TTA’s wintry roundup: UHG’s stock crash, buys/funding Sword Health, OpenEvidence, more; AI studies indicate caution, dodgy eMed, SVB’s 2025 healthcare investment roundup, Done Global convictions, more!

29 January 2026   Happy New Year!

 

Editor Donna is (mostly) back and here’s a roundup of our articles over the past couple of weeks. News, including the Big Crash of UnitedHealth Group. Some big buys kicking off 2026. A couple of major analyses of AI studies and 2025 healthtech investment. Must Reads too!

Please feel free to comment and pass along. Let me know if this is worth it to you!

Chutes & Ladders: UnitedHealth’s disastrous day and industry portents; Sword Health buys Kaia for $285M and gains German entry, $250M Series D for OpenEvidence, Pomelo’s $92M Series C, NOCD buys Rebound Health

One-two punch: AI moves hard into clinical healthcare and consumer medical with OpenAI/ChatGPT and Claude for Healthcare debuts

AI failing–at present–to lower costs, grow revenue, improve efficiencies. Yet it’s full speed ahead: Deloitte, PwC surveys

Short takes: Owlet’s baby sleep survey, MediBioSense’s Infinity Watch, telehealth extensions move to Senate, EBG’s telemental laws app ’26 update, Done Global indicted with principals convicted

This week’s Must Read: a deep dive on football’s Tom Brady’s involvement with GLP-1 e-Rx eMed

2025 healthcare investment off 12% versus 2024, with AI nearly half: Silicon Valley Bank roundup (updated for Scheffel interview))

From our last Alert: Congratulations to James Batchelor MBE (Well Deserved!)

And a read with even more relevance now: Should free-falling UnitedHealth Group be broken up? Or break itself up to survive, before it becomes another GE? (updated) (See Chutes & Ladders above)

And on a personal note, the 40th anniversary of the Challenger explosion was yesterday. A short and personal remembrance on where I was and what I was doing that day is published here

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Telehealth & Telecare Aware – covering news on latest developments in telecare, telehealth and eHealth, worldwide.

 

2025 healthcare investment off 12% versus 2024, with AI nearly half: Silicon Valley Bank roundup (updated for Scheffel interview))

Silicon Valley Bank (SVB), now part of First Citizens Bank, is back with a roundup of the prior year in healthcare investment in the US and EU. 2025 was a year of contractions and skewed investments, what they called “barbells, bookends, and have-nots”, with fewer investors hotly chasing profitability and monetization. 

SVB broke ‘healthcare’ into four sectors: Biopharma, Healthtech, Dx (diagnostics)/Tools, and Device. This Editor’s analysis will concentrate on an overall look plus a deeper dive into Healthtech. SVB also broke out an area cutting across all four, emerging from side conversations into the spotlight. It’s an area where many of us have been laboring in for years–Longevity and Healthspan. (Surprise, surprise!)

Highlights:

  • 2025 total healthcare investment in US and EU totaled $46.8 billion, down 12% versus 2024’s $53.2 billion. European investment remained flat. 2025 still exceeded the dreary days of 2023 that dipped sharply to $41.6 billion. (page 12) Yet adjusting for inflation between the two years, 2025 fell below 2023, which would be today $48 billion (Bureau of Labor Statistics using the Consumer Price Index). 
  • Deal numbers fell 7% in 2025 to an estimated 2,517, versus 2024’s 2,704.
  • AI investments across all four sectors was $22 billion–46%. (pages 2, 5)
  • After Biopharma, Healthtech investments stayed relatively strong as the second largest category, growing from 2024’s $13.2 billion to $13.9 billion. (Note: SVB tracks only investment deals above $2 million)
  • Investments resembled a canyon–plenty in Series A, cratering for Series B and Cs (the have-nots), rising for mega-deals around AI, redefined from the traditional $100 million+ to $300 million+. The higher definition reflects the big capital investments required for AI companies. The report calls it a ‘barbell’ shape–and the plates at both ends are heavy.
  • There are fewer deals as investors seek companies with nearer-term scalability, strong fundamentals, defensibility, and strength of execution. Topping it–less money is available for investment from fewer VCs.
  • Healthtech dominated AI unicorns with valuations above $1 billion: Abridge, OpenEvidence, Innovaccer, and Cera. (page 11)
  • Healthtech saw only seven private M&As and three IPOs (Hinge Health and Omada in the US, 66nao Brain Training in China), versus 2024’s 14 and two respectively. (page 24)
  • Healthtech investments fell off in H2 from a decent pace in H1. Both Series A and later stage companies had generous rounds, though getting there is harder than ever. Page 15 presents a roundup of both the Series A and later stage deals.
  • Investor money raised fell to a decade low–$7 billion versus 2024’s $23 billion. Yet many name investors such as Venrock and General Catalyst closed $100 million healthcare funds, continuing the concentration on money following scale, fundamentals, and monetization versus story and potential. (page 7) 

