By OPEN MINDS Circle
GuideWell and Highmark Ventures led a $35 million funding round for kidney health leader Healthmap Solutions (Healthmap), a leading National Committee for Quality Assurance (NCQA)-accredited kidney population health management company. Previous investors Windrose, DCHP, Shulman Ventures, and management also participated.
GuideWell is the parent of Florida Blue and Triple-S Management, the Blue Cross Blue Shield plans of Florida and Puerto Rico, while Highmark and its Blue-branded affiliates cover members in Pennsylvania, Delaware, West Virginia, and New York. This investment from two prominent Blue affiliated plans casts a spotlight on a growing public health imperative, to more effectively identify and care for the 40 million people living with kidney disease in the U.S.
Healthmap will use the additional investment to fuel what has been explosive growth over the past couple of years, going from 60 employees in the summer of 2020 to over 500 by the end of this year. By then, Healthmap will have more than an estimated 150,000 members under contract across Commercial, Medicare and Medicaid lines of business. Healthmap will also continue to fund research and development (R&D) initiatives that provide innovative solutions to improve chronic kidney disease (CKD).
Healthmap Solutions is an NCQA accredited kidney population health management company serving health plans, health systems, accountable care organizations (ACOs), and provider groups seeking a value-based solution to improve the lives of millions of Americans living with kidney disease. Using its advanced technology, predictive analytics, and clinical expertise Healthmap detects kidney disease early and recommends clinically proven interventions to delay or slow disease progression. Healthmap’s Care Navigation team works with patients and a full spectrum of provider organizations (primary care, nephrologists, cardiologists, endocrinologists, and dialysis providers), to deliver personalized whole-person care. Healthmap’s approach is to proactively plan care transitions, and optimize renal replacement therapy, with a focus on in-home dialysis treatment and transplant. This approach results in improved care, outcomes, and experience for the person living with kidney disease, while lowering total medical costs for health plans and provider groups.
GuideWell Mutual Holding Corporation (GuideWell) is a not-for-profit mutual holding company and the parent to a family of forward-thinking companies focused on transforming health care. The GuideWell organization includes Florida Blue, the leading health insurance company in Florida; Triple-S Management, a leading health care services company in Puerto Rico; GuideWell Health, a portfolio of clinical delivery organizations; GuideWell Venture Group, a portfolio of companies including Onlife Health and PopHealthCare focused on creating human-first and innovative health solutions for health plans; GuideWell Source, a provider of administrative services to state and federal health care programs; and WebTPA, a market leading administrator of self-funded employer health plans. In total, GuideWell and its affiliated companies serve more than 46 million people in 45 states, Puerto Rico, and the U.S. Virgin Islands.
Highmark Health, a Pittsburgh, Pennsylvania-based enterprise that employs more than 37,000 people who serve millions of Americans across the country, is the parent company of Highmark Inc., Allegheny Health Network, and HM Health Solutions. Highmark Inc. and its subsidiaries and affiliates provide health insurance to approximately 6.8 million members in Pennsylvania, West Virginia, Delaware, and New York as well as dental insurance, and related health products through a national network of diversified businesses. Allegheny Health Network is an integrated delivery network comprised of 14 hospitals, more than 2,500 affiliated physicians, ambulatory surgery centers, an employed physician organization, home and community-based health services, a research institute, a group purchasing organization, and health and wellness pavilions in western Pennsylvania. Highmark Health Solutions is focused on meeting the information technology platform and other business needs of the Highmark Health enterprise as well as unaffiliated health insurance plans by providing proven business processes, expert knowledge, and integrated cloud-based platforms.
Contact information: Chris Cooney, President, The Wilmark Group, 138 MacFarlane Drive, Delray Beach, Florida 33483-6804; 407-921-6932; Email: chris@wilmarkgroup.com; Website: https://www.wilmarkgroup.com/