EmblemHealth

3M members. 80-year legacy. Better care.

New York City, NY, USA

A pharmacy benefit manager (PBM) and integrated pharmacy solutions organization.

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Check out EmblemHealth on @MedStartr Today A pharmacy benefit manager (PBM) and integrated pharmacy solutions organization. #Asthma #HeartDisease #MentalHealthConditions #Diabetes #CoronaryArteryDisease #SubstanceUseDisorder #COPD #HealthcareInfrastructure #MedMo #MedStartrVentures

https://www.medstartr.ai/s/zMLnEG5e2b8

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How We Help

Problem Statement

The problem EmblemHealth addresses is the need for accessible and affordable quality health coverage for individuals, particularly in the New York tristate area, by offering comprehensive insurance plans and integrated care services.

Core Technology

EPIC portal, virtual visit technology, medical technologies database, myEmblemHealth mobile app

Key Differentiators

Nonprofit status, integrated care model (Payvider), community-based approach with Neighborhood Care centers, focus on value-based care, extensive networks, and member support (24/7 Nurse Line, caregiver support, chronic condition management).

Target Customers

Individuals in the New York tristate area

Product Stage

Mature

Company Info

Business Model: B2C, Nonprofit, Payvider
Founded: 2006
Website: www.emblemhealth.com

Disease Areas

Asthma Heart Disease Mental health conditions Diabetes Coronary Artery Disease Substance Use Disorders COPD

Technologies

EPIC PortalVirtual VisitsMedical Technologies DatabaseMobile Applications

Clinical & IP

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Clinical Validation

CMS 4-Star Medicare rating. HEDIS clinical quality measures (diabetes care, colorectal/breast cancer screening). Medicare Health Outcomes Survey (HOS) and CAHPS patient experience metrics. IHI Triple Aim framework implementation across organization.

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MedStartr Engagement Score

The MedStartr Index is a reflection of how the crowds that come to MedStartr everyday to find healthcare innovations reacted. Calculated by our AI agent Fyggy based on algorithms we have been building since 2012 and over 100 different factors, the math is proprietary and complex. Suffice to say, it has been found to be highly correlative with early stage company growth. What you see here is the public version. To learn more or to get deeper access to our predictive data on startup success for your fund or company, click here.

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What do you think of EmblemHealth?

A HUGE part of what early stage companies, and even late stage ones, need and get on MedStartr is honest feedback from actual patients, clinicians, hospital leaders and industry insiders. It is very easy to get tunnel vision as a founder. Please tell the team that runs this company what you think.

Clinical Benefit Potential

The potential for a project to have a large and significant impact on medical care, treatment, or prevention.

Feasibility

The likelihood that this will provide benefit for patients / care givers and that the founders can execute on their vision and plan.

Innovativeness

The distinguishing features, concept, or technology that differentiates the entry compared to others that already exist and are in widespread use.

Fundability

The reviewers' beliefs that the idea is fundable or can make it to sustainability without outside investment.

Scalability

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