A ‘must read’ is SVB’s discussion of the Longevity and Healthspan sector on pages 18-21. Finally, finally, the market is seeing the huge need and potential of therapies treating age-related conditions from ability to disease, growing 2.3x in 2025. The sector further concentrates into three areas:

  • Geroscience: R&D into the biology of aging to reverse or mitigate changes. Companies: NewLimit, Altos, Cambrian, Rubedo, Aspen Neuroscience
  • Consumer Healthspan: products for users that analyze everyday behaviors to stay healthy longer. Companies: Function, Viome, Oura, Whoop
  • Intrinsic Capacity Healthtech: apps and tools extending functional everyday abilities. Companies: Neuralink, Sword Health, Hinge Health, Science

Based on early indications of investments and deals, 2026 looks brighter, but still continuing AI and consolidation.

A preview of the report is available with registration here

Updated 20 Jan: Mobihealthnews interviewed Megan Scheffel, who heads up their healthcare and life sciences practice, outside of JPM last week. She reviewed some of the study findings, such as the ‘barbell’ shape of investment (above). M&As are also reviving, looking “pretty” on the mega/later stage side, but on the smaller side perhaps not the “fantastic outcome” founders and investors wanted, but allowing the technology or founders to live to fight another day. This Q&A was telling:

MHN: Do you see any companies eating up other companies just to bury them?

Scheffel: I don’t know if I would say they’re burying them. I keep saying, like, there’s clearance racks.

For companies, SVB operates on two sides: banking and debt. A strategy, according to Ms. Scheffel, that hasn’t changed since before their near-death experience in 2023. She should know as with them for “a gazillion years” prior to that bad time. “We still really want to help companies, even if they’re not raising $300 million rounds every six months. We still are trying to help find ways to support them and support their causes.”

Her advice to companies to succeed: have good management teams and ideas with a “moat”–innovation, IP, and advantages. For investors, the downturns clear out the dead wood (as this Editor predicted after the 2022-3 shocks). To her, times like now are when good investors can make money from better companies.

 

A selection of short digital health items of potential interest

Editor Charles has taken time off recently from assessing mHealth apps to give us a selection of short news items and event notifications.

CE and FDA certification

This editor recently stumbled over the first list he’s ever seen of approved digital health medical devices. As of today there are some 151 products on there which is hugely impressive. One of the reasons for the relatively poor showing of CE certifications on the list is that there is no official list yet: latest forecasts for Eudamed, which will provide this, are Spring 2020 amid much uncertainty about whether enough Notified Bodies will be approved to certify to the MDR in time. Immediately spotted as a CE certification missing is Walk with Path’s Path Finder device for helping people with Parkinson’s to avoid a freezing of their gait (though CE certification is well hidden on their website) and doubtless there are others. Clearly the list points up potential benefits were it ever possible to harmonise the approval process across the Pond.

Longevity 

The first Longevity Leaders event took place on Monday, perhaps the first large event in the UK on that topic. Based on the enthusiasm of attendees, clearly it won’t be the last. Doubtless in due course it will fragment into a myriad of specialist topics though currently it is a fascinating combination of almost every medical/pharmaceutical and digital discipline, plus housing and a range of other considerations. Timescales varied widely too – for example I talked about the immediate benefits of digital health including keeping people in their own homes, thus minimising sarcopenia from being confined to a hospital bed and avoiding exacerbating dementia by a change of environment, whereas others spoke of how best to make DNA immortal and whether the first person destined to live to 1000 had already been born.

Clinical  Homecare

From the sublime (last item) to the The National Clinical Homecare Association‘s conference on 31st January, where this Editor also spoke on how digital health could help people to be treated in their own homes. Notable was the absence of any Twitter handle for the Association, no hashtag for the conference and just two people it seemed out of 250 using social media. Clearly there are huge opportunities here for digital health suppliers, particularly as so much of what was said by other speakers, and what was being shown in the exhibition was very much manually-intensive stuff: join the NCHA and start a revolution in clinical homecare! 

