Calm Acquires Ripple, Appoints New CEO

Wellness company Calm announced the acquisition of Ripple Health Group as it becomes the latest meditation app developer to set its sights on the healthcare market.

While the terms of the acquisition were not disclosed, Ripple’s CEO David Ko will now serve as Calm’s co-CEO alongside Calm co-founder Michael Smith.

  • Calm’s app provides users with audio content that helps them reduce stress, improve sleep, or strengthen their overall mental fitness. Calm’s 100M downloads make it the most popular meditation app of all time.
  • Ripple is the developer of a pair of apps that aim to reduce the burden of caregiving. Care Memo allows patients to communicate with their care teams, while LikePaper helps users organize medical information and set reminders.
  • Following the acquisition, the Ripple team will focus on building Calm Health, an upcoming employer solution designed to support employee mental health that will replace Calm for Business after its launch later this year.
  • Calm Health will include “content, community, and coaching to drive outcomes across the full spectrum of mental healthcare,” building on the lessons learned from Calm for Business, which covers over 20M lives.

The Takeaway
Unlike Headspace and Ginger’s merger from late last year, which aimed to reach the meditation app’s large user base with additional teletherapy services, Calm’s acquisition of Ripple was geared more towards obtaining talent than existing products. The Ripple team and the appointment of Ko as CEO should help to accelerate Calm’s push into the mental health space, and Calm Health is now a core focus of the company’s product roadmap.

Talkiatry Raises $37M to Fuel Nationwide Expansion

Telepsychiatry startup Talkiatry recently announced the completion of its $37M Series A funding round, which it will use to scale its strategy of offering psychiatric care as an in-network benefit with payors.

  • Talkiatry’s platform guides patients through an online survey before matching them with a staffed psychiatrist based on the results, offering continuous virtual care from diagnosis to medication and ongoing support.
  • Many psychiatrists don’t participate in private health plans due to minimal reimbursement and paperwork headaches. Only 62% of them are willing to work with payors while just a third will accept new patients using Medicaid.
  • Talkiatry’s solution to this problem is to bring psychiatrists on board as W-2 employees as opposed to contractors, offering stability while streamlining administrative tasks. Since launching in April 2020, the company has hired 190 providers and conducted over 60k visits.
  • The funding will help Talkiatry expand beyond its home state of New York and continue to aggressively hire psychiatrists to meet the needs of its payor contracts that currently cover more than 200M lives.

The Takeaway

Nearly every startup in the behavioral health space is addressing a common issue: the supply-demand imbalance for providers. Many companies have turned to recruiting therapists in place of psychiatrists, despite the fact that only psychiatrists can prescribe medication.

By avoiding the contractor model, Talkiatry is finding success in attracting these highly sought after providers, and so far the approach appears to be scalable. Over 83% of the psychiatrists in the company’s pipeline have actively applied to join the team.

eConsult Company AristaMD Acquires Preferral

Lack of availability for specialist appointments is a growing problem that’s hard to tackle by just adding video calls or improving referral systems, but AristaMD believes that a combination of both solutions will move the needle in the right direction.

eConsult company AristaMD announced the acquisition of referral management startup Preferral to help address the 20% of referrals that it reports are misdirected and the 50% of referrals that “are often unfulfilled.”

  • AristaMD’s eConsult platform allows primary care physicians to submit a case to a contracted team of over 300 specialists, who then have 24 hours to review it. The patient’s clinical history, lab results, and images are provided to allow the specialist to return a treatment pathway during the one-day window.
  • The model is able to operate due to the fact that peer-to-peer asynchronous consultation is an informational consult, meaning that the specialist does not have to be licensed in the patient’s state. AristaMD works with health plans that offer eConsults as benefits, as well as health systems that use the platform to facilitate collaboration.
  • Preferral’s solution enables PCPs to easily send a referral to a specialist and confirm receipt with both the originating practice and the patient, eliminating avoidable complications that result from busy clinics using fax machines and follow-up calls to coordinate referrals.
  • Combining AristaMD’s eConsults with the Preferral platform will create a comprehensive physician-to-specialist referral solution, complete with reviews for prior authorization, scheduling, and interim care plan support.

The Takeaway

The acquisition of Preferral greatly improves the referral management component of AristaMD’s eConsults service, reshaping it as a comprehensive platform with the ability to improve access to specialists while expediting treatments.

Anchors Improve App-Guided Meditation

Although previous mental health research has shown numerous benefits to persistent app-guided meditation practices, few users consistently engage at a level necessary to attain the benefits.

A recent study published in JMIR investigated whether anchors help to establish a persistent app-guided meditation routine, allowing more users to realize the complete benefits.

