News and funding roundup: patient outreachers Relatient, Radix merge; health apps top 350,000; Morgan’s $50M in Vera Health; Communicare247, Doro, TeleAlarm join Scottish Digital Telecare’s list

Patient engagement meets…patient engagement. Two relatively small players in patient outreach, Relatient and Radix Health, are merging. By no coincidence, the former announced that they received $100 million in growth equity capital from Brighton Park Capital and its affiliates. Brighton Park led an undetermined investment round for Relatient in November 2019. No valuation or management transitions were announced.

Tennessee-based Relatient sends text messages to patients as appointment reminders, patient chat, and broadcast messaging. It is a 2020 Best in KLAS winner for Patient Outreach. Relatient claims that in 2020 it sent 200 million messages and integrates with over 85 practice management systems and electronic health databases. Atlanta-based Radix Health has a somewhat different software set for patient scheduling, contactless check-in, appointment reminders, and reminders for medical groups, health centers, and hospitals prior to procedures. Earlier this year, Radix rolled out a Covid-19 vaccine location and scheduling system for their mid-sized and large provider clients, which by February scheduled 200,000 appointments and about 100,000 vaccinations. Both companies were founded in 2014. The merged organization will be headquartered in Franklin, Tennessee, with offices in Cookeville TN, Atlanta, and Pune, India. Release, Mobihealthnews

Consumer health apps top 350,000. The IQVIA Institute for Human Data Science latest report on digital health trends tracked over 90,000 released last year alone. Managing health conditions makes up nearly half (47%, up from 28% in 2015) of apps. About two-thirds of digital therapeutics and 40% of digital care products treat either neurologic or mental health conditions. At this point, who’s counting? And are all of them working? Mobihealthnews, link to IQVIA report (registration and download required).

JP Morgan Chase’s new Morgan Health invested $50 million in Vera Whole Health, a western US primary practice group. Vera Whole Health operates on a membership flat-fee model and is fully at risk in a value-based, technology-enabled coordinated care model. Morgan Health adds to Vera’s coffers after the majority sale of the company to CD&R for an undisclosed amount and a valuation at $400 million. JP Morgan sunsetted its unsuccessful three-year joint venture, Haven, in January, but remains interested in health for profit and for employees, who will be given the opportunity to join Vera. Healthcare Dive, Mobihealthnews

Communicare247, Doro, and TeleAlarm receive Scottish Digital Telecare nod for digital alarms. Communicare247’s Archangel Care Cloud, Doro’s CareIP Mobile, Eliza 4G, and the icareonline platform, and the TeleAlarm TA74 GSM and TeleAlarm Cloud Services have been added to the Scottish Digital Telecare Security-Assessed Suppliers Scheme. They join Alcuris and Enovation, as reported in the past two weeks. Communicare247, Doro, and TeleAlarm releases.

News and deal roundup: OneMedical’s $2.1 bn for Iora, CareDx buys Transplant Hero, Mount Sinai’s Elementa Labs; UK news–NHSX/Babylon, Doro-Everon, Tunstall

West Coast-based concierge medical provider One Medical goes ‘mass’ with Iora. One Medical, best known for serving the affluent well through a membership fee, direct pay, commercial insurance, and sponsored contracts with large employers like Google for primary care, announced plans to acquire Boston-based Iora Health. Iora’s primary care providers serve a different market, with primarily Medicare patients moved into full-risk value-based models such as Medicare Advantage plans and practices in shared savings arrangements such as Direct Contracting. The investor presentation here discloses the all-stock purchase with 26 percent of ownership going to current Iora shareholders. Iora for now will be run separately, which makes sense given the disparity in patient base. The major element in common? Primary care practices and ‘white-glove’ services. Healthcare Dive, FierceHealthcare

Consolidation in digital transplant care assistance. CareDx, which provides a wide variety of management services for organ transplant providers and recipients, is acquiring New York-based Transplant Hero. Transplant Hero is an app that reminds recipients to take their vital medications, and was founded by a transplant physician. Financial terms and integration going forward were not disclosed. Release, Mobihealthnews.

