



Women’s health has historically been an under-resourced and underserved area of health, in part due of a lack of understanding of how diseases may affect women differently, and a healthcare system that has not been set up to account for those differences. Improving the accessibility and quality of women’s healthcare is one of the most impactful ways to benefit entire communities—especially among vulnerable populations.
Cayaba Care
Health in Her HUE
Needed
Tia
Twentyeight Health
Adaeze Enekwechi CEO
INVESTORS
Seae Ventures, Flare Capital, Wellington, RH Capital
LOCATION
Philadelphia, PA
“Cayaba Care ofers an integrated supportive care service model that improves care delivery and impacts the health outcomes of birthing patients and their families.”
Cayaba was founded by physicians who had witnessed frst-hand the many inequities so prevalent in both pre- and post-pregnancy care. These founders are all too familiar with the fact that Black and Brown communities and those with limited fnancial resources are disproportionately burdened and harmed when constraints are placed on their care.
So Cayaba is on a mission to address the discrimination, historical, and structural racism, strained resources, lack of coordination, and other social health determinants that many Black and Brown women face on a regular basis. They believe deeply in the concept of patient-centered reproductive care. They know that access to safe, equitable healthcare is a human right, and that safe access to abortion and birth control are part of comprehensive healthcare.
Leveraging a unique platform that enables value-based healthcare payment models, Cayaba works with payers and providers alike. The overarching goal: to help members experience safe births, but also dignifed and positive pregnancy journeys. Their welcoming, empathetic approach takes into account important factors like long-term physical, mental, and emotional health.
In the spirit of Reproductive Justice, defned by SisterSong as “The human right to maintain personal bodily autonomy, have children, not have children, and parent the children we have in safe and sustainable communities,” Cayaba Care is committed to caring for and supporting all employees, patients, and community partners with compassion and respect.
Maternal health outcomes in the United States are the lowest of all wealthy nations and are continuing to worsen. The need for solutions is particularly acute among Black women giving birth. They face up to 3x higher maternal mortality compared to White women.
1
Racial disparities result in 2–3X rates of complications, preterm deliveries, maternal/ newborn deaths
2
Medicaid has extended coverage to 12 months postpartum, adding coverage of home services/doula support
3
State-mandated valuebased bundles for maternity in Pennsylvania and other states
The Cayaba Care model is centered around Maternity Navigators, who are hired from within the communities they serve. By enabling trusted care at critical moments, they’re able to improve outcomes in the highest-risk populations.
CAYABA CLINICIANS AND MULTI-DISCIPLINARY TEAM
Maternity Navigators (CMA-Doulas) provide support PLUS ability to deliver care in the home enabled by the Cayaba Brain.
CAYABA BRAIN: DATA LEADING TO REAL-TIME INSIGHTS
Drives understanding of at-risk or rising risk populations utilizing claims, EMR, scheduling, and other traditionally “non-clinical” data sources.
OUR PASSIONATE CLINICAL TEAM
POSITIVE OUTCOME Cayaba’s program has already delivered real results, both in terms of improved outcomes and lower costs for members.
88%
fewer ED visits for Cayaba Graduates vs. Non-Participants
Lower preterm birth rate for Cayaba BIPOC Participants vs BIPOC Non-Participants
Growth in Enrolled Membership QoQ, with in-home visits up 31% MoM
Ashlee Wisdom Founder & CEO
INVESTORS
Seae Ventures, Unseen Capital, BLXVC, Johnson and Johnson
LOCATION
Brooklyn, NY
FOUNDED
“We are reducing racial health disparities by leveraging technology, media, and community to improve health outcomes for Black women and women of color. We bring awareness to health and wellness issues in a relevant, engaging, and accessible way.”
It’s been clearly documented, over and over again: Black women continue to be chronically plagued by disproportionately higher incidence and mortality rates for many diseases. Yet platforms and communities dedicated to the improvement of their health and wellness are still few and far between.
Health In Her HUE was founded to confront racial health disparities head-on. By connecting Black women and women of color to culturally competent and sensitive healthcare providers, they’re helping to achieve a more equitable healthcare ecosystem where all people can access the quality care they need and deserve.
