Tennessee-based insurtech provider Clover Health announced a partnership with mental and behavioral health platform Quartet Health, which will bring value-based behavioral healthcare to Clover members with severe mental illness through Clover Home Care.
Clover Home Care delivers care access, medication support, mental and physical care coordination, and community resources to seniors. Clover...
Tech-enabled Medicare Advantage company Devoted Health announced it scored $175 million in Series E funding at the end of 2023.
Venture capital companies Fearless Ventures, Highbury Holdings, Stardust Equity, GIC, Maverick Ventures and The Space Between led the round.
Andreessen Horowitz, Emerson Collective, Socium Ventures, The Private Shares Fund, and affiliated funds, General Catalyst, F-Prime...
Medicare Advantage insurtech company Clover Health announced it received a notice from NASDAQ stating the company has regained compliance with the minimum bid price requirement of closing at $1 or more per share for at least 10 consecutive days.
The company said that thanks to NASDAQ's notice, it will revisit its plans to effect a reverse stock split and share reduction proposal, as noted in a...
Tennessee-based Clover Health announced it reached an agreement to settle seven lawsuits in Delaware, New York and Tennessee pertaining to allegations the company did not disclose it was under active investigation by the Department of Justice when it went public in 2021.
Clover Health provides Medicare Advantage insurance plans and offers provider tools, such as its Clover Assistant, which...
On paper, Medicare Advantage enables all the tools payers need to provide the plan of choice in rural communities. This potential, however, has generally not translated to real-world success for Medicare Advantage plans.
Despite consistent enrollment growth in metropolitan areas, rural markets remain relatively untapped. Data from the Centers for Medicare and Medicaid Services (CMS) show market...
Tech-enabled Medicare Advantage company Devoted Health closed a hefty $1.15 billion Series D funding round led by Uprising and SoftBank Vision Fund 2.
Returning investors GIC, Andreessen Horowitz, Premji Invest, Maverick, Frist Cressey Ventures and NextView Ventures as well as new backers ICONIQ Growth, General Catalyst, the Base10 Advancement Initiative and Emerson Collective also chipped into...
Senior assistance startup Papa is partnering with Milliman HealthIO, a digital health tracking platform geared towards employers, payers and value-based healthcare providers. The collaboration will allow the companies to help manage chronic conditions for Medicare Advantage plan members and other organizations.
Papa provides on-demand help for seniors with nonmedical tasks like transportation to...
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...
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...
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...
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