Mount Sinai Innovation Partners (MSIP) creates a new health tech incubator. Elementa Labs launched this week, specifically seeking pre-seed or seed-stage healthcare and biotech startups. Companies must also have a clear objective for working with Mount Sinai to develop a comprehensive development plan.The first startup on board is avoMD, a mobile-friendly point of care clinical decision support platform. Applications for the 12-week program close 30 September. FierceHealthcare

UK activity heats up with the late spring…

NHSX and NHS England are assessing Babylon Health’s triage app. According to an exclusive in Pulse (may require registration), a senior delegation from both visited University Hospitals Birmingham NHS Foundation Trust (UHB) last month to look at its use of the Babylon technology. However, NHSX has disclaimed any work towards a national program with Babylon as practices reopen throughout the UK.

DoroCare UK and Everon announced a partnership on products and services for social care, such as Everon’s Lyra, a cloud-based emergency call system, and Doro’s Eliza, a smartcare hub. Release

Tunstall announced the release of the Tunstall Service Platform (TSP) in the UK. It’s described as a connected care software platform supporting the Tunstall Alarm Receiving Centres coordinated by local authorities and social housing providers. It has four unique functions: PNC (call handling), service manager, fieldforce manager, and proactive services. It also will transition these systems from analogue to digital and will be operable in both. Release

Short takes 9 April: Doro phones to elderly isolated; funding to Vesta Healthcare, Zedsen; Anthem partners with Canvas EMR, Health Metrics (AU) new owner

Today’s News from all over roundup….

Doro in the UK is participating in the ‘Do Good’ initiative with the mobile network giffgaff. Doro is donating 500 Doro phones to isolated elderly people across the UK, as part of their efforts in other countries such as Germany, France, and the Nordics. The tie with giffgaff came about after their announcement of ‘goodybank’ to help those in UK communities facing hardship. Release

Vesta Healthcare raised $65 million in a venture round, bringing its financing since 2018 to $105 million (Crunchbase). Vesta connects a network of caregivers to at-home care and clinical care management. This round was led by Deerfield Management with participation from existing investors Oak HC/FT, Kaiser Permanente Ventures, Lux Capital, Generator Ventures, Nationwide, CareCentrix, and Epstein Partners plus K2 HealthVentures. Vesta is HQ’d in New York City and provides services in five states, which will be expanded with the new funding. Release. Hat tip to HISTalk

London-based Zedsen raised $12 million (£8.7 million) in a Series B which apparently is its first reported financing. Also joining them is Dr. Caroline Hargrove CBE, former CTO of Babylon Health, as Chief Technology Officer. Zedsen provides non-invasive skin biosensor-based monitoring of human body functions to create personalized insights about health, fitness, diet, and emotional wellbeing. The investors include: Joseph R. Grano, former Chairman and CEO of UBS Financial Services Inc; Nasser Kazeminy, Investor, Founder of NJK Holding and Chairman of the Ellis Island Honor Society (EIHS); Tony Rice, Former CEO of Cable and Wireless; Bonnie Mcalveen Hunter, Chairperson of the Red Cross; and Jim Harpel, Investor at Palm Beach Capital. Release, Mobihealthnews

Health payer Anthem is constructing an interesting partnership with a physician-targeted EMR, Canvas. Canvas will integrate Anthem member information into their EMR workflows as part of Canvas Payer SDK (software development kit). The company is leveraging this function as in primary care, usually health insurance claims data are a reliable source of patient data. They also gained a brand new Series A of $17 million funded by Inspired Capital and IA Ventures after seed and venture rounds. Becker’s Health IT, TechCrunch 

And Down Under, Tanarra Capital acquired a majority stake in Health Metrics, a software provider that supports Australia’s residential aged care, retirement living, community, and disability sectors.

Short Takes 20 Nov: Doro Eliza social alarm in UK, R2G diabetes market study, KOMPAÏ Robotics update, Bluestream Health integrates LanguageLine translation, and Optum’s 18

Why does this whole year feel like we are Pauline in Peril, all tied-up, with an Evil Man menacing us while the Train barrels down the tracks? Nonetheless, there are bites of news to be consumed, even though this year’s Thanksgiving in the US will be at best a muted one, and the Grinch may be stealing Christmas.

