About US

Two careers inside the system. One question that wouldn't go away.

Manifest started with a simple observation: employers and providers want the same thing—better outcomes at lower cost—but have no way to work together to get there.
We built Manifest to change that.
Our story

Built from the inside out.

We didn't start Manifest because we read about healthcare's problems. We lived them.

Between us, we've spent more than forty years inside the system—leading strategy, product, and operations at major health plans, building innovative care-delivery companies from scratch, and working directly with the employers who pay the bills.

We developed benefits savings strategies for major health plans. We launched digital care models and negotiated value-based care contracts. We saw what worked, what didn't, and what kept getting in the way.

The pattern was always the same: employers bearing real financial risk for healthcare, but operating at a distance from the decisions that drive cost. Providers delivering care every day, but with no mechanism to understand what employers are actually trying to solve. Two parties with aligned interests—and no infrastructure to act on them.

The traditional answer has been more intermediaries. More vendors. More complexity. We thought the answer might be simpler: help employers and providers actually work together.

That's what Manifest does. We're not a network, a broker, or another point solution. We're a design studio that helps the people who pay for healthcare and the people who deliver it find each other, understand each other, and build working relationships that reduce cost and improve care.

We started in Michigan because the conversations kept pointing here. Providers asking how to reach employers directly. Employers asking where to find high-value local care. The same questions, from both sides, in the same market. We built Manifest to answer them.
Team

Meet our Founders

Rick Abbott
Co-Founder and CEO of Manifest
Rick Abbott is a seasoned startup leader and former Michigan healthcare executive with over 20 years of experience working with employers at organizations such as Priority Health, Lyn Health, and Premera Blue Cross. Known for his passion, creativity—and yes, his signature beard—Rick has spent his career helping employers navigate the complexities of healthcare. Along the way, he saw a critical opportunity: to better connect employers with the providers caring for their employees in order to deliver greater value for everyone involved.
Aaron Friedkin, MD
Co-Founder of Manifest
Aaron Friedkin, MD, is an experienced healthcare leader and former provider with a background spanning hospitals, health plans, and startups—including Blue Cross Blue Shield of Michigan, Covera Health, and Homeward. Throughout his career, he has seen firsthand how disconnected providers often are from the employers who fund healthcare for their employees. A strong advocate for the patient experience, Aaron recognized that many local providers are eager to collaborate in new ways to better serve their communities. With Manifest, he’s bringing together aligned providers, employers, and brokers to reimagine how people access, experience, and pay for healthcare—starting in West Michigan.
From Founder

"We've spent our careers watching employers and providers talk past each other. Manifest exists to build the bridge."

— Rick Abbott
Co-founder and CEO of Manifest