The goal is to empower women of color and their allies to share, learn, and innovate around health issues that disproportionately afect them. Beyond bringing patients and providers together, the company’s
innovative digital platform ofers a wealth of health information and content centering on authentic lived experiences.
These lived experiences are vital to understanding the systemic and avoidable diferences in health care access, utilization, and quality of care witnessed among Black women and women of color. They also provide valuable insights around the deep narratives in healthcare that cause harm, worsen bias, and preserve the unequal distribution of power and resources.
All images, messaging, and interactions are intentionally chosen to foster respect and trust. The result? A safe space where Black women and women of color can fnally feel seen and heard throughout their healthcare experiences.
Women of color are afected disproportionately by many health issues. But these women often face difculty accessing to care or feeling that they’re being listened to by healthcare providers.
TREND 1
Women of color feel dismissed, unseen, and misunderstood while seeking healthcare
TREND 2
1 of 8 black women report avoiding the doctor when in need; 1 of 5 black women report discrimination
TREND 3
Research shows that health outcomes are better when black patients are treated by black doctors
Health In Her HUE’s platform enables users to connect with providers and community, as well as access clinically valid and relevant content.
Asynchronous provider video & chat consults with vetted doctors and practitioners
Personalized health content & community
Data-driven provider and care recommendations
Digital “Care Squads” focused on disease states and health goals
Symptom tracking & health risk assessments
Dr. Kristamarie Coleman
Dr. Ryland Gore
Dr. Charis Chambers
A recent program sponsored by Blue Cross Blue Shield of Minnesota connected Black Women and women of color in Brooklyn Center, MN to culturally sensitive providers. These women were also able to join Health In Her HUE’s Virtual Care Squad experience, a healthcarefocused support group designed by and for Black women and women of color. Here are the results from among the 200+ participants:
Awareness of mental wellness increased by 33.1%
Awareness of mental illness increased by 20.0%
100% became aware of the diference between mental health and mental wellness
Comfort level considering therapy for mental health needs increased by 11.8%
Likelihood of discussing mental health needs with a doctor increased by 37.7%
Frequency of practicing self-care increased to 37.5% daily
Average satisfaction score with Care Squads was 9.38/10
Julie Sawaya Co-founder & Co-CEO
Ryan Woodbury Co-founder & Co-CEO
INVESTORS
Seae Ventures, Crescent Ridge Partners, Sekhmet Ventures, Peterson Venture Partners, The Craftory
LOCATION
Los Angeles, CA
FOUNDED
2017
“Nutrition changes perinatal outcomes. Not just birth outcomes, but fertility, pregnancy, postpartum, and the health trajectory of mom and baby for the rest of their lives. We know how much this is needed.”
Needed was founded by two mothers who also happen to be trained nutritionists. While on the journey to becoming mothers themselves, each was shocked by the lack of high-quality nutrition advice and care available to most women during pregnancy.
Women’s nutritional needs are at an alltime high during the perinatal stage. Yet these founders saw that the overwhelming majority of existing information for fertility, pregnancy, and postpartum nutrition was woefully outdated. Newer, better information seemed to have been simply overlooked. Important breakthroughs from the latest research still hadn’t been integrated into vitamin and supplement formulations targeted to women who are pregnant or who are trying to conceive.
Needed is here to change that. As a collective of more than 4,000 committed practitioners, they’ve joined forces to raise the bar and
establish a radically better standard for women’s health. This is part of a broader mission to deliver a radically better Earth for future generations. The company is already Certifed Climate Neutral, and is a member of 1% for the Planet, the environmental giving platform co-founded by Patagonia’s Yvon Chouinard.
The company ofers a complete Nutritional System™ for fertility, pregnancy, postpartum, and women’s health. They’ve also created a destination for expert-backed nutrition information, and a resource for women to get nutritional questions answered. Meanwhile, Needed Labs is focused on closing the research gap—doing the work to prove just how profoundly proper nutrition changes outcomes for mothers and babies.