Doro remains ‘on a tear’ with new product introductions for the UK. The Doro Eliza (right) is a 4G/digital IP compatible social alarm/”smartcare” hub, with a modern design that connects to telecare accessories. The modern design has HD audio on the speaker for personal alarms, and also connects to smoke detectors, fall sensors, security cameras, and pill dispensers. Already introduced in Europe, its timing is part of the transition from analogue to digital telecare for 1.7 million UK telecare users as telecom moves to full digital by 2025. Release.

If your business is in diabetes care and the apps that assist them, Research2Guidance’s study and forecast, “The Global Digital Diabetes Care Market 2020: Going Beyond Diabetes Management” will be of interest. The 91-page report covers a global picture of growth from 2008 projecting out to 2024, as well as digital solutions, their segmentation, and competition. For instance, from 2019 to 2024, the number of diagnosed diabetics with access to smart devices is set to increase from 109 million to 180 million. It includes profiles of 10 countries. Priced from €3,290, so it will set you back a bit. More information here

We missed updating you on KOMPAÏ Robotics, which Editor Emeritus Steve Hards first covered in 2011. Their latest developments were earlier this year as their assistance/companion robot finally debuted for sale–right in the middle of the pandemic. This Pulse article recounts the road for CEO Vincent Dupourqué from 1975 to the third version of KOMPAÏ.

LanguageLine, which is a long-time provider of language translation services live to in-patient and acute care settings, announced an integration with Bluestream Health’s virtual visits. With a single click, a Bluestream user can access audio and video interpretation in 240 languages and over 13,000 interpreters. LanguageLine also assists with deaf and hard-of-hearing users. Bluestream provides whitelabeled telehealth services to approximately 50,000 providers. LanguageLine has headquarters in California, with offices in Taiwan and London.  Release

And finally, Optum’s 18. Optum Ventures, the funding arm of UnitedHealth Group’s Optum, has invested in a large number of healthcare ventures this year, nearly all with a health tech or AI spin. It’s neatly distributed internationally and between Series A through C, with UK companies like Oxford VR (VR used for therapies, no connection to Oxford Medical Simulations) as part of a $12.5 million Series A, Germany’s Kaia Health with a $26 million Series B tranche, and US companies like LetsGetChecked as part of a $71 million Series C. Not quite Ocean’s 11, but Optum’s bet a lot more than Danny Ocean got from those casinos in 1960. Becker’s Health IT.

UK highlights: Doro acquires Connexus Careline, Tunstall warns on winter isolation and disconnected care, Buddi seeks Sales Account Manager

Doro continues its acquisition streak in the UK, acquiring the assets of Connexus Careline from Connexus Housing Group. Connexus currently provides services to local authorities, housing associations, the private sector, and charities, with about 25,000 telecare connections in the UK. Terms and timing were not disclosed. Based on the August count, this brings Doro in at over 250,000 UK connections. Doro’s acquisitions have been ElderCare UK [TTA 11 Aug], Invicta Telecare, parent of Centra Pulse and Connect [TTA 19 Sept 19], and Welbeing [7 June 18], Press release (PDF).

So many open questions… What are their future plans for integrating all these individual systems and different technologies? What will Doro UK represent in the market, now that they are second in the UK?

Tunstall Healthcare UK is also reminding local governments, health and social care leaders that winter is approaching, and now is the time to set up remote patient monitoring to connect to care the most vulnerable in cold weather, a factor magnified by their isolation during the continuing pandemic. Tunstall features several solutions in RPM which are mentioned in the release.

Editor’s note: this type of seasonal release was a staple for QuietCare when I was in marketing for our activity/temperature monitoring of those living at home alone. We also included a proprietary study made during winter (and later summer) among our client base. 1) It’s surprising that more RPM and telecare companies don’t take this approach, especially now, but 2) Tunstall could have made an even greater case for itself with some quantitative research stats.

Buddi is seeking a Sales Account Manager position to join their Health Sales Team based in the southern half of England. The particulars are here (PDF) including application and contact information. Thank you Fiona Carmichael of Buddi for reaching out to us! (If you have a position to fill, our listings are complementary.)

Doro AB acquires Eldercare (UK) Limited, creating #2 in telecare

Healthcare acquisitions are not bypassing the UK and Europe. Today (11 Aug), Sweden’s Doro announced its acquisition of Eldercare (UK) Limited of Lancashire. Terms were announced as cash approximately UK £2.2 million on cash and debt free basis. It is effective immediately and Eldercare’s revenue will be consolidated into Doro’s from 11 August.

