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Solera Health

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Overview

Solera Health is a healthcare company specializing in connecting individuals, particularly those with chronic conditions, to a network of community and digital health solutions. This comprehensive overview highlights key aspects of the company:

Business Model and Platform

Solera Health operates on a unique model that integrates a network of community-based programs and digital health tools. The platform uses data-driven algorithms to match individuals with vetted, evidence-based programs tailored to their specific needs, preferences, and health goals.

Services and Solutions

  • Community Health Solutions: Partnerships with local organizations to offer a wide range of health programs, including nutrition, fitness, mental health, and chronic disease management.
  • Digital Health Tools: Access to mobile apps, online coaching services, and virtual support groups.
  • Personalized Support: Assistance in finding resources that best fit users' goals and lifestyles.

Target Customers and Market Footprint

  • Primary customers: Health plans and employers, including Blue Shield of California, Anthem Blue Cross Blue Shield, and Blue Cross Blue Shield of Kansas City.
  • Market reach: Network spans over 11,000 local programs, covering more than 40 million lives across 50 states, with over 15 enterprise customers.

Partnerships and Collaborations

Solera Health collaborates with partners such as FitBit, Blue Cross Blue Shield Institute, and US Preventive Medicine to expand its network and enhance offerings.

Revenue Generation and Pricing Model

The company uses an outcomes-based billing model with performance-based contracts tied to specific health outcomes. Payments are made through medical claims or value-based invoice payments.

Key Features and Benefits

  • Data-Driven Matching: Advanced algorithms match individuals with appropriate health programs.
  • Centralized Hub: A single platform for accessing various health and wellness resources.
  • Improved Health Outcomes: Reported improvements in healthier food choices, weight loss, and increased physical activity among participants.

Leadership and Funding

  • Founded in 2015 and headquartered in Phoenix, AZ.
  • Leadership team includes Brenda Schmidt (CEO & Founder), Ian Gordon (President & COO), Sandeep Wadhwa, MD (Chief Health Officer & SVP, Market Innovation), and Rick Smith (CFO).
  • Received $72.3 million in funding from investors such as Blue Cross Blue Shield Ventures/Sandbox Industries, Adams Street Partners, and HCSC Ventures. Solera Health aims to make healthcare more accessible, affordable, and effective by connecting individuals with diverse health solutions, thereby improving outcomes and reducing healthcare costs.

Leadership Team

Solera Health's leadership team has undergone recent changes and additions, reflecting the company's growth and evolving strategy. Here's an updated overview of the leadership structure:

CEO Transition

As of February 2024, Mary Langowski has transitioned from Chief Executive Officer to Chairman of the Board. An interim CEO is expected to be named shortly.

Key Leadership Roles

  1. Mary Langowski - Chairman of the Board
    • Previously served as CEO
    • Continues to influence company direction in new role
  2. Andy Dow - Vice President of Medicare
    • Nearly 20 years of business development and strategy experience
    • Previous roles at Centene Corporation and Cambia Health Solutions
  3. Lina Gallardo - Senior Director of Network Development and Partnerships
    • Over 20 years of experience in product and marketing management
    • Previous roles at Express Scripts, Blue Cross Blue Shield of Minnesota, and United Healthcare
  4. Ben Henderson - Vice President of Engineering
    • More than 30 years of software engineering experience
    • Previously with Relatient and naviHealth
  5. Ed Liebowitz - Chief Product Officer and Senior Vice President of Operational Excellence
    • Joined in December 2020
    • Experience from HealthReveal, Becton Dickinson, and Everyday Health
  6. Jonathan Fox - Chief Revenue Officer
    • Joined in December 2020
    • Background from the Marwood Group and US Imaging

Company Focus

Solera Health remains committed to connecting people to health solutions through its platform, offering curated networks of digital and community point solutions. The company emphasizes delivering evidence-based lifestyle, behavioral, and social interventions to impact chronic conditions. This leadership structure reflects Solera Health's dedication to innovation in healthcare management and its goal of improving health outcomes through personalized, accessible solutions.

History

Solera Health, founded in 2015, has a history marked by innovation, strategic growth, and a commitment to improving healthcare outcomes. Here's a chronological overview of the company's key milestones:

Founding and Early Years (2015-2016)

  • 2015: Solera Health was formally established with the vision of revolutionizing how health plans and employers connect individuals with community and digital health solutions.
  • 2016:
    • Launched its platform, providing a secure and efficient way for health plans and employers to leverage a network of health solutions.
    • Secured $4 million in Series A1 funding from investors including BlueCross BlueShield Venture Partners, Sandbox Industries, and SJF Ventures.
    • Expanded operations to meet the growing demand for the National Diabetes Prevention Program (DPP) as a covered health benefit.
    • Formed strategic partnerships with healthcare providers, community organizations, and digital health companies such as HealthSlate, Blue Mesa Health, Noom, Inc., Retrofit, Canary Health, and Weight Watchers.

Expansion and Growth (2018-2020)

  • 2018: Expanded its network to include a wider range of community and digital health partners, increasing access to care nationwide.
  • 2020:
    • Continued growth and innovation, partnering with leading healthcare organizations to improve outcomes and reduce costs.
    • Appointed Mary Langowski as the new CEO, bringing experience from her role as Chief Strategy and Corporate Development Officer at CVS Health.

