MedOrion Company Profile

Background

Founded in 2017, MedOrion specializes in behavioral intelligence solutions for health insurers. The company aims to enhance member engagement by leveraging behavioral science and artificial intelligence (AI) to improve health outcomes and financial performance for health plans. MedOrion's mission is to empower health plans to embed positive health behavior transformation into their operations, guiding members toward necessary care to maintain and improve their health.

Key Strategic Focus

MedOrion's strategic focus centers on its Health Behavior Management (HBM) platform, a Software-as-a-Service (SaaS) solution that enables health plans to:

Retention & Acquisition: Increase member acquisition and retention rates across Medicare Advantage, Medicaid, and Individual Plans.

Clinical Quality: Enhance Medicare Advantage star ratings by improving member adherence to Healthcare Effectiveness Data and Information Set (HEDIS) measures.

Pharmacy: Achieve higher star ratings in HEDIS and Part D Pharmacy Measures by boosting medication adherence.

Member Experience: Improve member responses to Consumer Assessment of Healthcare Providers and Systems (CAHPS) and Health Outcomes Survey (HOS) by driving valuable member actions.

Financials and Funding

MedOrion has secured a total of $9 million in funding. In July 2021, the company completed a $6 million funding round led by 10D, with participation from existing investors iAngels and TAU Ventures. The funds are intended to accelerate the adoption of MedOrion's behavioral intelligence SaaS platform among U.S. insurers and to develop new solutions in risk adjustment and member experience.

Technological Platform and Innovation

MedOrion's proprietary Electronic Behavioral Record (EBR™) technology combines behavioral science with AI to create a behavioral equivalent of electronic health records for each health plan member. The platform analyzes claims data and social determinants of health to identify psychological, environmental, and economic factors influencing health decisions. This enables health plans to personalize and automate member communications at scale, facilitating proactive interactions that improve health delivery and financial outcomes.

Leadership Team

Asaf Kleinbort: CEO & Co-Founder. An entrepreneur with over 20 years of experience in leadership and management of diverse multidisciplinary teams.

Eviatar Khen: CTO & Co-Founder.

Shai Levi: COO & Co-Founder.

Competitor Profile

Market Insights and Dynamics

The healthcare technology market is experiencing significant growth, driven by the increasing adoption of AI and behavioral science to enhance patient engagement and health outcomes. Health insurers are investing in technologies that provide deeper insights into member behavior to improve care delivery and financial performance.

Competitor Analysis

Key competitors in the behavioral intelligence and health engagement space include:

hc1: Offers a cloud-based healthcare relationship management platform designed to personalize the healthcare experience for providers and patients.

Nisos Health: Provides solutions focused on improving patient engagement and health outcomes through data analytics and personalized communication strategies.

Strategic Collaborations and Partnerships

MedOrion has collaborated with leading health plans to implement its behavioral intelligence solutions. The company has also secured funding from notable investors, including 10D, iAngels, and TAU Ventures, to support its growth and expansion initiatives.

Operational Insights

MedOrion's EBR™ platform provides health plans with ownership and governance of member experience, allowing for real-time adaptation to individual member needs. This approach enables health plans to scale interventions accurately, improving both health and financial outcomes across their member base.

Strategic Opportunities and Future Directions

MedOrion plans to expand its platform's utilization beyond Medicare Advantage plans into other government markets. The company is also developing new solutions in risk adjustment and member experience to further enhance its offerings.