Eldercare adds 50,000 connections to the Doro portfolio, bringing them into second place in UK telecare with over 230,000 connections. Doro’s earlier UK acquisitions were in 2019, Invicta Telecare, parent of Centra Pulse and Connect, from Clarion Housing in the southeast [TTA 19 Sept 19] and in 2018, Welbeing in Eastbourne [7 June 18].

Doro’s CEO notes that Eldercare adds to their position in the North of England, important as telecare is a localized and council-focused business in the UK. With over 100 employees, Eldercare is also a Care Quality Commission (CQC) registered business and provides domiciliary care services. Eldercare’s CEO Chris Hopkinson is quoted in the release: “When we decided the time was right to step-change the development of our telecare services, we knew we needed an excellent partner. We chose Doro because we were impressed by their record of providing quality products and experience of delivering digital telecare solutions. They have shown their commitment to continue to improve and innovate the services we offer to our customers, as well as facilitating the transition to digital telecare in the UK.” 

Eldercare’s last independent financial report was for the financial year 2018/19, with revenue of UK £4.6 million (approximately SEK 52 million). 

Doro in many of its countries is best known for senior-friendly, easy to use wireless, mobile, and smart phones with add ons such as PERS apps. Eldercare, Invicta, and Welbeing are part of Doro Care, which markets social alarms and other home devices for the safety of older adults such as chair and epilepsy sensors. Hat tip to one of our faithful Readers.

Doro AB acquires Invicta Telecare from Clarion Housing, increasing to nearly 200,000 users (UK)

While this Editor was on holiday, Sweden’s Doro AB increased its presence in the UK with the acquisition of Invicta Telecare, parent of Centra Pulse and Connect. Invicta’s products will join the Welbeing PERS service. which at the time of their acquisition last June had about 75-80,000 users [TTA 7 June 18].

Invicta was sold by Clarion Housing Group, the UK’s largest social housing association, which includes a property development company and a charitable foundation. Invicta’s 2018 revenue was £6.3 million. Like Welbeing, Centra Pulse offers basic and mobile PERS, but also has multi-sensor in-home connected home capability. It is also one of the top three UK monitoring services and is a major provider of after-hours contact services for telecare providers, such as housing associations and local authorities. The sale was effective on 1 September.

The UK remains the largest telecare market in the European region with an estimated 1.8 million telecare connections. It faces a transition to digital from analog systems which affects social care spending and residential service capabilities. Doro operates in the UK and about 40 countries, with a core business in mobile phones specially designed for older adults. Doro announcement, press release

International acquisition roundup: Doro and Welbeing; Teladoc and Advance Medical

Two international telecare/telehealth/telemedicine M&A deals made the news this last week.

Sweden’s Doro AB acquired Welbeing, headquartered in Eastbourne UK. Welbeing (formally Wealden and Eastbourne Lifeline) is a telecare provider of home-based personal alarms which supports about 75,000 residents in local systems. Their revenue in last fiscal year (ending 9/17) was £7.6 million (SEK 90m). Doro operates in the UK and about 40 countries, with a core business in mobile phones specially designed for older adults. Their Doro Care solutions provide digital telecare and social services for older adults and the disabled in the home. Doro is paying SEK 130 million (£11.1 million) for the acquisition of Welbeing, equal to eight times estimated EBITDA for the financial year 2017/2018, with 85 percent cash and 15 percent in Doro shares with a bonus based on financial performance. Release 

Making a few headlines in the US is telemedicine leader Teladoc’s purchase of Barcelona’s Advance Medical for a hefty $352 million, giving Teladoc a major international footprint especially valuable for its corporate clients and major payers. Advance Medical provides complete telemedicine services in 125 countries in over 20 languages. Even more valuable is their knowledge of local healthcare delivery systems, global expert medical opinion, and chronic care. The acquisition also gives Teladoc an international network of offices and a significant entreé with international health insurance companies. Mobihealthnews, Seeking Alpha (Teladoc investor slideshow)

GreatCall’s acquisition: a big vote for older adult-centered healthcare tech

This midweek’s Big News has been the acquisition of the mobile phone/PERS company GreatCall by Chicago private equity firm GTCR. Cost of the acquisition is not disclosed. GTCR stated that they expect to make capital investments to GreatCall to fund future acquisitions and internal growth. GreatCall has over 800,000 subscribers in the US, generates about $250 million in profitable revenue annually, and employs about 1,000 people mainly in the San Diego area and Nevada. According to press sources, senior management led by CEO David Inns will remain in place and run the company independently. 

