This sound is generated automatically. Please let us know if you have feedback.

Diving Brief:

  • Los Angeles-based Heal, a company that provides primary care services through home calls, telemedicine visits and remote patient monitoring, said it has partnered with Cigna Medicare Advantage plans in four states as it continues its national expansion.
  • The organization is now an in-network provider for Cigna MA registrars in Illinois, North Carolina, South Carolina, and Georgia, effective immediately. Its markets also include Louisiana, New Jersey, New York, and Washington.
  • Heal works with Humana, WellCare, Aetna and UnitedHealthcare insurance plans, according to its website.

Diving Insight:

The deal highlights the sector’s continued focus on home and primary care.

Humana doubled down on its home health efforts by acquiring the remaining stake in Kindred last year. Just this week, Walgreens-backed VillageMD is reportedly exploring a merger with Summit Health medical practices, CityMD’s parent company, as the rush into primary care intensifies.

Heal says it helps seniors improve their health from the comfort of their own home. The company, which was founded seven years ago, said it has made more than 275,000 patient visits so far.

Chronic conditions, sick visits, and preventive care are covered under Cigna’s collaboration.

“Cigna aims to improve all aspects of the health and well-being of our customers, and providing in-network coverage for affordable, convenient and quality healthcare is one of our ways to do that,” said JB Sobel, chief medical officer of Cigna Medicare.

Heal switched to a value-based primary care model for seniors last year from on-demand care, for a fee-for-service, after appointing Scott Ferrtrees as CEO. Vertress succeeded co-founder Nick Desai in this role.

Vertrez said Heal’s primary care at-home model allows the company to monitor and act on the social determinants of health that affect its patients, including food insecurity, diet, environmental factors, medication management, depression, loneliness and other conditions.

The company generated $8.6 million in Medicare savings and improved health outcomes for patients with chronic diseases in 2020 as part of a CMS demonstration project testing the effectiveness of providing comprehensive primary care at home. According to Heal, the health care cost savings of $10,000 per patient was 20% less than expected Medicare payments.

Heal collected more than $200 million funding from investors including Humana, Breyer Capital, Fidelity Investments and several individuals.

Leave a Reply