TREND 1
While 97% of pregnant women take a prenatal supplement, 95% of women are nutritionally depleted, leading to poor maternal and child health outcomes
TREND 2
Escalating fertility, postpartum, and early development challenges can be counterbalanced with increased understanding of the impact of proper nutrition on birth outcomes. This creates massive human health and business opportunities
TREND 3
Americans’ poor diet drives $50 billion in health care costs annually. Prevention through improved nutrition can impact a major portion of those costs
Needed’s platform is a trusted destination for perinatal needs including product, educational content, nutritional testing, expert-level support, and community.
The prenatal is dosed in optimal levels, designed by women’s health experts based on latest research and in practice insights.
Product expansion brings nutritional support to men and children.
Julie Sawaya Ryan Woodbury
Nutritional needs before, during, and after pregnancy are especially demanding. Unless supplemented, the blood levels of many key vitamins, including iron and choline, decrease during these stages. This leaves around 95% of these women nutritionally depleted.
Choline is an essential nutrient that plays a critical role in fetal development during pregnancy. While the Recommended Dietary Allowance (RDA) for choline in pregnancy and breastfeeding has existed since the 1990s, Needed’s prenatal vitamin was the frst on the market to dose choline optimally. A Cornell study has proven choline produces long term cognitive benefts for children seven years after birth.
Women are grossly underrepresented in health research. Pregnant and breastfeeding women are only included in 17% of studies which inform nutritional guidelines for these life stages.
Most women turn to their doctors for guidance, but medical doctors typically receive limited nutrition training. Even among those who receive comprehensive training, the average prenatal care appointment in the US is just seven minutes long, leaving time for only the bare minimum of nutrition advice. Women are often left to do their own research in a category that’s crowded with misinformation. They’re often told to “take any prenatal, it doesn’t matter which one.” This is incorrect, and detrimental to the wellbeing of both mother and baby.
Felicity Yost Co-founder & COO
Carolyn Witte Co-founder & CEO
INVESTORS
Seae Ventures, Defne Ventures, Threshold Ventures, Torch Capital, ACME Capital, Homebrew, Compound
LOCATION
San Francisco, CA
FOUNDED 2016
“Our entire care team not only follows the most stringent, evidence-based clinical protocols, but can also personalize a woman’s care for her own lived experience. We build trust with women and make sure they’re getting all the care they should.”
Tia was born out of frustration. It was inspired by the co-founders’ own de-humanizing experiences, unanswered questions and difficulty navigating “the system.” As the two compared notes, disbelief transformed into resolve. They just knew there had to be a better way. So they decided to create a whole new model of comprehensive care for women.
With Tia, every person is able to achieve their own defnition of optimal health through access to high-quality care, science-backed information, and meaningful community. The goal is to replace transactional, condition-based healthcare with relationship-based care that can cater to women from puberty through menopause.
This values-driven company believes that health and wellbeing are fundamental
human needs and rights. They also embrace the notion that compassion is as important as information and care itself. The result of this refreshing approach? Care that is at once convenient, collaborative, and focused on prevention.
Collaboration between patients and providers plays a central role in Tia’s success. The co-founders have learned from experience that collaboration engenders creativity, and can achieve far greater impact than hyper-specialized or individualistic approaches to problem-solving. This same principle applies within the company itself, where collaboration among employees is continually encouraged.
The Tia team understands that when healthcare can work better for women, it works better for families, for communities— for everyone.
Despite women controlling the vast majority of healthcare dollars and decisions, the current care experience doesn’t always fully support women’s healthcare needs and desired experience.
TREND 1
Women control 80% of the U.S. healthcare dollars as the “Chief Medical Ofcers” of their families
TREND 2
Despite the estimate $500B in annual medical expenses attributed to women, only 4% of all healthcare research and development is targeted specifcally at women’s health issues
TREND 3
Femtech market is estimated to be $60B by 2027
The company has built a personalized healthcare model by fusing OB/GYN, primary care, mental health and evidencedbased wellness services into an integrated experience that’s convenient, collaborative, and focused on prevention.