Our US Readers know of GreatCall’s long-standing (since 2006), bullseye-targeted appeal to older adults who desire a simple mobile flip phone, the Jitterbug, but has moved along with the age group to a simple smartphone with built-in health and safety apps. Along the way, GreatCall also developed and integrated the 5Star mPERS services on those phones, served by their own 24/7 emergency call center and developed an mPERS with fall detection. Their own acquisitions included the remnants of the Lively telecare home monitoring system in 2015 [TTA 5 Dec 15], adding the Lively Wearable mPERS/fitness tracker to their line; and senior community telecare service Healthsense last December. The original Lively home system and safety watch are sold in the UK (website) but apparently not the Jitterbug. In the UK and EU, the Jitterbug line would be competitive with established providers such as Doro.

What’s different here? GTCR is not a flashy, Silicon Valley PE investing in hot, young startups or a traditional senior health investor like Ziegler. Its portfolio is diversified into distinctly non-cocktail-chatter companies in financial services and technology; technology, media and telecommunications (including an outdoor ad company!); and growth businesses. It has real money, investing over $12 billion in 200 companies since 1980, and strategically prefers leadership companies. Their healthcare businesses have primarily been in life sciences, specialty pharma, dermatology, specialty services such as healthcare in correctional institutions, and device sterilization. Recent acquisitions have been San Diego-based XIFIN, a provider of cloud-based software to diagnostic service providers, RevSpring in billing and communications, and data analytics firm Cedar Gate Technologies. It also has partnered with newly formed medical device companies.

GreatCall crosses over into GTCR’s telecommunications sweet spot, but the older adult market and direct-to-consumer sell are different for them. Because it is unique in their portfolio, this Editor believes that GTCR sees ‘gold’ in the ‘silver’ market. Larry Fey, one of their managing directors, cited its growth and also GreatCall’s recent moves into senior communities with their products. GTCR also has expertise in the security alarm monitoring sector, which along with pharma clinical trials can bolster better utilization and broaden the utilization of GreatCall’s call centers.

However, this Editor would caution that the US senior community market has been having difficult times of late with overbuilding, declining occupancy, resident/labor turnover, and rising expenses–as well as recent coverage of security lapses and resident abuse. Telecare systems like Healthsense are major capital expenses, but the flip side is that communities can use technology to improve care, resident safety, and to differentiate themselves. To make the most of their Healthsense acquisition, GreatCall needs to bring innovation to the V1.0 monitoring/safety/care model that Healthsense is in its current state, and make the case for that innovation in cost/financials, usability and reliability. San Diego Union-Tribune, Mobihealthnews

MWC 2015 Part II – a few companies, some of potential interest

The Mobile World Congress in Barcelona does, as the name suggests, cover the whole mobile world. It can come as a disappointment then to find quite how insignificant Health is when compared to items like hardware, payment or even ‘4G backhaul’ (whatever that is). There certainly now seems to be a case for a sparate health stream, as finding the pearls proved very challenging for this reviewer. Relying on the search engine on the site too often revealed a company where too many boxes had been ticked. There was also an alarming number of healthtech ‘no shows’ on the when I reached the country stands of eg Finland, Greece & Italy.

However, there were a few exciting finds. These included:

Coros which are offering incredibly low-priced wearables: washable vests that do HR, respiration, temperature & ECG. If the prices I was quoted by Ethan Wu, Sales Director of a few $10s are good, and the kit works, they’ll be struggling to meet demand.

Dr Security offers an app that enables you to track all the people in your party, call for help, find your mobile device and more. Impressive and I’d have thought most welcome particularly for teachers with school parties or those with really any large outings.

