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19 mentions found


☆ A General Catalyst-backed startup is mass-buying virtual care tech from big players like Walmart. Here's why Fabric is still betting on telehealth.
  + stars: | 2024-09-17 | by ( Rebecca Torrence | ) www.businessinsider.com   time to read: +6 min
Read previewHealthtech startup Fabric launched out of stealth in March 2023 to help patients get care faster and automate administrative work for providers. In June, Fabric bought Walmart's virtual care business, MeMD, after the retailer announced it would shutter its 51 health clinics. MeMD was Fabric's third acquisition — the startup previously bought asynchronous virtual care platform Zipnosis from Bright Health, as well as generative AI startup Gyant. The startup has acquired TeamHealth VirtualCare, the virtual care business inside giant physician practice group TeamHealth, Business Insider has learned exclusively. While virtual care saw a tsunami of VC interest during the pandemic, investors and healthcare companies alike are now pulling back.
Persons: —, it's, MeMD, TeamHealth VirtualCare, UnitedHealth Group's Optum, Aniq Rahman, Rahman, we've, Hemant Taneja, Commure, We've, Moat Organizations: Service, Fabric, Bright Health, Business, Google Ventures, Salesforce Ventures, General Catalyst, Bright, Walmart, Vast Ventures, Oracle Locations: Florence
☆ 2 startups posted big membership growth in the lucrative senior health plan business — after other young insurers failed
  + stars: | 2024-02-21 | by ( ) www.businessinsider.com   time to read: +6 min
Just a few years ago, a crop of venture-backed health insurance startups embarked on planting a flag in the crowded but lucrative health plan business for seniors. Bright Health, which has exited the insurance business entirely as of this year, sold its Medicare Advantage plans in December. However, there are signs that the Medicare Advantage business isn’t as much of a goldmine as it used to be. It takes an enormous amount of capital to grow big in the insurance business, Fidel said. Its Medicare Advantage membership totals about 4 million.
Persons: haven’t, Stephens, underscoring, Oscar Health, Clover, Cowen, Gary Taylor, didn’t, Scott Fidel, it’s, they’ll, Fidel, UnitedHealthcare Organizations: Alignment Healthcare, Medicare, Business, Bright, Oscar, Services, Humana, CVS Health, Aetna, CVS Locations: California, New Jersey
☆ One health-insurance startup is bucking the industrywide funding slowdown
  + stars: | 2024-01-04 | by ( ) www.businessinsider.com   time to read: +3 min
Read previewThe insurance startup Devoted Health managed to raise another $175 million last week despite the venture-capital downturn. Devoted has raised more than $2 billion in funding to date. Funding raised by Devoted and other health-insurance startups isn't included in these figures. New funding follows rapid growthDevoted said the Series E funding round came after a year of fast growth. The round was led by a syndicate that included The Space Between, Highbury Holdings, GIC, Stardust Equity, Maverick Ventures, and Fearless Ventures, Devoted said.
Persons: —, Bill Evans, megadeals, Oscar, Andreessen Horowitz, Catalyst Organizations: Service, Business, Rock Health Capital, Rock Health, Bright, Clover Health, Oscar Health, Highbury Holdings, Stardust Equity, Maverick Ventures, Fearless Ventures, Socium Ventures, Emerson, Prime Capital Partners, GreatPoint Ventures Locations: Waltham , Massachusetts
☆ Stocks making the biggest moves midday: Apple, Meta Platforms, Carnival, Nike and more
  + stars: | 2023-06-30 | by ( Brian Evans | ) www.cnbc.com   time to read: +2 min
In this photo illustration, the 2023 Apple Worldwide Developers Conference (WWDC 23) logo is displayed on a smartphone screen. Check out the companies making headlines in midday trading Friday. Citi also slapped a $240 price target on the stock, the highest on the Street. SolarEdge — The solar stock rose 3.3% after Bank of America raised its price target to $396 from $379. Bright Health Group — Shares added 2.6% in midday trading after the health insurer announced a deal to sell its California Medicare Advantage business to Molina Healthcare for roughly $600 million.
Persons: Goldman Sachs, Xpeng, —, Alex Harring, Tanaya Macheel, Sarah Min Organizations: Developers, Apple —, Citi, Journal, SEC, BlackRock, Pacific Biosciences, Bank of America, Bright Health, Molina Healthcare, Nike —, Nike, Markets Authority, Jefferies Locations: Thursday's, California
☆ As earnings season winds down, investors turn to Tuesday's debt ceiling meeting
  + stars: | 2023-05-06 | by ( Zev Fima | ) www.cnbc.com   time to read: +12 min
With only a small fraction of the S & P 500 left to report quarterly earnings, investors are now turning their focus to another major hurdle for the markets and economy: the debt ceiling crisis. Earlier this week, we looked back to debt limit crisis of 2011 for potential lessons. The protracted fight ultimately ended in an agreement in early August of that year, but it was a choppy summertime ride for investors. Within the portfolio, Wynn Resorts will report Tuesday, after the closing bell, and Disney will report on Wednesday, after the closing bell. Estee Lauder (EL) and Emerson Electric (EMR) reported earnings before the opening bell.
