Trusted by executives who treat healthcare with capital-allocation discipline.
It's built for intermediaries who profit from complexity and opacity.
Spread pricing, phantom discounts, and rebate games inflate costs by 15-25% while keeping employers blind to unit economics.
Metabolic drug spend growing 240% YoY with no forecasting framework, clinical governance, or EBITDA protection strategy.
Site-of-care arbitrage, reference pricing gaps, and network steerage create hidden margin capture by intermediaries.
KRMC exists to flip the power dynamic back to employers.
See Our ApproachEvidence-based consulting backed by institutional-grade methodology
NDC-level analytics, rebate validation, trend modeling, and cost attribution with audit-grade precision.
PBM auditability, formulary steering detection, waste mapping, and clause-by-clause analysis.
Unified KPIs, executive dashboards, board-level evidence, and complete audit trails.
Every recommendation is grounded in evidence, math, and reproducible methodology — not consultant intuition.
The Employer Intelligence OS that turns data into decision-ready insights
Every KRMC engagement is powered by Kincaid IQ — the first employer-controlled intelligence platform that transforms messy healthcare data into clean, structured, CFO-grade KPIs.
Live dashboards with PBM waste detection, GLP-1 risk modeling, and EBITDA impact
Evidence Intelligence Layer shows the math behind every number
Unified view for CFOs, CHROs, and executive teams
Kincaid Risk Management Consultants exists because most employers are trapped in a benefits system that feels like a riddle wrapped in a puzzle. Kincaid RMC is the counter-move. We are the counter-weight.
We're the firm that rips the lid off pharmacy games, fee stacking, network fog, and consultant mystique — replacing all of it with clarity, evidence, and accountability.
We're a team with 102 years of consulting experience from across Fortune 500 benefits, global consulting, pharmacy strategy, actuarial insight, and CFO-driven cost controls.
We built KRMC for one purpose: to help employers see the truth behind every dollar they spend. We invest in research & development at breakneck speeds in the vehicles of AI and GLP-1 Spend.
Surgical strategy and concrete results you can exhibit. We blend elite consulting intelligence with the humanity of real partnership.
This isn't old-school benefits work. This is employer risk management — rebuilt for the modern era — with honesty as the operating system.
Whether you're trying to control pharmacy costs, build a metabolic strategy, navigate GLP-1 chaos, evaluate a PBM, or protect your EBITDA from runaway health inflation, Kincaid RMC is the partner who shows you exactly what's happening, why it's happening, and how to fix it with precision.
This is your anti-broker manifesto. We operate on a different standard.
We show you the math behind every number. No hand-waving, no black boxes.
Every recommendation comes with receipts: claims data, contract clauses, and audit trails.
We don't profit from pharmacy markups or hidden spreads in your PBM contracts.
Zero incentive to steer you toward high-rebate drugs that cost your plan more.
Complete transparency in our compensation, methods, and recommendations.
Financial intelligence with narrative simplicity that executives can act on immediately.
KRMC is where employers finally get the transparency, intelligence, and outcomes they've deserved all along. We don't play the games everyone else plays because we're not incentivized to play them.
Built for employers who are done playing the guessing game.
We dissect every line of your PBM contract, every AWP trick, every 'rebate promise,' every spread, and every dollar you think you're saving but aren't. If there's a loophole, we find it before it finds you.
We build employer-ready GLP-1 strategies that control cost, support outcomes, and avoid the wildfire spend most plans are stumbling into. Evidence-based, clinically aligned, CFO-approved.
From high-cost claimants to unnecessary utilization patterns to benefit design distortion — we map the actual drivers of your spend so you're not solving the wrong problems with the wrong levers.
We evaluate your broker's compensation, performance, conflicts, and behaviors using a structured, receipts-only framework. If someone's eating out of both sides of the bowl, you'll know.
We rebuild your health plan using real data — not recycled playbooks. The result: cleaner incentives, lower waste, better outcomes, and a plan that doesn't quietly cannibalize your EBITDA.
We analyze underwriting, lasers, claims risk, and network behavior to protect you from the volatility that guts budgets. No more crossing fingers during renewal season.
Every recommendation comes with receipts — every claim, every KPI, every justification. You don't just get advice; you get an audit-ready proof file behind it.
The war-room engine that turns all your data into a live dashboard. Clean visuals, fast insights, and CFO/CHRO alignment without the usual chaos.
Every solution is grounded in evidence, powered by Kincaid IQ, and delivered with the transparency the industry hates but CFOs love.
