WellBe Senior Medical – an in-home value-based care provider to the Medicare Advantage population – recently announced an investment from CVS Health Ventures (the corporate venture capital arm of CVS Health). This strategic partnership and investment will accelerate WellBe’s national expansion.
WellBe currently operates in seven states, has over 107,000 Medicare Advantage members and over $2 billion in premiums under management, and is the fastest-growing independent provider of value-based care in the home for Medicare Advantage. The company’s rapid growth underscores a major need for better solutions and investment in senior healthcare.
WellBe’s prescribing providers bring specialized geriatric care into the patient’s home. And many of the services available from a typical physician clinic are now delivered to the home, proactively managing care for the sickest and most complex Medicare Advantage patients.
WellBe partners with Medicare Advantage health plans via global capitated risk arrangements to manage the 10% to 15% of members with very high and rising medical loss ratios. And this enables WellBe to guarantee savings up front to the health plan and take on the risk of managing this costly population.
By delivering proactive medical care at home, available to patients 24/7/365, WellBe’s model helps avoid unnecessary hospitalizations, reducing total medical cost while improving overall patient satisfaction. Plus, WellBe improves HEDIS measures leading to an increase in Star Ratings from a low of 2.5 to a high of 4.5.
WellBe was cofounded by Chicago Pacific Founders (CPF) and provided the funding to grow WellBe to this point. And CPF invests in founder-led healthcare services companies and helps drive healthcare services innovation forward.
KEY QUOTES:
“CVS Health Ventures is committed to helping provide seamless access to quality health care, especially for vulnerable populations like seniors. WellBe’s innovative approach to in-home medical care aligns with our vision of redefining the way health care is delivered in a multi-payor, patient-centric manner. Our collaboration with WellBe will support their mission to empower seniors to live healthier, happier lives in their homes.”
— Vijay Patel, Managing Partner of CVS Health Ventures
“WellBe has proven its ability to significantly improve the quality and health outcomes for the sickest and most frail in our communities. We are passionate about WellBe’s commitment to providing the level of care we want for our family members and loved ones. The patient outcomes speak profoundly of the company.”
— Mary Tolan, Founder and Managing Partner of CPF
“All of us have had an elderly friend or family member whose health increased in complexity with age, limiting every aspect of their life. This makes traditional office-based care inconvenient, unresponsive, and often unavailable when it’s needed. Instead of trying to bring these frail patients to the care, the solution is to bring the care to the patient, in the comfort of their own home. We’ve found that WellBe can provide more than 90 percent of what occurs in a primary care doctor’s office conveniently at home. Access to WellBe’s in-home geriatric care should be available to everyone, which is why we’re passionate about partnering with payors nationwide, removing yet another barrier to care for patients. This collaboration with CVS Health Ventures fuels our mission to share our proven care model with more payors, more communities, and more patients.”
— Dr. Jeffrey Kang, Founder and CEO of WellBe Senior Medical