☆ Bright Health set out to disrupt health insurance. Now it's exploring a sale of its remaining insurance business.
  + stars: | 2023-04-28 | by ( Lydia Ramsey Pflanzer | ) www.businessinsider.com   time to read: +3 min
Health insurance upstart Bright Health is exploring a sale of its remaining insurance business. Bright Health once had big plans to disrupt the way Americans get their health insurance. Now, it's exploring a sale of its California Medicare Advantage business — its only foot left in the health insurance world. It's happening at a time when it's also winding down its business providing health insurance to people on the Affordable Care Act (ACA) exchanges. Other insurers, including Clover Health and Oscar Health, have shifted from growing fast to focusing on turning a profit by any means necessary.
☆ Clover Health, which bet its technology would disrupt health insurance, will outsource health-plan operations and cut jobs to help it turn a profit
  + stars: | 2023-04-17 | by ( ) www.businessinsider.com   time to read: +3 min
Clover Health bet its technology would disrupt health insurance, but it's struggled with losses. Now it's cutting jobs and it plans to outsource some health-plan operations to lower its costs. Clover Health, an insurance upstart that bet its technology could transform healthcare for seniors, now plans to outsource basic functions like paying medical claims. The Tennessee-based health insurer said Monday that it will shift the responsibility of its core operations to UST HealthProof, a company that handles administrative operations for health plans. It's not unusual for small health insurers to outsource some health-plan operations.
☆ Devoted Health quietly blew past other insurance upstarts in the red-hot market for seniors
  + stars: | 2023-04-05 | by ( ) www.businessinsider.com   time to read: +5 min
While last year was a bloodbath for some young health insurers, Devoted Health ended 2022 relatively unscathed. Several newly public health insurers have struggled with losses, and some have been forced to retrench to stay afloat. Devoted has won more Medicare Advantage members in 2023 than competitorsExecutives of Devoted Health's rivals. Clover Health; Bright Health; Oscar Health; Olivia Reaney/Business InsiderInsider's analysis of the latest federal enrollment data found that Devoted had 126,287 Medicare Advantage members as of March 1. Bright had 122,371 Medicare Advantage members at the two California health plans it owns, while Alignment Healthcare had about 109,221 Advantage members, according to Insider's analysis.
☆ The former CEO of Aetna shares how he plans to turn around the struggling health insurer Oscar
  + stars: | 2023-03-30 | by ( ) www.businessinsider.com   time to read: +6 min
Oscar Health struggled to upend the entrenched health insurance industry. Oscar Health has been trying and struggling to upend the US health-insurance industry and the entrenched giants that dominate it for the past 10 years. Oscar Health incoming CEO Mark Bertolini Bridgewater AssociatesLast year, Oscar lost a $60 million contract with its first client, Health First Health Plans. Bertolini wants Oscar to disrupt health-insurance giantsMario Schlosser, founding CEO of Oscar Health Eduardo Munoz/ReutersDespite losing the Health First deal, Bertolini is betting that Oscar will disrupt the insurance industry through partnerships. Oscar has developed health plans with health systems in the past.
☆ See the 12-slide presentation that a health-insurance startup used to land $58 million after its public competitors tumbled
  + stars: | 2023-02-08 | by ( Rebecca Torrence | ) www.businessinsider.com   time to read: +4 min
Angle Health wants to use tech to transform health insurance where other upstarts have failed. Angle Health raised $58 million to disrupt employer-sponsored health benefits using this pitch deck. Companies like Oscar Health, Clover Health, and Bright Health raked in investor cash on the promise that they could transform health plans with tech, and each went public in 2021 at a lofty valuation. Angle Health provided Insider with the pitch deck it used to raise $58 million in Series A funding from Portage and other investors. Here's the pitch deck Angle Health used to land a $58 million Series A.
☆ Alignment Healthcare's CEO shared 3 reasons he thinks the upstart will win in health insurance — and why it won't unravel like Bright Health
  + stars: | 2023-02-07 | by ( ) www.businessinsider.com   time to read: +5 min
Young health insurers that went public in 2021 have bled money. Some health insurers that went public in 2021 at high valuations have struggled since then. Several young insurers have bled money as they've grown quickly. Bright Health, another Medicare Advantage insurer, came close to insolvency and had to shut down its health plans on the Affordable Care Act marketplace. Growing steadily with a narrow focusBefore the recent market slowdown, growing fast had been a common strategy for newly public health insurers and digital health broadly.
☆ The era of health insurance disruptors is over
  + stars: | 2023-02-02 | by ( ) www.businessinsider.com   time to read: +10 min
Today, they're mostly the poster children of just how challenging it is to break into the insurance industry. Clover Health; Bright Health; Oscar Health; Olivia Reaney/Business InsiderOscar, founded in 2012, and Bright, in 2015, set out to sell health plans to people buying coverage through the Affordable Care Act marketplace. Elevance Health, the parent company of Anthem health plans, is No. Health insurance remains overly complex and mind-numbingly frustrating. Established health insurers haven't been able to stem the rise in health costs, which are mostly determined by the prices for medical care.
