Payer

By Jonah Comstock September 26, 2017
Last week, Centers for Medicare and Medicaid Services Administrator Seema Verma revealed — in a Wall Street Journal editorial and an informal request for information (RFI) — that CMS would be heading in a “new direction” with the Center for Medicare and Medicaid Innovation (CMMI). Primarily, Verma’s CMS seems interested in dropping the mandatory adoption of new payment methods in favor of a...
By Jonah Comstock September 25, 2017
Generali Global Assistance, the US division of Europ Assistance Group, has acquired CareLinx, a seven-year-old digital health startup that offers a matching service for families and caregivers. The terms of the deal were undisclosed. “From the Generali perspective, we really believe we’re acquiring a unique asset with a competitive advantage of the nationwide caregivers as opposed to the...
By Dave Muoio September 25, 2017
Sanofi and Innovation Health — an insurance company jointly run by Inova and Aetna —have announced a pilot program examining the impact of digital health strategies to improve care for Type 2 diabetes patients. The program will tap One Drop, a diabetes self-management app and Bluetooth blood sugar monitor, and Gocap, a mobile-friendly device and insulin dose management platform that emphasizes...
By Jonah Comstock September 19, 2017
A new survey from HealthMine of 500 Medicare users aged 65 and older suggests that most Medicare beneficiaries still either don’t have access to telemedicine options or aren’t aware of those options. Since the survey data is self-reported, it’s hard to tell which is the case. Fifty-seven percent of seniors told HealthMine they didn’t know whether their plan offered telemedicine, while 31 percent...
By Dave Muoio September 15, 2017
Care1st Health Plan Arizona has launched a pilot program offering Pacify Health’s live video chat app to new and soon-to-be mothers enrolled in the state’s Medicaid program. The Pacify service, which is also available to consumers on Android and iOS platforms, quickly connects users to lactation consultants, dietitians, and other pregnancy management specialists. The video chat service is now...
By Jonah Comstock August 31, 2017
GetInsured, a Mountain View, California-based company that makes web tools for easy insurance enrollment, has acquired ACAExpress (and its sister brand Benefit Geek) which work with insurance brokers to facilitate enrollments under the Affordable Care Act. The terms of the deal were not disclosed. "ACAExpress has proven technology with astounding traction in the marketplace,” Chini Krishnan,...
By Jonah Comstock August 9, 2017
A new survey from the National Business Group on Health says telehealth offerings by employers are becoming nearly universal: Next year, 96 percent of employers plan to offer telemedicine services to employees, up from 90 percent this year. NBGH polled 148 large employers for the survey. NBGH has been doing this study for four years now, and the progression has been steep, with employers...
By Jonah Comstock August 9, 2017
Buoy Health, makers of a machine learning-powered next generation symptom checker, has raised $6.7 million in a round co-led by F Prime (the venture arm of Fidelity) and an undisclosed strategic investor in the payer space. FundRx and various angel investors also contributed. "The unfortunate thing about trying to use Google [for symptoms] is the information you find is the information you find...
By Jonah Comstock August 4, 2017
Castlight Health’s $135 million acquisition of Jiff in January was not just a merger. It was a strategy shift, even an identity change for the company— from a healthcare cost transparency vendor to a comprehensive employee wellness company. On the company’s second quarter earnings call, CEO John Doyle updated investors on that transition. “In our view, the new Castlight is the only health...
By Jonah Comstock July 27, 2017
Sempre Health, a San Francisco-based company that uses monetary incentives to encourage timely prescription refills, officially launched last week with $2.5 million in funding from Social Capital Partnership, quietly raised last year. Using SMS, Sempre works with pharmacy benefit managers to inform patients about discounts on their prescriptions — and then those discounts change to incentivize...