Tom Spann, co-founder, vice chairman and chief operating officer, left a “pretty good job” at Ac-centure to create a company that helps patients manager their health care insurance. Accolade is hired by companies like Comcast to serve as a go-between its employees and health care insurers. The company goes far beyond understanding why health care bills costs what they do. It works to help patients get the best bang for their buck by understanding what care people re-ally need.