☆ Health insurance upstarts that grew fast while bleeding money now say they want to turn a profit. They're raising premiums, exiting markets, and leveraging their size to get there.
  + stars: | 2023-01-13 | by ( ) www.businessinsider.com   time to read: +6 min
Newly public health insurers Bright, Clover, and Oscar historically have prioritized fast growth. Now that it's become harder to raise capital from investors, the insurers Bright Health, Clover Health, and Oscar Health have shifted their strategies toward making money. Bright Health, in particular, was forced to take extreme measures that will see it cover members in just one state this year, after serving people in 17 states in 2022. Here's what Bright, Clover, and Oscar said they're doing to reach a profit, from raising the premiums of their health plans to exiting the markets they once bet big on. Clover slashed its participation in a federal programClover Health CEO Andrew Toy Clover HealthClover also slashed its footprint in a major program to bring down costs.
☆ Oscar Health CEO Mario Schlosser shares how the health-insurance upstart plans to finally turn a profit after years of losses
  + stars: | 2023-01-12 | by ( ) www.businessinsider.com   time to read: +7 min
Oscar Health has bled money since it was founded more than a decade ago. Oscar Health, the 10-year-old health insurer, has never turned a profit. In an interview with Insider in November, Schlosser said Oscar had already done the legwork to turn a profit. Oscar is doing a better job at lowering patients' medical costs and is raising the prices of its health plans, he said. In 2013, Oscar met with outside actuaries to price its first health plans, Schlosser said.
☆ Inside the turmoil at Salesforce as executive departures create a leadership crisis
  + stars: | 2022-12-11 | by ( Matt Turner | Jordan Parker Erb | Phil Rosen | ) www.businessinsider.com   time to read: +5 min
On the agenda today:But first: Ashley Stewart, a chief tech correspondent, is giving us a behind-the-scenes look at Salesforce's succession crisis. Salesforce's Marc Benioff. Jemal Countess / StringerOver the past week or so, at least six top executives from Salesforce and its subsidiaries announced plans to leave, Ashley Stewart, chief tech correspondent, writes. Company insiders attribute these departures to co-CEO Marc Benioff exerting increasing control over the company, adding that he's driven away his closest lieutenants while dialing up performance pressure on employees. The departures have created a crisis in leadership at Salesforce.
☆ Following Bret Taylor's departure, more top executives are leaving Salesforce
  + stars: | 2022-12-06 | by ( Jordan Parker Erb | ) www.businessinsider.com   time to read: +5 min
Quick question: Have you gone "goblin mode" yet this year? I've got more on goblin mode below, but first, let's talk about Salesforce, which is seeing more executive departures this week. The news of Butterfield's departure comes just days after Salesforce announced co-CEO Bret Taylor is also leaving the company — though Butterfield told staff the moves were unrelated. Oxford Languages, the publisher of Oxford English Dictionary, named "goblin mode" the 2022 Word of the Year — beating out semifinalist "metaverse." A look at what "goblin mode" means.
☆ Inside the stunning unraveling of Bright Health, a health-insurance upstart that rocketed to an $11.2 billion valuation and then cratered as it grew too fast
  + stars: | 2022-12-05 | by ( ) www.businessinsider.com   time to read: +11 min
Bright Health Group grew fast. "We're just starting to realize the full potential of our differentiated model, and we're excited about the future of Bright Health Group," Bright CEO G. Mike Mikan told analysts at that investor event. Bright Health is one of a handful of upstarts trying to take on the health-insurance industry. Clover Health; Bright Health; Oscar Health; Olivia Reaney/Business InsiderBreaking into the health-insurance industry is tough. Bright moves to cut expensesAs losses mounted in 2021, Bright scrambled to raise capital.
☆ Health-insurance upstart Clover touted enormous revenues from a new federal program to boost its Chamath Palihapitiya-backed SPAC deal. Now it's slashing its participation after results that one analy
  + stars: | 2022-11-30 | by ( ) www.businessinsider.com   time to read: +4 min
Clover Health bet big on a controversial new Medicare program with a huge revenue opportunity. Clover Health is slashing its footprint in a key federal program that the health-insurance upstart has bet big on since 2021. The direct-contracting program aims to lower costs for Medicare by changing up how doctors caring for traditional Medicare patients are paid. But Clover lost money during the first year of the program. This article was initially published on November 8 and has been updated with information about Clover's performance in the direct-contracting program in 2021.
☆ Clover Health bet its future on a new federal program that promised enormous revenues. Now it's slashing its participation to focus on turning a profit.
  + stars: | 2022-11-08 | by ( ) www.businessinsider.com   time to read: +3 min
Clover Health bet big on a controversial new Medicare program with a huge revenue opportunity. Clover Health is slashing its footprint in a key federal program that the health-insurance upstart has bet big on since 2021. The program, known "ACO Reach" and formerly called direct-contracting, aims to lower costs for the Medicare program by changing up how doctors caring for traditional Medicare patients are paid. Clover manages 166,432 people in the ACO Reach program, up from 61,818 a year ago, the company reported Monday. Even with the cuts in participation, Clover still expects to generate about $1 billion in annual revenue from ACO Reach, Toy said.
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