Anchoring is the pairing of app-guided meditation with an existing daily routine to help develop the practice as an unconscious habit and improve consistency. Example anchors used in the study include “after I finish breakfast in the morning” or “after I finish my coffee in the afternoon.”

Methods – Researchers randomly assigned participants to one of three study groups, which each received reminders to meditate for at least 10 min/day using the Calm app and one of the following anchoring strategies:

  • personalized anchor group (PA, n=56) – could select from a list of possible anchors
  • fixed anchor group (FA, n=49) – was assigned a specific anchor
  • control group (n=62) – did not use any anchoring strategy

Results – During the 8-week intervention, the FA group had significantly higher odds of daily meditation than any other group (1.14 OR), and all participants experienced a linear decline in daily meditation (0.96 OR). Interestingly, the FA group also showed the smallest decline in daily meditation odds during an 8-week follow-up, suggesting that assigned anchors may improve meditation consistency more than self-selected ones. This chart highlights the results nicely.

Impact – Meditation apps are among the most scalable treatments for a variety of disorders, and could have the potential to help level the supply-demand imbalance between mental health providers and patients. Despite their promise, high attrition among app users is a large barrier, but positive results such as these continue to help address the issue.

The State of Telemedicine Adoption

While we publish new telehealth trends virtually every week, Rock Health consistently adds more color to these stories with its deep dives into funding and consumer preferences. Its latest research in collaboration with the Stanford Center of Digital Health is no exception.

Rock Health’s annual Digital Health Consumer Adoption Survey of 8,000+ US adults sheds more light on self-reported digital health behaviors, exploring three core insights with plenty of charts included for the visual learners:

INSIGHT #1: Future care models will increasingly integrate asynchronous modalities. (Chart 1)

  • 51% of this year’s respondents have used live video telemedicine, making it the most used modality over audio-only or text-based care.
  • Rock Health predicts that asynchronous non-video modalities will gain popularity because they enhance clinician efficiency and enable proactive continuous care

INSIGHT #2: Telehealth satisfaction remains high but is trending downward. (Chart 2)

  • 43% reported greater satisfaction with live video calls compared to in-person care, down from 53% in last year’s survey.
  • The authors attribute the decline to the changing expectations around telemedicine as an alternative to care, rather than as a needed replacement.

INSIGHT #3: High telemedicine adoption skews towards the young and wealthy. (Chart 3)

  • Telemedicine adoption is highest among high income patients aged 18-44, underscoring gaps related to broadband access, device ownership, and digital literacy.
  • To address these gaps, Rock Health suggests that innovators understand the population they’re building for, and what factors drive that group’s adoption.

Telemedicine’s Path Forward

The survey suggests that telemedicine is beginning to focus on personalized treatments that address the nuanced needs of individuals, serving as a tool for care rather than a business model. Rock Health holds an optimistic view about the future of telemedicine, and with more scalable and equitable solutions hitting the market every day, that’s a safe stance to take.

Cerebral Raises $300M for Digital Mental Health

Online mental healthcare provider Cerebral announced the close of its $300M Series C round, raising the company’s valuation to $4.8B within two years of its launch.

  • Cerebral is a “one-stop shop” for comprehensive digital mental healthcare and wellness, offering support for depression, anxiety, and post-traumatic stress disorder among other illnesses.
  • Monthly subscription plans give members access to Cerebral’s team of over 2,000 clinicians, lowering barriers to care through its virtual platform combining therapy and medication management for full-service support in the home setting.
  • The funding will be invested in new services such as schizophrenia management expected to launch in 2022, as well as strategic partnerships and international expansion.
  • Advancing partnerships with employers and payors is another priority for the funds, with Cerebral’s new Chief Impact Officer, Simone Biles, enrolling to help on this front after withdrawing from the Tokyo Olympics to focus on her own mental health.

Industry Impact

In-person mental health facilities were heavily impacted by the pandemic, experiencing capacity constraints that frequently led to month-long wait times to see a provider. This created a window for digital providers to address the care gap, with Cerebral reporting that the wait times for its  “instant live” visits are now just over five minutes.

Large amounts of capital continue to be directed towards the mental health space, and more M&A announcements from its well-funded startups are likely to follow as companies like Cerebral aggressively compete for contracts with employers.

SWORD Raises $163M for Virtual MSK Platform

Digital musculoskeletal (MSK) care provider SWORD Health raised a $189m Series D round, making the startup the latest digital health “unicorn” by lifting its valuation to $1.8b.

Based on SWORD’s fundraising pace, it’s safe to say the pandemic has been a boom for virtual MSK solutions. The company closed a $25m Series B in January, followed by an $85m Series C in June, and the recent funding pushed its outside capital total to over $324m.

