, buying coverage on the individual market means paying entirely out of pocket. For someone trying to build a business, that cost is a direct, painful hit to your runway every single month. 

This is the specific gap ionava is built around. It's a total reimagining of paying for health; a way to make the health and wellness dollars you're already spending stretch further and actually count for something.

Average monthly cost of an ACA marketplace plan, before subsidies from 2018–2026. After years of relative stability, premiums jumped 26% in a single year as enhanced federal tax credits expired at the end of 2025.

Source: KFF, Marketplace Average Monthly Benchmark Premiums, State Health Facts (2026). Figures represent the second-lowest-cost Silver plan (the ACA benchmark) for a 40-year-old, unsubsidized, national average

ionava as a Different Kind of Solution

ionava is a financial platform that lets people convert their existing health and wellness spending into a source of financial growth, protection and reward. 

As ionava's founder and CEO, Azar, put it during one of our NY Tech Week events, “ionava was built to feel like a lifestyle debit card that actually rewards you for being healthy, and still covers you for the ‘Big What-Ifs’ in life, which is what a lot of people are actually scared about." The design is health-linked, meaning the better your underlying health is, the more accessible financially ionava becomes, conceptually similar to the way a strong driving record lowers an auto insurance premium.

Importantly, ionava is not framed solely as a replacement for the insurance you already have. As Azar explained, “a Vault can even be layered over your regular health insurance. It's not an either/or." For many, having that layer in place opens up key efficiencies in how they structure their overall health and wellness spending. It allows ionavans to use their plan on the bulk of day-to-day health and wellness spending that their regular health insurance does not support. Or, some ionavans may choose to try it as an alternative to health insurance all together.

That detail matters for the founders and entrepreneurs in our community specifically. If you're already paying out of pocket for a marketplace plan, the addition of ionava doesn't ask you to abandon that coverage. A Wallet and Vault can sit alongside that plan, redirecting some of your existing health spending toward something that builds value over time instead of disappearing into a premium.

Open Enrollment and What’s Coming Next

Open Enrollment is the once-a-year window when people can sign up for or change their ACA marketplace health insurance plan. Miss it, and you're generally locked into your current plan (or lack of one) until the next cycle, unless you qualify for a special exception. The next Open Enrollment period opens November 1, 2026, for coverage that begins in 2027.

That window matters more this year than most. With premiums having already risen sharply in 2026, the expectation is that costs will likely continue climbing into 2027. For founders and freelancers weighing their options, the months before November are a crucial window for decision making.

For the CCV Community

Because of our partnership with ionava, members of the CCV community have the opportunity to reserve a Vault now, ahead of the November Open Enrollment window and at a discounted price: ionava’s lowest prices possible. This is the pricing ionava made available to attendees during NY Tech Week, and it will not be available again at this price after the broader public launch.

Let us know if you’re interested by reaching out to [email protected].

Over the Next Few Weeks

What to expect in the upcoming weeks:

  • What it actually looks like to treat your health as an asset: in your routines, in your finances, in your day-to-day decisions.

  • Early community access to reserve your Vault at the lowest membership pricing. (A HUGE benefit before Open Enrollment happens in November, as premiums are projected to rise by 26%, with some regions seeing increases as high as 300%!)

Get in touch

If something in this email sparked your interest, whether you're an investor curious about the space, a brand thinking about what partnership in the wellness ecosystem could look like, or someone who wants to learn more about ionava as a potential user, we'd love to connect you.

Learn more about ionava here.

Follow @clubionava for more event invitations in the future!

Or connect with us at CCV by emailing [email protected]

Until next week,

Team CCV