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

30M Series B

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About Oshi Health

Oshi Health is the first and only virtual GI center of excellence with national scale - setting a new standard for life-changing digestive healthcare - delivering proven care models adapted to scale and driving sustainable outcomes and change in members’ lives. Oshi is an in-network provider contracted with the nation’s leading health plans - taking the onus off the employer to contract with a point solution to serve their populations’ needs.

Oshi provides total GI care - covering the full spectrum of GI symptoms and conditions from diagnosis to treatment through a multidisciplinary team of GI... 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

Average Cost

Average Cost is Locked

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Product Description

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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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
Private Health Management

Private Health Management

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Founded

2007

Employees

Funding Summary

Not Provided

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About Private Health Management

Whether managing routine and preventative care or addressing serious or complex conditions, PHM’s rigorous integrated approach facilitates access to the latest information, top specialists, advanced diagnostics, and cutting-edge treatments. We consistently deliver better care and outcomes, helping people live healthier, longer lives. Show More
Strive Health

Strive Health

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Founded

2018

Employees

473

Funding Summary

220M Series B

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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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Accolade

Accolade

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Min. Group Size

-

Lives Serviced

-

Average Cost

Average Cost is Locked

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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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Form Health, Inc.

Form Health, Inc.

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Min. Group Size

-

Lives Serviced

300,000

Average Cost

Average Cost is Locked

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Complex condition management which includes a focus on safety as well as comorbidity identification and resolution underpins our clinical obesity care program as described above. Our ABOM MD's collaborate closely with PCP's and... 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

Average Cost is Locked

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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
SUMMUS

SUMMUS

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Founded

2015

Employees

78

Funding Summary

70M Series B

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About SUMMUS

Summus is the seamless integration of clinical navigation and specialty care that guides members through over 120 different specialty care journeys. Our doctor led model ensures our members and their families are never left to navigate their conditions alone where the stakes are high and paths to treatment can be intricate and multi-faceted. Highlighting high quality doctors in the middle of every interaction provides personalized care at scale, reduced cost across the top cost drivers in healthcare, and simplicity in a complex healthcare ecosystem.

By combining clinical navigation and specialty care, we create a comprehensive approach that... Show More
Genomic Life

Genomic Life

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Founded

2017

Employees

Funding Summary

None

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About Genomic Life

We collaborate with employers, third-party administrators, public institutions, and large groups to provide essential genomic screenings and personalized cancer navigation. Our goal is to ensure timely access to genomic-based solutions and expert cancer care resources, effectively reducing the burden of genetic diseases and cancer to ultimately enhance outcomes. Show More
Included Health

Included Health

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Min. Group Size

-

Lives Serviced

-

Average Cost

Average Cost is Locked

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RFI questions number is Locked

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Lock

Product Features

Not Provided.

Product Description

Rare disease management is included as part of Included Health's holistic Care and Case Management program provides clinician-led, comprehensive care and case management for members with complex health needs. Our approach to care... Show More
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Teladoc Health

Teladoc Health

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Founded

2002

Employees

5,600

Funding Summary

Not Provided

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About Teladoc Health

Ranked among best in KLAS for Virtual Care Platforms in 2022 and the #1 most recognized virtual care brand, Teladoc Health is the global leader in virtual care. Our national network has 10,000+ providers, with services spanning 450+ medical subspecialties across 190+ countries and 40+ languages. Our global workforce includes 5,600+ employees. We serve 90M+ members (18.5M visits delivered in 2022 and 60M+ total) and 12,000+ clients. Our unmatched scale enables us to serve more people than any other virtual care provider, and the ability to continue to innovate in the market to deliver a consistently differentiated client experience.
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Transcarent

Transcarent

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Founded

2018

Employees

240

Funding Summary

126M Series D

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About Transcarent

Transcarent is a consumer digital health company that puts people in charge of their health and care experiences. Transcarent provides a consumer-directed platform using a combination of software, technology, Health Guides and data science to empower consumers with the kind of unbiased information, trusted guidance and access to high-value care that leads to better care and better outcomes. Show More
MedWatch, LLC

MedWatch, LLC

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Founded

1988

Employees

365

Funding Summary

Not Provided

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About MedWatch, LLC

Established in 1988, MedWatch is a proven industry leader providing population health management and cost containment services nationwide to a wide variety of clients including TPAs, MGUs, stop loss carriers, employers, schools, hospital systems, Taft Hartley plans and fully insured payers.

MedWatch’s core services include Utilization, Case, and Disease Management which provide early identification, management and mitigation of the health and financial risks for our clients and plan members.

To address the ever-increasing list of costly pharmaceuticals that are available and prescribed today, MedWatch has an on-staff PharmD who is dedicated to... Show More
PinnacleCare International LLC

PinnacleCare International LLC

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Founded

2001

Employees

Funding Summary

Not Provided

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About PinnacleCare International LLC

PinnacleCare provides a highly differentiated medical decision support service and unprecedented access to expert medical opinions, embodying a process that has evolved to enable a better patient experience and better health care outcomes for serious medical issues. Show More
Savory Living

Savory Living

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Founded

2011

Employees

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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Company Overview

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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