SWORD offers a suite of personalized MSK solutions that includes:

  • ASK a PT – 24/7 remote access to physical therapists for general questions
  • Digital Guardian – Applies wearables and video monitors to guide safe workouts
  • The Academy – Customized educational content

The virtual-first approach is designed to reduce preventable surgeries for patients while driving value for risk-taking customers such as payors, employers, and health systems.

SWORD CEO Virgilio Bento founded the company in 2015 after seeing first-hand the “challenges that families face when they have to recover a loved one.” The WHO estimates that close to 2 billion people suffer from MSK conditions globally, creating a lot of room for multiple companies to emerge as leaders.

Digital MSK startups have attracted significant investor attention in recent months, with Hinge Health securing $600m to expand its online MSK platform, and Kaia Health raising $75m for its no-hardware-needed rehabilitation programs.

The Takeaway

SWORD prides itself on being “the industry’s only end-to-end digital MSK solution” (but then again, so does Hinge), and it will need to demonstrate that its hybrid approach offers a superior return on investment than competing strategies. If it can accomplish this, then the new funding should give it strong positioning within an MSK market that is quickly establishing itself as one of the top telehealth use cases.

DHW Q&A: The Future of Telehealth With BlueJeans

With Krish Ramakrishnan
BlueJeans by Verizon, Co-Founder and Chief of Innovation

Virtual health continues to be one of the most rapidly evolving landscapes in all of healthcare, with the second year of the pandemic bringing a new set of opportunities and challenges for patients and providers alike.

In this Digital Health Wire Q&A we sat down with the co-founder and chief of innovation at BlueJeans by Verizon, Krish Ramakrishnan, to discuss the changing role of telehealth and the areas where the technology offers the most potential going forward.

BlueJeans was early to the video software space, what led you to found the company?

It’s fair to say that the idea began over ten years ago when we started seeing video overtaking telephony as the future of communication. We saw cloud-based software as a way to democratize video communications back in 2010, allowing us to provide access to anybody, anywhere, at any time.

This was the principle reason behind founding the company and naming it BlueJeans. It’s a universal fabric. Anyone can use it and feel comfortable.

Can you tell us a little bit about BlueJeans and its value proposition?

BlueJeans is a collaboration platform. It enables users to have engaging and secure conversations remotely. Anything you would need from a collaboration platform you can find in BlueJeans: note taking, recording, messaging, and so forth.

The telehealth platform is built on the same BlueJeans architecture. It’s in the cloud, secure, and has all the same fundamentals – but it is purpose built for healthcare. 

What are some features of the telehealth platform that set it apart from a general meetings solution?

Videoconferencing was designed for general meetings, not telehealth specifically, so the original experience was not great in that situation. One of the issues was that you had to download an app. Another was that there was no concept of a virtual “waiting room.” 

When you go to a doctor’s office there’s a waiting room with a check-in and an intake form that allows you to share information and notify the medical staff. All of these things make the experience great, and none of these things are in a “meetings” product.

We saw this as an opportunity. After we eliminated the need to download an app and made sure everything was secure and HIPAA compliant, the next thing we did was build a virtual waiting room.

BlueJeans waiting rooms have all of the features I mentioned that make a good experience. They allow hospitals to customize the look and feel to make sure it’s how they want it, with the right patient education resources readily available.

After that, patients have access to interpreter services, closed captioning, and transcription, all integrated directly into the call.

What are some of the constraints currently holding back telehealth adoption?

One of the biggest constraints is that it’s a new experience, and I’ll give you an example: the introduction of ATM machines.

Banks introduced ATM machines to save time for tellers and provide access to withdrawals 24/7. Now fast forward to today, people rarely go to the bank. Nearly all of the banking that you want to do you can do remotely. This would have been inconceivable back then.

People did not trust ATM machines originally. They wanted to go into the bank and talk to a teller, and to see their withdrawals in person. There was more comfort in the old way of doing things. These days, you only go to the bank if you’re forced to go to the bank. The pendulum has swung the other way.

That’s the journey we’re on with telehealth. Some people will adapt quickly, but some will long for the brick-and-mortar visit. But over time, as technology improves, and more remote patient monitoring gets integrated into care, the need to go to the hospital will diminish. Similar to how the need to go to the bank diminished.

Everything is building towards a telehealth future, and it is going to be the norm, not the exception. 

BlueJeans was acquired by Verizon in 2020, can you share a little about the acquisition? 

We saw an opportunity by partnering with Verizon to make video permeate through more applications outside of meetings. Telehealth was one, education was another, but you need scale to make these use cases a reality.

