Jess & I are worried about Peleton’s CEO! Well that not worried. Signify Health buys Caravan Health for $250m ; Koneksa gets $45m; Jasper Health gets $25m; $30m for Vynca; & Doximity pays $82.5m for scheduling co Amion, while going gangbusters on its numbers. Matthew Holt
Matthew Holt, you and our loyal listeners might recall how a few weeks ago I bring up the fact that no one is talking about Peloton and the fact that it’s killing TV characters left and right. Then what happens all of a sudden? Boom! Take out of Peloton. The stock has tanked. The CEO is gone. Thousands of people laid off. Am I the harboror of terrible things that are yet to come? It’s this episode, the February 10th episode of Health Tech Deals.
Get the details behind the deal! Signify Health (NYSE: SGFY) is acquiring Caravan Health for $220 million in cash and common stock in effort to create one of the largest networks of at-risk healthcare providers in the country. For all those who love healthcare payment model innovation, this is a story about scaling both value-based care and accountable care organizations (ACOs), and we have Signify Health’s CEO Kyle Armbrester and Caravan Health’s founder and Chairwoman Lynn Barr here to explain the model and market potential this creates for Signify Health.
Signify Health is best known for its value-based, care-at-home focused approach in the Medicare Advantage space, and Caravan Health brings both tech and expertise to support the creation of accountable care organizations (ACOs) and the ongoing smart management of their patient populations. Caravan got its start with “safety net providers” in rural areas and pioneered what’s known as the “Collaborative ACO” approach that pools smaller health systems together based on practice similarities (instead of geography) to achieve the right kind of patient scale needed to mitigate risk. This is really important to scaling ACOs nationally, as you’ll hear both Lynn and Kyle explain, and, of course, we ask Kyle to zero-in on how this will extend Signify Health’s reach into new markets as well.
Beyond the acquisition, we also celebrate Signify Health’s one-year IPO-iversary. The company rang the bell on the New York Stock Exchange (then stopped by WTF Health to talk about it!) on Feb 11, 2021. Looking past the Caravan Health acquisition and to what it will lead to next, Kyle and Lynn (who will now be activating even more payment model innovation as Signify Health’s VP of Innovation) get fired up about what’s ahead.
Signify Health (NYSE: SGFY) has called their approach “Value-Based Care 2.0” and, today, they’ve received an important designation from CMS that could set an exciting precedent for scaling up episodes-of-care, value-based models for the under 65 commercial health insurance market. The plan to receive this important approval as an Advanced Alternative Payment Model (AAPM) is the State of Connecticut’s health plan – a massive plan that covers the State’s 220,000 employees and retirees. To talk about what this first-of-its-kind approval signals for the future of value-based payment models are the State of Connecticut’s Comptroller Kevin Lembo and Signify Health’s CEO Kyle Armbrester.
What’s so important here is the combination of episodes-of-care (which is like value-based care-lite) and the under-65 market (which is not as rich with value-based care case studies as the over-65 Medicare market). That a State government with a massive population of covered lives AND a vested interest in helping keep local hospitals and health systems vibrant economic engines in the community is leading the way on this novel payment model design is significant. And, Comptroller Lembo gives us the details about how he’s viewing it as a win-win – after quite a few battles along the way. To win in health innovation, you’ve got to follow the dollar! Tune into this chat to see where it’s headed as episodes-of-care models get a huge boost from CMS.
Signify Health’s CEO Kyle Armbrester stops by on IPO day! Hours after ringing the bell on $SGFY’s launch on the New York Stock Exchange, Jess DaMassa digs into the health tech company’s $7.1B valuation and plans to help providers, payers, and self-insured employers scale-up their value-based care offerings. Kyle calls it “Value-Based Care 2.0” and, for the uninitiated, does a great job of stepping back and explaining this healthcare payment model’s history and how Signify is building its next-gen approach from the groundwork laid over the past decade.
What’s unique about Signify Health’s model is that it’s not just relying on tech to make it easier to find where managed care organizations can help cut healthcare costs and drive better outcomes – they also provide in-home health services that send nurses, doctors, and social workers out into patient’s homes to physically look for potential roadblocks to recovery and wellness. It’s in this critical “last mile” where Signify is possibly making the greatest impact, connecting the social determinants of health (physical environment, social support networks, economic status, etc) back into the healthcare system in a way that not only helps patients, but is also aligned with how all the stakeholders along the care continuum are incentivized. (And that includes Signify, which goes at-risk along with their clients and only gets paid when they drive better outcomes and cut-out costs.) So, what is the ultimate opportunity for this kind of “deep healthcare” business? We get into Signify Health’s business model, the competition, and its plans for growth and M&A activity now that they’re backed by $564M in capital from their initial day on the public market.
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