Recent developments in AI

Since this editor stopped active involvement in conference organisation for the Royal Society of Medicine it is encouraging to see that the younger generation has picked up the baton and is running even harder, such that the above event, on 26th February, has proved so popular that it has been moved to the largest (300 seater) lecture theatre at the Society, and on current sign-up rate will sell out.  Speakers from Babylon, Ada Health, DeepMind, Kheiron Medical, BenevolentAI, UCL Life Sciences & Alan Turing AI partnership, and many more will ensure that delegates gain a comprehensive understanding of how AI is being used across healthcare. Book here to experience the delights of the new RSM all-new website which makes signing up for an event so much easier than in the past. Fear not though: the RSM’s legendary low ticket costs are maintained!

Wayra and Novartis

A most exciting event this week was the announcement of the joint Wayra and Novartis health call now looking for their next cohort of remarkable start-ups to join their new programme called The Health Hub. This is built together with their new partner Novartis, one of the leading pharma companies. Their focus is on how healthtech can be used drastically to innovate long-term disease management. Apply here, by February 17th. Hat tip to Professor Mike Short for this item and other observations in this post .

Rewired Pitchfest

Early health tech entrepreneurs should consider taking part in the Rewired Pitchfest at the Digital Health Rewired Conference and Exhibition, Olympia London on 26 March. Sponsored by Silver Buck, this provides the opportunity for early stage digital health start-ups to showcase their disruptive ideas and prototypes to NHS IT leaders. Applicants will compete before a judging panel featuring investors and successful start-up founders. It’s a great way to gain significant exposure and make connections with a diverse range of UK digital health leaders…and the winner will be announced, and congratulated, by Matt Hancock himself! There is also the chance of winning a mentoring programme with the experts on the judging panel and PR features in Digital Health News. (Disclosure: this editor is on the Programme Committee of Rewired, as well as being a Pitch judge)

Punning headlines

It’s rare that a single item is worthy of its own paragraph on TTA these days however an exception must surely be made for one of the few punning headlines to be found in digital health, especially as it’s for such an old – and until now undelivered – idea: “Smart toilet seat is flush with possibilities to monitor patients’ health”

The weekend charmer: fitness tips from a 105 year-old practicing doctor

How do you get to a very advanced age and still be active in your work, if you’re not the Duke of Edinburgh with a staff (and a younger working wife)? Especially when your 105 years have included being a soldier in WWII and a stint as a Japanese POW? Dr Bill Frankland credits his one hour of daily exercise for his longevity and sharpness, especially repeatedly rising from a sitting position. We also note that he wears a PERS wristlet–just in case. Is someone studying his genome? Learn his secrets in the video from BBC Today.

Eye feels the pain of Google’s Brin and Page

[grow_thumb image=”https://telecareaware.com/wp-content/uploads/2013/02/gimlet-eye.jpg” thumb_width=”150″ /] Oh, the discomfort that Sergey and Larry must be feeling being grilled interviewed by “billionaire venture capitalist Vinod Khosla” (grudgingly respected in TTA 30 May) at one of his eponymous Summits. Here they are with Google Glass in all sorts of adaptations from Parkinson’s to gait improvement to surgery [see multiple TTA articles here], a ‘moonshot on aging and longevity’ dubbed Calico [TTA 19 Sept 13] and even a contact lens to measure blood glucose in tears [TTA 17 Jan]. All good stuff with Big Change potential. Instead they whinge on about how the health field is so regulated, and all the cool stuff you could do with the data but for that privacy thingy (those darn EU, UK regulations and in US, HIPAA). Page to Khosla: “I do worry that we regulate ourselves out of some really great possibilities that are certainly on the data-mining end.” Brin to Khosla: “Generally, health is just so heavily regulated. It’s just a painful business to be in. It’s just not necessarily how I want to spend my time.” Gee. Whiz. What is apparent here is a lack of personal respect for us ‘little folks’ privacy and our everyday, humdrum lives.

Advice straight from The Gimlet Eye: My dear boys, you’ll just have to get people’s data with that old-fashioned thing, permission. (And you’d be surprised that many would be happy to give it to you.) Or if it’s all too painful, Sergey can play with his superyacht, latest girlfriend and follow his estranged wife Anne Wojcicki’s 23andme‘s ongoing dealings with the FDA. At least she’s in the arena. Google leaders think health is ‘a painful business to be in’ (SFGate) Mobihealthnews covers their true confessions, with an interesting veer off in the final third of the article to Mr Khosla’s view of Ginger.io’s surprising pilot with Kaiser and then to WellDoc’s Bluestar diabetes therapy app–the only one that is 510(k)Class II and registered as a pharmaceutical product [TTA 10 Jan].  Also interesting re the Googlers’ mindset is a SFGate blog piece on Larry Page’s attitudes towards leisure and work in a Keynes-redux ‘vision of the future‘. < work + > people may= >leisure, but certainly<<<$£€¥ for even the well-educated and managerial!