Rare Disease Management

Rare disease management enables support and resources for participants diagnosed with complex and rare health conditions.
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Mayo Clinic Complex Care Program

Mayo Clinic Complex Care Program

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Founded

1864

Employees

77,500

Funding Summary

Not Provided

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About Mayo Clinic Complex Care Program

The Mayo Clinic Complex Care Program offers managed access (expedited scheduling and condensed appointment itineraries) to Mayo Clinic’s high-quality, cost-effective care for individuals with complex, rare or undiagnosed medical conditions. In other words, Mayo Clinic helps minimize costs while getting patients exactly the care they need.

If employers have members in their medical plan that are experiencing fragmented care, ineffective treatments, potential misdiagnoses or difficulty accessing specialized care for complex conditions, Mayo Clinic can help. At our campuses in Arizona, Florida and Minnesota, teams of the world’s leading experts from every medical specialty and subspecialty work... Show More
Oshi Health

Oshi Health

3.2 (1)
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Founded

2019

Employees

1,600

Funding Summary

60M Series C

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About Oshi Health

Oshi Health is the only nationwide multidisciplinary GI clinic with a national scale, setting a new standard for life-changing digestive healthcare by combining specialized medical, dietary, and gut-brain interventions proven to get patients better, faster.

Rooted in accountability to patient outcomes, Oshi's clinic accelerates the speed to diagnosis and symptom control - significantly reducing medical costs within a year. Its in-house team of GI-specialized licensed clinicians provide meaningful time and touchpoints - working collaboratively with each other, and primary care and GI groups, to optimize care. Clinical trials and real-world data from the nation’s leading health... Show More
Private Health Management

Private Health Management

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-

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A rare disease diagnosis can be overwhelming, leaving individuals and families struggling to find answers and access the right care. Private Health Management (PHM) provides expert-driven rare disease management services, ensuring clients receive... Show More
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Paradigm

Paradigm

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Min. Group Size

40,000 eligible

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-

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Paradigm Complex Recovery is a specialized care management solution designed to address the most challenging and costly medical cases—catastrophic injuries and complex diagnoses. With over 30 years of experience and more than 20,000... Show More
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Strive Health

Strive Health

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Founded

2018

Employees

473

Funding Summary

549.9M Series D

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About Strive Health

Strive is a value based kidney care provider that deploys a high-touch care anytime care anywhere (virtual, in-home, in-clinic) model to slow or halt the progression of CKD; optimize the transition to ESRD; and improve the health and quality of life for individuals with ESRD. Strive has proven results across diverse payor partners, markets and lines of business and is able to guarantee substantial savings & underwrite risk for our partners.

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MORE Health, Inc.

MORE Health, Inc.

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Founded

2011

Employees

110

Funding Summary

25M Series D

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About MORE Health, Inc.

MORE Health is a global digital health company known for giving individuals access to the best medical minds in the world when facing a serious illness or diagnosis. Recognized as a leader in cross-border telemedicine, MORE Health delivers virtual Expert Medical Opinions from world-leading specialists by pairing technology and world-class service. Offered as an employee benefit or on an individual self-pay basis, this service is available to groups of any size in the U.S. and abroad. Since 2013, MORE Health has helped patients on six continents and continues its mission to provide patient advocacy to clients and members worldwide—when they... Show More
Engagement Health Group (EHG)

Engagement Health Group (EHG)

4.6 (16)
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Min. Group Size

50 eligible

Lives Serviced

5,000

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CRITICAL CARE MANAGEMENT
Our Critical Care Management program is specifically for those valuable members who are suffering the most and who are the most costly. They are typically 5% of your members... Show More
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Galileo

Galileo

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Founded

2018

Employees

600

Funding Summary

Not Provided

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About Galileo

Galileo is reimagining healthcare to help employers deliver better health outcomes, efficiently and affordably. Our connected, digital-first platform provides employees with 24/7 virtual access to a multidisciplinary care team of primary, specialty, and behavioral care experts. By leveraging our clinical expertise, we bring high-quality care to your team, helping drive improved employee engagement, retention, and productivity. We partner with health plans, employers, and benefit leaders to deliver a streamlined healthcare solution that meets the needs of the modern workforce. Show More
SUMMUS

SUMMUS

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Founded

2015

Employees

78

Funding Summary

70M Series B

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About SUMMUS

Summus is an end-to-end, doctor-led clinical navigation and specialty care platform that was uniquely developed to answer 100% of health questions, including over 120 different specialties. We empower employees to make better health decisions by simplifying how they navigate healthcare and quickly connecting families with the right medical expertise for any health question, big or small—to drive better, more cost-efficient health outcomes. Show More
Teladoc Health, Inc.

Teladoc Health, Inc.

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Founded

2002

Employees

5,600

Funding Summary

Not Provided

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About Teladoc Health, Inc.

Teladoc Health is the #1 most recognized and trusted virtual care brand. We have the first-mover advantage in telehealth with a platform built over 20+ years. Our platform is proven to deliver outcomes at an unmatched scale, including 20K+ visits per day. We are executing on a strategy that continues to raise the bar for virtual care for our members and 12K+ clients.

