Khosla Ventures Fuels Even Healthcare's Push to Fix India's Fee-for-Service Hospitals

Even Healthcare is building its own hospitals in India to prioritize patient outcomes over volume of procedures.

The startup's model pays doctors fixed salaries plus bonuses tied to recovery metrics instead of tests or surgeries performed.

Why This Model Could Disrupt Traditional Providers

Traditional Indian hospitals often profit from extra tests and longer stays that may not always be necessary.

Even's approach has already cut unplanned readmissions to under 1 percent while shortening hospital stays by 40 percent compared to industry averages.

Insurers stand to gain the most from lower claims costs and potential new payment models that reward prevention.

Patients benefit from transparent outcome data published on Even's site using scores like the Oxford Knee Score.

Over the next 12 months the company plans to open five more hospitals in Bengaluru after its current two reached operational profitability excluding depreciation.

Historical Patterns and Future Outlook for Founders

This mirrors value-based care experiments seen in other markets where fixed compensation aligns incentives across the system.

Even has grown to 250000 members and 750000 patient interactions since 2021 while raising more than 120 million dollars total.

Founders in healthtech should note the equity grants to all staff including doctors as a tool for long-term alignment.

Expansion carries risks as the company reported a 902 million rupee net loss last fiscal year on 272 million rupees in revenue.

Scaling this model could reshape how operators think about hospital economics across emerging markets.