The week that was in M&A, financings: Included Health buys Firefly, Candid’s $120M raise, DarioHealth’s $23M RDO, TytoCare’s $25M growth round + new execs, Aurenar’s $5.7M seed for ICU neuromodulation

Mr. Market woke up out of his summertime nap with some surprising end-of-July activity. What will August bring?

On the M&A front, virtual care mega Included Health is acquiring Firefly Health. This adds a virtual-first health plan and advanced primary care services to Included’s established telehealth and care navigation business. In February, Included quietly entered the health plan business with an Alternative Plan Design for employers that offers an alternative approach to health benefits. Firefly is classified as an Alternative Health Plan as Administrative Services Only (ASO), quoting a 15% savings in total cost of care and 90% member satisfaction. Interestingly, San Francisco-based Included’s acquisition cost of the Watertown, Massachusetts company is not disclosed nor are any management or service transitions. The deal is expected to close in Q3 2026 and is subject to regulatory review. Readers will recall that Included was formed from telehealth pioneers (2011-12) Grand Rounds and Doctor on Demand, with the small LGBTQ focused Included Health picked up in 2021, then rebranded with that name. It is solely focused on employers, health plans, public sector organizations, and unions.  Release, MedCityNews

Candid Health raised a $120 million Series D. Lead investor for this revenue cycle management (RCM) company is Sixth Street Growth, with participation from Oak HC/FT, 8VC, and Y Combinator. This follows a February $52.5 million Series C led by Oak HC/FT for a total raise of $220 million since 2020. TechCrunch Candid concentrates on provider financials, automating medical billing and health insurance claims to speed payments. Sixth Street release, MedCityNews

DarioHealth’s latest ‘rabbit out of hat’ is a $23.5 million RDO. As we’ve previously noted, DarioHealth started in MSK therapies and by 2023 branched out to clinically-based interventional care management solutions through apps and consults in cardiometabolic and behavioral health, including GLP-1 prescribing for weight management. DarioHealth’s latest is true to its form in creative financings as previously noted here and here. This bit of funding legerdemain is an RDO, a registered direct offering. From the SEC Form 8-K, DarioHealth is selling to institutional investors 2.4 million of their publicly traded stock at $6.80/share plus pre-funded warrants for over a million shares at $6.7999. This raises $23.5 million before deducting the offering expenses. The RDO  closed on 23 July. Mobihealthnews

Our old friends at TytoCare, notably quiet of late, added $25 million to their war chest and brought on some fresh horses. The growth/venture round brings their total financing to $231 million. The round for the remote physical exam tech company was led by Insight Partners, with participation from existing strategic investors OliveTree, HOOP, Qumra Capital, Qualcomm Ventures, OrbiMed and others. In the release, the lead repositions of the company as now a “AI-First Clinical Enablement Platform, Bringing FDA-Cleared AI-Powered Insights into Virtual Primary Care to Support Cardiopulmonary and Oncology Care” which doesn’t quite follow through on the website which focuses on their devices. Joining the company are Adam Pellegrini as CEO, replacing co-founder/CEO Dedi Gilad who moves to chairman. The other co-founder, Ofer Tzadik, remains with the operating company in NYC and Israel. Mr. Pellegrini is the former CEO of MSK/pulmonary management company Kaia Health, acquired last January by Sword Health for $285 million, and previously co-founder and former CEO of cancer support company Jasper Health out of Redesign Health. Also onboarding as COO is Greg Orr, former Walgreens VP Digital Health and COO of Jasper Health. One suspects some changes are in the offing. Mobihealthnews

Our last and most unusual company is Aurenar, which has developed a non-invasive neuromodulator for inflammation that stimulates the vagus nerve in the ear. The destined use is for ICUs to modulate the body’s secondary and toxic inflammatory responses to conditions such as subarachnoid hemorrhages and stroke. The V-Link vagus nerve stimulator gained FDA breakthrough device designation on 30 June. The oversubscribed seed round of $5.7 million was led by American Heart Association Ventures’ Go Red for Women Venture Fund and Solas BioVentures, with participation from BJC Health and Kaleida Capital. Initial validation has been through multiple pilot clinical trials at St. Louis-based Washington University, where Aurenar is located. The funding will be used for pivotal trials around stroke, including final device development, verification and validation testing, plus regulatory submissions to the FDA. Other uses will center on additional inflammatory conditions disproportionately affecting women. FierceHealthcare, MassDevice, Mobihealthnews

News roundup: Owlet expands to EU, mPulse buys Zipari, New Mountain PE merges 3 payment integrity firms in $3B smush, Candid Health’s $29M raise, Oura buys Veri, Bloomer Tech’s cardio bra

It’s a dogpile of catchup news.