Talk to Kincaid RMCEverything we do is built to expose the truth — and deliver it without the usual BS.
Kincaid RMC delivers employer benefits consulting the same way elite engineering teams ship mission-critical systems: clean inputs, zero ambiguity, full transparency, and ruthless precision. You're not getting vibe-based consulting or recycled PowerPoints. You're getting a firm that treats your health plan like a financial engine — and holds every vendor, PBM, broker, and clinical partner to the same standard of evidence that a regulator or auditor would.
Every insight comes with a receipts folder: line-item claims, contract clauses, KPIs, benchmarks, evidence trails. If we tell you where waste is hiding, we show you the exact line where it lives.
No override commissions, no bonus pools, no 'preferred vendor' incentives. We get paid by one party: you. The advice isn't compromised. The outcomes aren't negotiated.
Benefits is messy because everyone hand-waves through numbers. We take the opposite route — canonical data, structured KPIs, reproducibility, and transparent calculations.
Instead of 100-page PDFs and renewal-season chaos, you get a living dashboard: PBM waste, GLP-1 risk curves, broker economics, clinical hotspots, EBITDA impact — all in one place.
We simplify the complexity: one-page visuals, clean narratives, direct recommendations. CFOs get clarity; CHROs get alignment; employees get better outcomes.
Spread pricing. Rebate chasing. Specialty inflation. Contract distortion. Network arbitrage. If it's happening behind the curtain, we surface it.
Every recommendation is built for your culture, not copied from a playbook.
We don't slap in a trendy program because it worked somewhere else. We build solutions that fit your workforce, values, and financial reality.
102 years of combined experience from Fortune 500 benefits, global consulting, and AI systems engineering
Chief Executive Officer
Yale & DePauw Leadership
Dave Meguschar is the Chief Executive Officer of Kincaid Risk Management Consultants, leading the firm's strategy, client outcomes, and growth across employer benefits, risk, and analytics. He's focused on turning complex healthcare and risk economics into clear decisions for executives—reducing volatility, tightening governance, and building repeatable operating systems that scale across mid-market and enterprise clients. Dave's leadership style is simple: measurable results, transparent incentives, and zero tolerance for "trust us" math.
President & Chief Operating Officer
MIT & Harvard Influence
Jeremiah Franklin Shrack serves as President & COO of Kincaid Risk Management Consultants, where he runs operations, delivery, and the firm's analytics-driven client execution. He's known for blending actuarial-grade rigor with executive storytelling—helping CFOs and CHROs see exactly where plans leak money, where incentives are misaligned, and what to do next. Jeremiah also leads the build-out of Kincaid's data and intelligence capabilities that turn claims, contracts, and vendor performance into board-ready insights.
Chief Revenue Officer
Growth Strategy & Market Execution
Dan Kelly is Chief Revenue Officer at Kincaid Risk Management Consultants, responsible for growth strategy, go-to-market execution, and building lasting client partnerships. He specializes in positioning complex solutions in a way that lands with executives: clear value, clear outcomes, clear accountability. Dan's focus is scaling Kincaid's reach while keeping the commercial engine aligned with what clients actually care about—cost control, risk reduction, and decision velocity.
Senior Vice President, AI Development
MIT & Harvard AI Systems
Tyler Brown is SVP of AI Development at Kincaid Risk Management Consultants, leading the technical build of Kincaid's AI and analytics capabilities—from data pipelines and KPI engines to user experiences that make complex risk feel simple. He's focused on shipping production-ready intelligence: auditable calculations, reliable refresh cycles, and tools executives can trust under pressure. Tyler's lane is turning Kincaid's domain advantage into defensible software that makes transparency operational, not theoretical.
Kincaid exists to expose what's hidden, measure what matters, and end healthcare opacity. We replace vendor narratives with truth, building the first-ever Employer Intelligence OS that bends the cost curve with evidence, not hope.
Every insight backed by audit-ready data. No consultant mystique, no hand-waving—just mathematical truth.
Zero conflicts. Zero backdoor economics. We're paid by one party: you. The advice isn't compromised.
Clean inputs, structured KPIs, ruthless precision. We treat your health plan like a financial engine.
This isn't consulting theater.
This is employer risk management—rebuilt for the modern era—with honesty as the operating system and Kincaid IQ as the engine powering every insight.
Ready to bring transparency to your employer benefits strategy? Let's start the conversation.
Whether you're evaluating a PBM, building a GLP-1 strategy, or looking for transparent benefits consulting, we're here to help.
Typical response time: Within 24 business hours. For urgent matters, please call directly.