Services and Impact

  • Focused on chronic disease prevention and management, particularly through the Diabetes Prevention Program (DPP).
  • Enrolled over 160,000 participants in DPP programs.
  • Expanded services to include mental health, stress management, and programs for improving strength and balance in seniors.
  • Implemented a revenue model tied to participant engagement and measurable health improvements.

Recognition and Certifications

  • Received numerous awards for its innovative approach to healthcare management.
  • Achieved HITRUST certification, ensuring high standards for protecting and securing sensitive private healthcare information. Throughout its history, Solera Health has consistently worked towards transforming the healthcare landscape by connecting individuals with a network of community and digital health solutions. This approach has improved access to quality care and promoted better health outcomes, positioning Solera Health as a significant player in the digital health industry.

Products & Solutions

Solera Health offers a comprehensive suite of digital health solutions, primarily through its innovative HALO platform. This platform serves as a unified digital front door, integrating various health solutions and revolutionizing virtual healthcare delivery.

HALO Platform

The HALO platform is the cornerstone of Solera's offerings, featuring:

  • Curated Network: A meticulously vetted network of digital health solutions covering eight key condition categories, including Diabetes Management, Weight Management, Hypertension, Mental Health, Women's Health, Tobacco Cessation, Digestive Health, and Musculoskeletal (MSK) health.
  • Flexibility and Customization: The platform allows easy expansion and categorization of digital point solutions, streamlining integration, reporting, and operations.
  • AI-Driven Personalization: Members are guided to the most appropriate programs through a clinical AI-driven questionnaire, ensuring effective health management.
  • Pay-for-Performance Model: Aligns incentives to drive higher engagement, improved clinical outcomes, and reduced total cost of care.

Condition-Specific Solutions

  • GLP-1 Therapies Management: Specialized solution for managing access to high-cost weight loss medications, including personalized plans and cost containment strategies.
  • Cardiometabolic Health: Integrated solutions targeting hypertension, high cholesterol, diabetes prevention, and weight management.

Integration and Operational Support

  • Seamless Integration: The HALO platform integrates with payers' existing operations, providing efficient and cost-effective support for digital health programs.
  • HALO Cloud: An upcoming feature aimed at uniting Solera's network of high-quality, value-based point solutions within the HALO Marketplace, simplifying the integration of numerous digital health applications.

Strategic Partnerships

Solera has formed key collaborations, such as with Aon, enabling employers to deliver personalized health experiences and engage high-risk employees with clinically validated resources. In summary, Solera Health's products and solutions are designed to improve health outcomes, reduce care costs, and streamline digital health management through a unified, clinically validated platform.

Core Technology

At the heart of Solera Health's technological infrastructure lies the HALO (Healthful Actions Linked to Outcomes) platform, a comprehensive digital health management system. Key features and functionalities include:

Omni-Condition Management

The HALO platform addresses high-cost chronic conditions such as obesity, diabetes, musculoskeletal pain, and GI conditions through an integrated, single-interface approach.

Integration and Consolidation

HALO allows payers and employers to manage all Solera and non-Solera point solutions in one interface, simplifying management, enhancing vendor accountability, and driving cost savings.

Personalized Care

Utilizing advanced algorithms, the platform matches patients with tailored care based on their behavioral needs, clinical requirements, and learning styles, ensuring more effective and cost-efficient treatment.

Virtual Specialty Care

Through partnerships with clinical providers like 9am.health, Vori Health, and Oshi Health, Solera has expanded its platform to include virtual specialty care, coordinating with primary or in-person care when necessary.

Value-Based Care Model

The platform operates on value-based contracts, aligning care delivery with billing models that focus on holistic health management rather than fee-for-service procedures.

Unified Digital Front Door

HALO serves as a unified entry point for payers and employers, integrating their digital health solutions alongside Solera's curated network of digital providers, reducing implementation time and costs.

Data Transparency and Accountability

A consolidated reporting dashboard allows for quick assessment of program effectiveness, promoting transparency and informed decision-making. In essence, Solera Health's HALO platform is engineered to streamline digital healthcare delivery, reduce costs, and improve health outcomes through a value-based, integrated, and personalized approach.

Industry Peers

Solera Health operates in the competitive digital health and chronic disease management sector. Key competitors and industry peers include:

Omada Health

A digital health company focusing on chronic disease prevention and management, offering digital programs and tools to improve health outcomes.

Welltok

A health optimization platform connecting consumers with personalized health and wellbeing resources, providing solutions for health plans, employers, and healthcare providers.

Livongo

Specializes in managing chronic conditions such as diabetes and hypertension through connected devices and personalized coaching.

Fitbit Health Solutions

Offers health and wellness programs for employers and health plans, leveraging Fitbit's wearable devices and data analytics to improve health outcomes.

Lyra Health

Develops a behavioral health care platform, providing mental health services and support, aligning with some of Solera Health's offerings.

Health BI, Centauri Health Solutions, and Orion Health

These companies focus on healthcare data services and information technology solutions, competing with Solera in various aspects of digital health management.

eMindful

Provides healthcare solutions with a particular focus on mindfulness and behavioral health programs.

Sharecare

Operates in the broader health solutions sector, offering digital health management services. These companies compete with Solera Health in various aspects of the health solutions market, including chronic disease management, digital health programs, and personalized health and wellbeing resources. The competitive landscape underscores the growing importance and dynamism of the digital health sector, with each company bringing unique strengths and specializations to the market.

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