Medicare Advantage

By  Dave Muoio 11:40 am January 30, 2019
Clover Health, an insurtech startup targeting the Medicare Advantage market, will close a new round of funding within the next couple of weeks led by Greenoaks Capital, Clover CEO Vivek Garipalli announced in a Medium post yesterday. TechCrunch reports that the upcoming round will be valued at $500 million, although a representative of the company who confirmed the funding to MobiHealthNews said...
By  Jonah Comstock 11:11 am March 5, 2018
On its fourth quarter earnings call, Teladoc reported increases in total visits, utilization, and revenues, but also in net loss. CEO Jason Gorevic was optimistic, pointing to positive developments in Washington and the success of the platform during this year's worse-than-normal flu service. Teladoc’s full-year revenue for 2017 was $77 million, a 106 percent increase from 2016. Net loss, however...
By  Jonah Comstock 04:18 pm September 27, 2017
Senate Bill 870, the Creating High-Quality Results and Outcomes Necessary to Improve Chronic Care Act of 2017, or CHRONIC Act for short, has passed in the Senate by a unanimous vote. Among other things, the bill, which was originally introduced in April by Senator Orrin Hatch (R - Utah), includes provisions that would expand Medicare coverage for telemedicine. Along with expanding telemedicine...
By  Mike Miliard 12:33 pm June 20, 2017
Aledade is joining forces with UnitedHealthcare, marking its first accountable care program for Medicare Advantage plan members – more than 15,000 of whom could participate in the new initiative. Aledade – which was founded three years ago this month by former National Coordinator for Health IT Farzad Mostashari, MD – will work with UnitedHealthcare in Arkansas to put technology and clinical best...
By  Jonah Comstock 05:09 pm May 12, 2017
Correction: A previous version of this article misstated who led the investment round. Clover Health, an insurance startup with a patient engagement bent, has raised $130 million in a round led by existing investor Greenoaks Capital Management. New investors Google Ventures, Palm Drive Capital, and Western Technology Investment and existing investors Sequoia Capital and First Round Capital also...
By  Heather Mack 04:03 pm January 10, 2017
Bethesda, Maryland-based Aledade, which partners with primary care physicians to create tech-enabled accountable care organizations, has raised $20 million in a round led by Biomatics Capital, GV and Maryland Venture Fund. Existing investors Venrock and ARCH Venture Partners also contributed to the round. This brings the company’s total funding to $54.5 million. The funding, which was announced...
By  Jonah Comstock 04:33 pm November 7, 2016
After offering the service to a few Medicare Advantage members in Arizona last year, Humana is expanding a collaboration with MDLive to make telemedicine services available to Medicare beneficiaries in select counties in Georgia and South Carolina. “With on-demand services playing a big role in people’s lives today, it’s important that we offer our members access to on-demand care to help reduce...
By  Jonah Comstock 03:34 pm October 19, 2016
Eleven private insurers, including Aetna, Humana, and Anthem, have written a public letter to the Congressional Budget Office urging the CBO to consider data from private insurers in estimating the cost savings associated with telemedicine. In the letter, emailed to MobiHealthNews by pro-telemedicine lobby group the Alliance for Connected Care (which is not a signatory), the insurers ask CBO...
By  Heather Mack 02:58 pm August 22, 2016
In response to a request from Congress, the US Department of Health and Human Services released its report on the agency’s current telehealth efforts. While it wasn’t within the 180-day deadline Congress gave the department in December, the report was comprehensive in its scope of the potential promise of telemedicine, especially given the ever-expanding availability of services, as well as the...
By  Jonah Comstock 07:08 am November 13, 2015
Omada Health, the digital health company that's created a remote, digital version of the Diabetes Prevention Program, has released data from a cohort of 500 Medicare Advantage beneficiaries with an average age of 70. The cohort had access to Omada Health via Humana, which has worked with Omada for some time and recently made a strategic investment in the company. "It was an open question even for...