Issue 012
Welcome back to E&O Wednesdays, the enrollment-focused digital health newsletter from Exits & Outcomes — for paying subscribers only. This every-other-Wednesday issue digs into digital health companies that sell to self-insured employers as well as others that rely on enrollment-based distribution for their digital health programs.
E&O Wednesdays
Was this forwarded to you? Well, we don’t take kindly to strangers around here. (Unless they quickly click this link and become paying subscribers today.)
Amazon still weighing whether to expand its agreement with Crossover Health
As chronicled in E&O’s recent long-form research report, The Crossover Health Report, the fate of the on-site clinic and virtual care provider depends on an upcoming decision by Amazon.
Will Amazon expand on its (massive) pilot of 17 near-site clinics for Amazon employees and work with Crossover to build-out similar clinics for its employees across the country?
This week Amazon made clear it’s still thinking about it.
Here’s how Amazon originally described its agreement with Crossover back in mid-2020:
“Amazon is collaborating with national medical care group Crossover Health to pilot Amazon Neighborhood Health Centers, which are new medical facilities available to Amazon employees and their families. The centers will provide access to quality, convenient care while reducing health care costs for employees and Amazon. The pilot includes 20 Crossover Health branded and operated centers in Dallas/Fort Worth, Texas; Phoenix, Arizona; Louisville, Kentucky; Detroit, Michigan; and San Bernardino/Moreno Valley, California.”
This week, Amazon gave an update. (One interesting detail that I noticed for the first time today was that the pilot was for 20 clinics originally but ended up at 17 instead.) Here’s Amazon’s update that it is “evaluating expansion of the program”:
“Since 2020, in partnership with Crossover Health, Amazon opened 17 neighborhood health centers for employees and their families in the areas around Dallas–Fort Worth, Texas; Detroit, Michigan; Louisville, Kentucky; Phoenix, Arizona; and San Bernardino, California. Centers are located next to where employees live and work to provide affordable, convenient, and high quality health care, and patients report a 90% satisfaction score. Amazon is evaluating expansion of the program so that even more employees can access quality care whenever, and wherever, they need it.”
Sounds promising.
As I noted in The Crossover Health Report, the fully-expanded version of this Amazon-Crossover agreement would be a massive deal for Crossover. My back-of-the-envelope calculation in the report showed that the expanded deal would mean Amazon would account for well over half of the company’s revenue. Plus: Amazon is already rolling out its own, homegrown virtual care provider for its employees — Amazon Care.
Super curious how this one unravels.
F500 Digital Health Stack: eBay
Digital health companies love to boast how many Fortune 500 customers they have. This recurring feature of E&O Wednesdays digs into a different Fortune 500’s digital health stack.
So far, in past Wednesdays issues, I’ve written about the digital health stacks of 11 big companies: Walmart, Activision Blizzard, JP Morgan Chase, The Home Depot, Boeing, 3M, Chevron, BorgWarner, Bank of America, UnitedHealth Group, and Costco.
This week, I dug into eBay, since it is one of Vida Health’s big customers and Vida just raised a whopping $110 million Series D.
And eBay’s digital health stack of benefits for its 13,300 employees is interesting because of the overlap in services it offers. eBay’s PPO health insurance partner, Anthem, as well as its HMO partner Kaiser, have their own mini-stacks of digital health services. Of course, eBay has direct relationships with other companies with similar offerings.
Let’s start with a couple of services only available to eBay employees who choose Kaiser and its HMO plan:
Virtual care through Intermountain Connect Care (white-labeled American Well) or Kaiser’s homegrown My Doctor Online app (both options are no-copay): With Intermountain Connect Care eBay employees can “access a skilled clinician 24/7 via your smartphone, tablet or computer for a wide variety of illnesses” while with Kaiser’s own app they can schedule video visits with Kaiser providers.
myStrength (part of Teladoc) for depression, anxiety, sleep — at no additional cost:
“myStrength is a personalized program offering interactive actitivies and in-the-moment coping tools to help with depression, anxiety, sleep problems, stress, chronic pain and other concerns. Track your emotional wellbeing goals, current emotional states and ongoing life events to improve your awareness and change behaviors.” Site
Calm for stress, anxiety, sleep — at no additional cost:
“The Calm app uses meditation and mindfulness to help you lower stress, reduce anxiety and improve sleep quality. You’ll have access to a new 10-minute Daily Calm meditation every day, guided meditations, Sleep Stories, music for focus and relaxation and more.” Site
For eBay employees on the PPO plans, here’s what the Anthem stack includes: Anthem’s LiveHealth Online (white-labeled American Well) for video visits: This benefit also carries no co-pay.
