• NextHealth Technologies

  Participated · Equity · Aug 2015

  NextHealth Technologies is a cloud-based, HITRUST-certified AI healthcare analytics platform led by CEO Eric Grossman. The platform uses rigorous methodologies and standardized processes to enable health plan customers to identify the most impactable populations and measure which clinical initiatives work best for whom. It integrates data-driven decisions into workflow in near real time and is deployed with expert services to ensure client adoption and success. The company intends to use new funding to accelerate market expansion and deliver product enhancements, leveraging new sources and uses of data to further personalize interactions between healthcare entities and consumers. NextHealth says these efforts aim to drive down healthcare costs and improve health outcomes. The company is based in Denver, CO. NextHealth sells a platform that combines behavioral science and predictive analytics to identify health plan members likely to reduce costs with small lifestyle changes. The system parses membership, demographic, lifestyle, and geospatial data to target individuals and develops case-specific campaigns delivered by phone, email, mail, or even refrigerator magnets. Interventions direct members to lower-cost options such as telemedicine and urgent care; NextHealth reports that 25% of targeted patients accepted nudges and avoided noncritical ER use. The company monitors roughly 2 million members and is working with eight insurance companies, half of which have granted NextHealth marketing power. Commercial terms often include risk-sharing: NextHealth puts about half its fees at risk and some contracts promise to return fees at 2.5x if savings materialize. The company notes its service is classified as an operational expense and therefore counts in the 85% claims bucket that insurers report to regulators, a point that influences insurer adoption. NextHealth Technologies is a Denver, CO–based predictive analytics company led by CEO Eric Grossman. The company provides a platform that integrates predictive analytics, behavioral economics, and multi-channel consumer engagement to predict risk-reduction opportunities and prescribe personalized member-level actions to improve outcomes. Its platform is positioned to help payers and providers identify and act on member-specific health risks. Customers include health plans, accountable care organizations, hospitals, and Medicaid providers. The company raised $1M in financing, indicating early-stage external capital support. Leadership and the product focus suggest a go-to-market aimed at health plans and provider organizations seeking outcome improvements.

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