Over 102.4M people in the U.S. now have access to one or more of our services, including over a million enrollees in our chronic condition management programs. In the last year, we've enabled... Show More
Accolade

Accolade

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-

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-

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Accolade's support includes every chronic condition at every level of risk. Our goal is to help members manage their conditions effectively. Our Rising Risk program, while not condition-specific, includes members who typically have... Show More
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GoMo Health

GoMo Health

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Founded

03/2012

Employees

50

Funding Summary

Not Provided

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About GoMo Health

Connecting Behavioral Science, Technology and Creativity to Activate Healthy Change.
GoMo Health is a science-based patient and consumer engagement company focused on healthcare and wellness. Our evidence-based BehavioralRx® lifestyle modification science addresses the “whole person” – psychosocial and physical. GoMo Health award-winning, personalized engagement solutions are deployed by companies across the healthcare and life science continuum –providers, plans, employers, pharma, medical device, consumer health and wellness. Our solutions are highly scalable and cost-effective, enabling better self-management, healthy decision making, and improved outcomes. Show More
MedWatch, LLC

MedWatch, LLC

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Min. Group Size

1 eligible

Lives Serviced

383,000

Average Cost

Average Cost is Locked

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Complex Condition Case Management Program – aka - Rare & Complex Disease Management is provided through MedWatch’s URAC-Accredited Case Management Program. Complex Condition Case Management program is designed to support individuals with rare... Show More
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Premise Health

Premise Health

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Min. Group Size

800 eligible

Lives Serviced

4,400,000

Average Cost

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At Premise, we take stock in the old adage that two heads are better than one – especially when it comes to
getting second opinions on complex health conditions. Through our... Show More
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AccessHope, LLC

AccessHope, LLC

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Founded

2019

Employees

130

Funding Summary

33M Series B

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About AccessHope, LLC

AccessHope believes in putting the ever-growing body of cancer knowledge to work for the greater good. We deliver a revolutionary cancer benefit that connects employees with cancer to the latest cancer expertise of NCI-Designated Comprehensive Cancer Centers.

Accountable Precision Oncology (APO) is a unique and highly differentiated offering that proactively identifies (no member opt-in required) and initiates complex case reviews likely to have the highest outcome variability - allowing us to intervene early and improve health outcomes.

Cancer Support Team (CST) + Expert Advisory Review (EAR) is a service that provides 12-hour-per-day telephonic access... Show More
Included Health

Included Health

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-

Lives Serviced

-

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Included Health approaches specific condition/disease management within the context of our broader Care and Case Management program. Our whole person approach leads to greater engagement and impact than most fragmented, narrowly scoped programs.... Show More
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InformedDNA

InformedDNA

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Founded

2007

Employees

105

Funding Summary

Not Provided

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About InformedDNA

InformedDNA® is the country's leading applied genomics solutions company, helping harness the full power of precision medicine. With the largest independent staff of board-certified genetics specialists in the U.S., InformedDNA ensures that health organizations have access to the highest quality, most current genomics insights to optimize clinical decisions.
Its solutions, which cover evidence-based guideline development, patient experience management, and value management, have helped optimize the health benefits of more than 150 million covered lives and have navigated hundreds of thousands of people to the right treatments or clinical trials.
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Savory Living

Savory Living

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Founded

2011

Employees

0

Funding Summary

Not Provided

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About Savory Living

Ready to use "food as medicine" to drive better health outcomes, reduce unnecessary costs, and boost member/employee satisfaction?

Savory Living is a proven healthy eating behavior change program. Participants learn how to activate healthy eating to improve how they feel, reduce their signs of inflammation, get to their ideal weight, and improve their health (diabetes, metabolic conditions, obesity, CVD, hypertension, RA, hyperlipidemia, auto-immune conditions, IBD, anxiety, depression etc.). Our program guides them through a fun experience where they learn the WHY behind healthy eating, translate what they are learning into ACTION (see what works for them),... Show More
Sesame

Sesame

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Founded

2018

Employees

85

Funding Summary

25M Series B

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About Sesame

Sesame is building a radically new healthcare system for uninsured Americans and those with high-deductible plans.

The company's marketplace replaces historically inefficient, expensive healthcare with a direct connection – either virtually or in-person – between patients and physicians. This direct connection enables Sesame to offer doctor visits, labs, imaging and prescription drugs at half the price.

Founders include a Harvard PhD in health policy and economics; a former Goldman Sachs analyst; and entertainment executive and healthcare reformer David Goldhill, author of the legendary cover story in The Atlantic, "How American Health Care... Show More
SonarMD

SonarMD

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Founded

January 2015

Employees

19

Funding Summary

10M Series A

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About SonarMD

SonarMD, a leading whole-health solution for patients with gut health conditions, is transforming what it means to live with inflammatory bowel disease (Crohn’s and ulcerative colitis), diverticulitis, GERD, and irritable bowel syndrome. SonarMD was founded by Dr. Lawrence Kosinski, a gastroenterologist since 1984, who recognized that specialists are uniquely positioned to take greater accountability for patients living with chronic disease. SonarMD is led by Beth Houck and Julie Schokora, our CEO and COO respectively, who have a combined 45 years of healthcare industry experience and a track record of success developing and operating patient-focused solutions. By focusing on building technology... Show More

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