Verizon brings something that no other partner does: the network. Video requires a network that’s high speed, high capacity, and low latency. With Verizon investing so much in 5G, we thought that a marriage between a video provider, BlueJeans, and a network provider, Verizon, would be a great combination that would enable a better experience.

5G also has certain characteristics that make it useful for telehealth and medical care more broadly. It enables very low latency between action and reaction, and also has very high bandwidth.

I’m really excited to see where this can have an impact in rural health. In these areas, access to expertise isn’t easily available. If we can provide both telehealth and a secure broadband connection, patients will be able to access not only generalists, but also specialists. 5G helps with scarcity, and will help level the playing field between the medical care available in urban areas and rural locations.

How do you see the telehealth space evolving over the next few years?

One area that I think is going to get a lot of attention is elder care and assisted living. The senior demographic is already very large, and is only going to continue growing. Telehealth is going to make it more convenient to provide quality healthcare to seniors, many of whom lack mobility or transportation. It will also help to keep them healthier, because if seniors have to visit a clinic in-person, then their chances of getting an infection are higher.

Our priority at BlueJeans and Verizon is to expand the reach of telehealth. Whether that’s to rural areas or senior communities, many people stand to benefit, and the technology is still in its early stages.

Five years from now, we won’t even call it telehealth, we’ll just call it a doctor’s appointment.

Ro Rumored to Be Acquiring Dadi

Direct-to-consumer health company Ro is rumored to be in talks to acquire at-home sperm storage startup Dadi, according to recent reporting from TechCrunch. 

Ro, which was valued at $5b when it raised a $500m Series D in March, is reportedly pursuing a $100m transaction for the men’s fertility startup, a healthy multiple for a seed-stage company (no pun intended) with $10m in total funding.

  • Dadi provides an at-home fertility test / sperm collection kit, designed to encourage men to become more aware of their reproductive health and contribute to family planning conversations. The company allows men to go from testing to sample storage without stepping foot in a clinic, an approach that could improve the patient experience for a stigmatized issue.
  • Ro has roots in male health, focusing on erectile dysfunction products that still account for half of the company’s revenue. The search for growth beyond its flagship product has led to three acquisitions over the past year, including Workpath (at-home health software), Kit (at-home diagnostic tools), and Modern Fertility (female fertility).
  • While the home-care theme is apparent in the Dadi rumors and Ro’s overall strategy, TechCrunch reports that the rapid pursuit of acquired revenue is leading Ro employees to feel like many of the moves “came out of nowhere” with little integration into the company’s broader business.

Industry Impact

For Ro to overcome its growing pains, it’s aiming to create a more cohesive at-home care platform through acquisitions aligned with that goal, making the Dadi rumors seem more probable than not.

Ro is one of the most valuable privately-owned health tech startups, a title many suspect will change to “publicly-owned health tech startup” through an IPO in the not-too-distant future.

It’s closest competitor, Hims & Hers, recently unveiled a new mobile app to serve as a unified hub for the brand’s telehealth offerings and treatments, and Ro’s fast-paced acquisitions are seemingly positioning the company to pursue a similar long-term care model as it prepares to go public.

Mental Healthcare Demand Pressures Psychologists

Following a pandemic-driven surge in demand for mental healthcare, a new American Psychological Association survey is indicating an even greater demand increase in 2021, with psychologists reporting heavier workloads, longer waitlists, and low capacity for new patients.

The APA surveyed 1,141 doctoral-level active psychologists in the US between August 30 and September 17, providing insights into the evolving mental health landscape in 2021.

Psychologist capacity highlights:

  • 43% reported an increase in overall number of patients (up from 29% last year)
  • 65% reported no capacity for new patients due to current caseload
  • 46% reported feeling burned out (up from 41% last year)

Psychologist telehealth adoption:

  • 96% reported treating patients remotely (slight decrease from 97% last year)
  • 50% reported hybrid in-person / remote treatment (up from 33% hybrid last year)
  • 46% reported seeing all patients remotely (down 64% all remote last year)

Changes in treatment areas:

  • 82% reported an increase in demand for anxiety disorder (up from 72% last year)
  • 70% reported an increase in demand for depression(up from 58% last year)
  • 2021 demand increases for: trauma (58%), substances (27%), sleep (38%)

The Takeaway

More psychologists reported increased demand across all treatment areas than before the pandemic, a trend that has accelerated since last year. While nearly all psychologists are providing remote services to meet rising patient volumes, a growing number of them are still reporting no capacity for new appointments, highlighting a continued need for digital health solutions that address the supply and demand imbalance for the specialty.

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