December 4, 2020
In Part 1 of this article, we introduced Medicare and its covered services, along with rationales for digital health startups to engage with the nation’s largest payer. These motivations include Medicare’s large and growing beneficiary base, access to the nation’s largest and most influential payer, and movement toward value-based care.
Despite these opportunities, startups have been relatively...
November 24, 2020
Despite its attractive large market size, Medicare has long frustrated early stage healthcare companies. The complex federal health insurance system, mired in statutory constraints, has arguably discouraged entry from would-be external innovators.
Regulations intended to prevent fraud, waste, and abuse, also create barriers to adoption for innovative value-creating products and services. The goal...
November 18, 2020
The healthcare field isn’t quite as complex as it’s made out to be, according Bryan Roberts, partner at Venrock. You just need to have the right ingredients.
“People talk about healthcare as being this complex minefield of insurers, and PBMs, and imaging centers, and providers, where unknowns crop up and unexpectedly stop you in your tracks ,whether you are an incumbent or an upstart trying to...
November 2, 2020
As more consumers become accustomed to using technology to manage their health, health plans – including Medicare Advantage organizations – will need to accelerate their adoption of digital solutions to keep up with member expectations, according to a new report from Deloitte.
Deloitte’s report, which interviewed leaders from MA plans and digital innovators working with MA plans between April and...
March 4, 2020
Alignment Healthcare, a Medicare Advantage (MA) insurer that relies on a tech platform to manage its members' shifting data in real time, has announced $135 million in new funding. The Series C round was backed by Fidelity Management & Research Company, Durable Capital Partners L.P. and multiple funds and accounts advised by T. Rowe Price Associates.
WHAT THEY DO
Active within California (and...
December 17, 2019
Bright Health’s funding rounds keep getting bigger and bigger, with the health insurance startup announcing today the close a $635 million Series D.
Led by New Enterprise Associates (NEA) with additional support from Bessemer Venture Partners, Cross Creek Advisors, Declaration Partners, Flare Capital Partners, Greenspring Associates, Meritech Capital, Redpoint Ventures and Town Hall Ventures,...
December 11, 2019
Not so fast? Google’s plans to purchase Fitbit will soon be under the US Department of Justice’s lens. According to a New York Post report, the merger raised antitrust flags at both the DOJ and the Federal Trade Commission, with the former federal agency ultimately winning out.
The Post’s sources said that both of these agencies are hesitant to allow Google an even greater view into individuals’...
November 21, 2019
Earlier this month Google announced its plans acquire Fitbit for roughly $2.1 billion, shaking up the wearable industry, opening up a number of questions about exactly what lies ahead, and what an integration of the two companies looks like.
But the wearables company has long planted its roots in a handful of different markets and business strategies — consumer trackers, health plan partnerships...
October 9, 2019
Medicare Advantage plan reimbursing for Apple Watches. Startup Medicare payer Devoted Health will be offering Apple Watches to its members as a fitness benefit, according to a report from CNBC that MobiHealthNews confirmed with the company. Devoted Health wrote in its marketing materials that it will be covering $150 of the cost of “wearable devices like an Apple Watch” per year alongside other...
September 6, 2019
Abhinav Shashank is the cofounder and CEO at Innovaccer Inc. Abhinav has led the San Francisco-based healthcare data activation platform company since its inception in 2014. Under his supervision, Innovaccer developed its proprietary healthcare data activation platform.
We dream of a healthcare system that encircles all citizens and connects them to the common thread of care, which is built on...