“Schedule virtual visits with board-certified doctors, including general practitioners, pediatricians, dermatologists, mental health counselors and psychiatrists.”
Catapult Health‘s Virtual CheckUp (Anthem actually let the brand through on this one): This is a new one for me.
“Catapult’s VirtualCheck-up is a convenient and no-cost-to-you alternative to an annual in-person visit. You’ll complete a home kit and connect with a board-certified Nurse Practitioner to review your results. Order and complete your VirtualCheck-up Home Kit, which includes everything you need to measure blood pressure and abdominal circumference and collect a lab sample, and then send it to the lab. In a few days, once your lab work is processed, you’ll schedule a virtual appointment with a Catapult Nurse Practitioner to review your results and work with you to develop a personalized action plan.” Site
Doctor house-calls via Heal (Anthem let Heal’s brand through too):
“Forget the waiting room, and schedule medical house calls through Heal (available in select regions) at no cost if you’re in the PPO and no cost after deductible if you’re in the PPO with HSA. Heal doctors will come to you at your home, office or hotel.” Site
Anthem’s Engage Wellbeing app (white-labeled Castlight Health) for finding in-network doctors:
“Search for in-network doctors… compare doctors by patient ratings and average cost… Get personalized health assistance, including real-time guidance and support to answer questions like: How much should I pay for this test? Should I go to urgent care or the ER? What can I do to eat healthier? and more.”
OK, here’s a look at the direct relationships that eBay has forged to build out its digital health stack for employees: Vida Health for health coaching:
“Work virtually with a coach on your health goals, whether they’re is losing weight, exercising more, decreasing stress or managing a chronic condition. You and your health coach will create a plan that works for your lifestyle. The Vida Health app can even connect with other health apps and personal devices to help track progress.” Site
Grokker on-demand wellness videos: “Join Grokker to bring wellbeing into your day with more than 4,000 on-demand, expert-led fitness, nutrition, sleep, mental health and financial wellbeing videos. You can access Grokker anytime, from any device.” (This is one I don’t believe I’ve seen in another F500 stack before.) Site
Grand Rounds for second opinions (I haven’t noticed this offer to extended family members before):
“Whether you need information about a new diagnosis or treatment, a second opinion from a world-leading expert or support deciding if surgery is right for you, Grand Rounds will take care of it all. You receive this health benefit at no cost to you, and it’s available to your spouse and children, as well as extended family members (including your parents, siblings and in-laws).” Site
Robin Care for cancer support. This is another one I don’t believe I’ve seen in a stack before. Robin helps with appointment prep, emotional support, results interpretation, symptom management, financial navigation, and more:
“Each cancer journey is different, and Robin Care’s expertise can equip you with tools you need along that path. Whether you’re newly diagnosed or in remission, their expert support team is available to help you overcome your challenges or support you as a caregiver to your dependent child, spouse or partner with cancer. Robin Care’s team of care advocates (a.k.a. Robins) is available 24/7 and partners with nurses, coaches and cancer experts to provide guidance and support.” Site
Lyra is eBay’s EAP: The company provides for 30 therapy sessions via Lyra and those cover a variety of issues. Lyra also offers an app that has self-guided support. “Whether you’re feeling stressed and overwhelmed or you’re stuck dealing with something more complex, you have help and resources when you need them.” Lyra also teases an upcoming live, secure messaging option for eBay employees to connect to their coaches. Site
Finally, eBay offers Cleo (site) for parenting advice and coaching, Progyny‘s fertility benefits, and Care.com‘s caregiver services.
Well, that’s a wrap on eBay’s stack, which might be the most elaborate one yet?
Some of these stacks are easier to figure out than others (so no promises), but let me know which company’s digital health benefits you’d like to learn more about by hitting reply to this email. And if you happen to work at a Fortune 500 company (and I know that’s a lot of you), then please send me your benefits information.
Links to E&O’s reports, databases, newsletters
Click below for dedicated pages for each of those categories:
- Read through the long-form E&O research reports here.
- Search and sort the E&O databases here.
- Skim more than 90 past issues of E&O newsletters here.