Essence is an Israeli company that has been around for 20 years that offers an activities of daily living (ADL) monitoring service similar to (more…)

Doro opens first store, in Paris

Swedish firm Doro, best known for its easy-to-use mobile phones has announced the opening of its first [grow_thumb image=”https://telecareaware.com/wp-content/uploads/2014/03/Doro-Secure-211.jpg” thumb_width=”150″ /]store. The company, which bought the small French telecare technology provider Birdy Technology in 2011, says that the store, in Paris, will enable them to “get closer to the end user”.

Doro say in their press release that the store will enable them to show the full range of their offerings which are listed as smart devices, mobile phones and telecare solutions. The Birdy Box telecare hub, from their acquisition of Birdy Technology, has now been fully rebranded as Doro Gateway, part of the Doro Care offering. In addition, according to a quote from CEO Jérôme Arnaud, the store will enable Doro to increase its direct sales.

“The store in Paris will be followed by a gradual launch of Doro’s own e-commerce, planned to be introduced in several key markets during 2014” concludes the release, but no information is available as to what Doro plans to offer in the e-commerce arena.

How much longer will ‘mobile’ be different from ‘living’?

The news that the Mobile World Congress in Barcelona last week broke all attendance records is hardly surprising, given the way mobile communications are inserting their way into almost every aspect of life. It does though make one wonder how much longer the MWC can retain it’s broad focus as communications mobility becomes indistinguishable from normal living (and additional accommodation in Catalonia becomes harder to find). Indeed, as mHealth News pointed out last week, mobile comms keeps people living, worldwide

Not all age groups have been able to gain the same level of benefit from mobile comms though, most notably older people. It is therefore great to see (more…)

Doro 2.0 smartphone QSs with Withings (EU)

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2013/09/Doro-Liberto-810.jpg” thumb_width=”100″ /]Doro’s unveiling of their second smartphone, the Doro Liberto 810,  along with its ‘privileged access’ to two Withings devices–the Smart Body Analyzer (weight, body fat, heart rate) and Pulse Smart Activity Tracker–continues their moves into older adult-appealing mobile telecare/telehealth offerings, as tracked by founding Editor Steve since at least 2009.  Doro’s assertive move into Quantified Selfing as part of what they call ‘the world’s most liberating smartphone’, is more fully featured and was predicted by David Doherty earlier this year [TTA 25 Feb]. It is also not Doro’s first big alliance; late last year, Bosch Healthcare announced that Doro would be the mobile platform for telecare offerings in Germany and Sweden [TTA 16 Nov 2012]. Both the release and Mobihealthnews indicate that this offering will roll out to select European markets initially, but the latter states that a similar offering will debut in the US by early 2014. (For US readers, Doro is equivalent to GreatCall’s Jitterbug line) According to Mobile, the Liberto will be available in the UK in October.

Internet training for older people vs works-out-of-the-box mobiles

Echoing last week’s “the world has moved on” post on the WSD, the 3G Doctor (David Doherty) has an excellent opinion piece on how AGE UK should spend the money given to it by Google for making it to the final six in the Global Impact Challenge that supports British non-profits using technology to tackle tough problems.

In discussing Age UK’s current plans to use the money to teach older people about the internet he says: “For the £500,000 AGE UK would spend on training 16,000 seniors they could give away (at retail price!) 10,000 of the latest designed for senior 3G CameraPhones from Doro. Works straight out of the box. No training required.”

Elsewhere on his site he has an interesting take too on the reasons behind O2’s announcement last week.

Doro launches mobile telecare phone (EU)

Doro has revealed its latest handset – the Doro Secure 681.” According to an item in Mobile Magazine, the phone will launch in the second quarter of this year and is “aimed at people who currently rely on the support of a fixed-line telecare services, allowing them greater mobility outside the home.” The 681 is said to be the first mobile phone to feature an embedded ‘class one’ telecare radio receiver that is compatible with Doro’s wearable wrist, neck and fall sensors. Alerts can be sent to monitoring services via the internet or SMS. To this editor, if the photo in the above item is to be believed, the clamshell design and screen/keyboard layout is going to be too complicated for many people in the target market. It also looks like big-boy Doro has been learning a few lessons about the need to check and report battery charge levels automatically from UK small-guy Carephone. However Doro will have the advantage of being part of Bosch’s offering to the public. It will be interesting to see which gets traction with the public first, the Doro/Bosch combination or O2’s Health at Hand.