The platform fuses a multitude of medical and wellness services into a one-stop shop that can be easily accessed both virtually and at retailstyle in-person clinics. 80% $60B 4%
Felicity Yost
Carolyn Witte
POSITIVE OUTCOMES Tia has already demonstrated measurably better engagement, outcomes, and satisfaction among their patients.
Integrated Ofering
70% of members did not have a PCP before joining Tia
58% of Tia members use both virtual and in-person care
55% of members with chronic conditions managed within Tia
Compared to a typical Primary Care Provider, Tia drives:
4x higher engagement
2x more loyalty
Diverse Lived Experiences
31% identify as Black, Latinx, Asian or mixed race
29% report a history of abuse or sexual trauma
20% higher retention
Physical Health
Mental Health
5% use pronouns other than she/her
REDUCTION
Reproductive Health of patients complete annual physical of patients screened for cervical cancer of patients screened for depression of hypertensive patients with BP <140/90
Average number of UTI recurrences per year of depressed patients in remission
Bruno Van Tuykom Founder & CEO
INVESTORS
Seae Ventures, Third Prime, SteelSky, Town Hall Ventures
LOCATION
New York , NY
FOUNDED 2018
“We’re
committed to making healthcare more accessible to underserved communities by ofering an inclusive experience in both Spanish and English. We’re continuously exploring innovative solutions to deliver a seamless and positive experience.”
This mission-driven team of doctors, public health experts, designers, engineers, and builders is committed to changing the face of healthcare—particularly for women in vulnerable and underserved communities. Regardless of gender identity, sexuality, or pronouns, patients can rely on Twentyeight Health for trusted information and convenient, afordable access to sexual and reproductive health needs. All services are discreet, afordable, and convenient.
The team is fueled by a powerful combination of passion, consumer-centric vision and previous experience working to increase access to care for those most vulnerable. Together, they’ve created a platform that supports everything from education and telehealth to on-demand health guidance and medication delivery.
By harnessing the convenience and benefts of telehealth, Twentyeight ofers afordable, high-quality prescription and delivery services for sexual and reproductive healthcare, including birth control and herpes medication.
For patients with limited resources, Twentyeight can be a lifeline. Often, the company is the only birth control telehealth platform within a given state to accept Medicaid. By partnering with multiple nonprofts working to improve access to reproductive and sexual health care, they’re also able to provide free birth control to women who can’t aford out-of-pocket costs.
Regardless of where a patient is today, where she came from, or where she’s going, Twentyeight Health is there to help.
Despite the fact that 43 million women in the United States are sexually active and don’t wish to become pregnant, access to reproductive health continues to be challenging for women in many parts of the country. This is particularly true for those on Medicaid.
50%
TREND 1
Nearly 50% of pregnancies are unplanned; this rate is 3x higher among lowincome women
20M
TREND 2
There are major geographic barriers to accessing reproductive health: 20M live in contraceptive deserts, with recent and pending state legislation threatening to increase that number
TREND 3
1 in 3 doctors do not accept new Medicaid patients
The Twentyeight platform offers sexual health information, education, telehealth, medication delivery and on-demand guidance, especially to women in underserved communities.
Twentyeight Health works directly with payers while taking a unique approach to attracting underserved individuals. By prioritizing seamless end-to-end user experiences, they generate strong engagement across their comprehensive healthcare platform.
CONVENIENT ONLINE DOCTOR EVALUATION
Asynchronous medical questionnaire
Available 24/7
Culturally competent physicians
Optional audio consultation
PRESCRIPTION COVERED BY INSURANCE & DELIVERED
Seamless at-home delivery
Accepts Medicaid, commercial insurance, and cash pay
CX support to navigate insurance
CONTINUOUS ACCESS TO DOCTORS AND CARE SUPPORT
Direct messaging with doctors
Easily request additional services from Twentyeight Health
Twentyeight is the only player in the women’s digital health space specifcally working to beneft underserved communities.
100K
58% identify as BIPOC
84 NPS
55% of users on Medicaid
69% 12-month retention of Medicaid users
82% reduction in unintended pregnancies