Owlet announced that it’s expanding its European distribution of the Dream Sock. The new countries are Greece, Poland, the Czech Republic, Romania, Slovakia, Hungary and Bulgaria. It is currently, according to its website, available in France, Belgium, the Netherlands, and Luxembourg. It received its CE Mark certification in May. The Dream Sock is a non-prescription device that reports, for babies 1-13 months and 6 to 30 pounds, pulse rate, oxygen, wakings, and sleep trends in real-time via the Owlet Dream App. The app also allows alerts outside of range to be set. Owlet’s financials have improved substantially, though still in the loss column, as detailed in the Mobihealthnews article.

mPulse acquired Zipari for an undisclosed price. Both companies are in the healthcare ‘consumer experience (CX)’ segment which broadly includes using consumer information to ‘personalize health journeys’ that enhance the consumer experience for its health plans. Zipari is apparently more the back end of CX software solutions for insurers, third party administrators, and healthcare payers. There was no disclosure of sale price nor of transition of Zipari staff or the brand name. mPulse now covers 400+ leading healthcare organizations, including 29 of the 30 largest health plans in the country. mPulse is private and controlled by PSG. Release

Private equity company New Mountain Capital, in a $3 billion move, merges three payment integrity companies. New Mountain merged The Rawlings Group, Apixio’s Payment Integrity business, and Varis into a single $3 billion, 2,000 employee company around payment accuracy using various technologies. Rawlings is the largest with over 1,400 employees. It identifies third parties responsible for paying medical claims and is over 40 years old. Apixio provides administration, clinical, and financial program services for payers, previously part of Centene. The remainder of the company–its connected care platform and value-based care services–will be acquired by Datavant. Varis provides overpayment identification solutions including diagnosis-related groups (DRG) and ambulatory payment classification (APC) prospective payments. ‘Smushing’ makes sense if there is one controlling investor and the services dovetail with each other; from the description, the main company will be Rawlings. One hopes that they work out the ‘big bang’ details. FierceHealthcare

In a rare fairly large Series B funding, Candid Health scored $29 million. Candid is a revenue cycle automation and integration platform that simplifies billing for providers through API integrations with current system. The raise was led by 8VC with participation from existing investors First Round Capital, BoxGroup, and Y Combinator. Their total funding since 2019 is $47 million. Release

The Oura ring from Finland is not only still around, but is acquiring a metabolic health company, Veri. One of those ‘neat ideas’ which this Editor thought was gone is still around, having sold 2.5 million rings both direct and through Best Buy currently for $69.99 annually plus local tax, and now tracks over 20 biometrics around sleep, activity, heart health, and stress. Oura has had $148 million of funding since 2013, with its last big $100 million Series C back in the Palmy Days of 2021, with a small venture round in 2022. Veri is also Finnish, already partners with Oura, and has an app that via CGM (Abbott FreeStyle Libre) guides users to the right foods and habits for their bodies. Oura will be launching in conjunction with Veri a new feature, Meals, to help members to see how meal timing affects health metrics like sleep, stress, and recovery. Many of Veri’s team will be joining Oura, including their three founders. Release, Mobihealthnews 

An ECG that looks and wears like a bra. That is the device designed by Bloomer Tech, a MIT spinout. This wearable violates the “smaller and less obtrusive is better” dictum to collect more and more accurate data. The bra design places sensors all around a woman’s torso, the best position for heart data, in an accustomed way to collect data on heart function, lungs, hormones, and metabolism. It connects to an app that collects information and sends it to the wearer’s health provider. Bloomer Tech’s market will be women at risk or with heart disease, with the bra as a prescription item. Its first clinical trial was launched in March, funded by a $1.9 million grant from the National Institutes of Health. It comes in 12 sizes from 32B to 44C, Axios Boston

The two women founders, Chong Rodriguez and Aceil Halaby met in the MIT’s masters degree program, founding it in 2018. They named it after Amelia Bloomer, a 19th Century American suffragette, social reformer, publisher/writer, and advocate for less restrictive forms of dress than the whalebone corsets and tight dresses customary of the period. MedCityNews