Bright Health

Last updated
Bright Health Group, Inc.
Company type Public
NYSE:  BHG
IndustryHealth insurance
Founded2016;8 years ago (2016)
FoundersBob Sheehy, Kyle Rolfing, and Tom Valdivia
Headquarters Minneapolis, Minnesota, U.S.
Key people
G. Mike Mikan (CEO)
RevenueIncrease2.svg $400 million(2019) [1] [2]
Number of employees
1500

Bright Health Group, Inc. is an American health insurance company based in Minneapolis, Minnesota.

Contents

History

The company was founded by Bob Sheehy, the former CEO of United Healthcare, with partners Kyle Rolfing, Tom Valdivia and seed investor Flare Capital Partners, upon raising $81.5 million in venture capital in 2016. [3] The company said it would focus on "consumer-centric" technology, facilitating patient experiences through digital interfaces. [4] Bright Health is based in Minneapolis. [5] It first began offering plans in Colorado in a partnership with Centura Health [6] [7] after several large insurers announced they would be pulling out of the state. [8]

In 2017, Bright Health acquired the marketing firm Spyder Trap, [9] and its founder became Bright Health's Chief Technology Officer. [10] In June 2017, the company raised an additional $160 million in Series B funding. [11] In September 2017, Forbes included Bright Health on a list of 25 "next billion-dollar startups". [12] The company aligned with Mercy Health, the largest hospital system in Ohio, in July 2018 [13] and partnered with Mount Sinai in New York to offer Medicare Advantage plans the next month. [14] Bright Health closed a $200 million Series C financing round in November 2018, bringing the total raised to more than $440 million. [15] It next began offering plans in the State of Arizona, before setting plans to sell in Alabama in 2018, [16] [17] [18] partnering with Arizona Care Network (an insurer owned by Dignity Health and Abrazo Community Health Network) in Phoenix and Brookwood Baptist Health in Birmingham. [19] [18]

In 2019, Bright Health joined America's Health Insurance Plans, a trade association for health insurance companies, [20] and expanded into parts of New York, Ohio, and Tennessee. [21] It also raised an additional $635 million for expansion, bringing the total amount of funding to more than $1 billion. [22] G. Mike Mikan, who formerly held leadership roles at UnitedHealth Group and Best Buy, joined as vice chairman and president in September 2019. [23] [24] By December 2019, Bright Health was operating in 22 markets in 12 states. [25]

In January 2020, Bright Health appointed former Target exec Cathy Smith to be the new CFO, replacing Don Powers. [26] That same month, the company announced it would acquire Brand New Day Health Plan, increasing its reach in the Medicare Advantage market. [27] The acquisition also enabled Bright Health to begin offering services in California. [28] Bright Health became Minnesota's first "unicorn" when it reached a valuation of $1 billion. [1] G. Mike Mikan became the company's CEO in April 2020. [29]

In 2020, the company promoted former Periscope CEO Liz Ross to the post of new chief marketing officer. [30] Bright Health raised $500 million in Series E funding in September 2020. [25]

In early 2021, Bright Health announced record membership growth, providing coverage to more than 500,000 consumers. [31] The company also announced another acquisition in California, Central Health Plan of California Inc., further growing the Medicare Advantage business. [32] [33]

In April 2022, Bright Health announced it would discontinue offering plans in six states for 2023: Illinois, New Mexico, Oklahoma, South Carolina, Utah and Virginia. These markets were expected to contribute less than 5% of the company's revenue for 2022. [34] In October 2022, Bright Health announced that it would close plans in Alabama, Arizona, Colorado, Florida, Georgia, Nebraska, North Carolina, Texas and Tennessee. [35]

In 2023, Bright Health announced it would sell its Medicare Advantage operations, including Brand New Day and Central Health Plan in California, to Molina Healthcare. [36]

Health insurance

The company began selling health insurance plans in 2017 and Medicare Advantage plans in 2018, in reaction to the Affordable Healthcare Act. [37] Bright Health works with "narrow networks" of specific doctors and hospitals to suppress the cost of healthcare for those enrolled in their program and facilitate coordination of care. [38] [39] The company works in cooperation with major health systems in a market to design a network of services around those providers. [40] Bright Health refers to these providers as "care partners". [41] As of April 2021, it operates in more than 50 markets in 13 states and provides virtual and in-person care to more than 220,000 patients. [42] The company also has three technology components: a user interface, a data analytics module, and a platform that works with electronic medical records and telemedicine companies. [19]

Related Research Articles

<span class="mw-page-title-main">Aetna</span> American insurance company

Aetna Inc. is an American managed health care company that sells traditional and consumer directed health care insurance and related services, such as medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans, primarily through employer-paid insurance and benefit programs, and through Medicare. Since November 28, 2018, the company has been a subsidiary of CVS Health.

<span class="mw-page-title-main">Cigna</span> American health services organization

The Cigna Group is an American multinational managed healthcare and insurance company based in Bloomfield, Connecticut. Its insurance subsidiaries are major providers of medical, dental, disability, life and accident insurance and related products and services, the majority of which are offered through employers and other groups. Cigna is incorporated in Delaware.

<span class="mw-page-title-main">Health Net</span> American health care insurance provider

Health Net, LLC, a subsidiary of Centene Corporation, is an American health care insurance provider. Health Net and its subsidiaries provide health plans for individuals, families, businesses and people with Medicare and Medicaid, as well as commercial, small business, and affordable care insurance.

UnitedHealth Group Incorporated is an American multinational health insurance and services company based in Minnetonka, Minnesota. Selling insurance products under UnitedHealthcare, and health care services and care delivery aided by technology and data under Optum, it is the world's eleventh-largest company by revenue and the largest health care company by revenue.

AHIP is an American political advocacy and trade association of health insurance companies that offer coverage through the employer-provided, Medicare Advantage, Medicaid managed care, and individual markets.

WellCare Health Plans, Inc. is an American health insurance company that provides managed care services primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug plans for members across the United States.

Centene Corporation is a publicly traded managed care company based in St. Louis, Missouri, which is an intermediary for government-sponsored and privately insured healthcare programs. Centene ranked No. 25 on the 2023 Fortune 500.

eHealth, Inc. dba eHealthInsurance is a private online marketplace for health insurance, organized in Delaware and based in Santa Clara, California. The company primarily provides plans related to Medicare such as prescription drug plans, Medigap, and Medicare Advantage plans. The company also sells individual plans, competing with health insurance marketplaces. The company sells plans in all 50 U.S. states and the District of Columbia from 170 health insurance carriers. Its large staff of licensed agents assist consumers with little or no computer experience with their online enrollments.

In the United States, health insurance helps pay for medical expenses through privately purchased insurance, social insurance, or a social welfare program funded by the government. Synonyms for this usage include "health coverage", "health care coverage", and "health benefits". In a more technical sense, the term "health insurance" is used to describe any form of insurance providing protection against the costs of medical services. This usage includes both private insurance programs and social insurance programs such as Medicare, which pools resources and spreads the financial risk associated with major medical expenses across the entire population to protect everyone, as well as social welfare programs like Medicaid and the Children's Health Insurance Program, which both provide assistance to people who cannot afford health coverage.


Medicare Advantage is a type of health plan offered by Medicare-approved private companies that must follow rules set by Medicare. Most Medicare Advantage Plans include drug coverage. Under Part C, Medicare pays a sponsor a fixed payment. The sponsor then pays for the health care expenses of enrollees. Sponsors are allowed to vary the benefits from those provided by Medicare's Parts A and B as long as they provide the actuarial equivalent of those programs. The sponsors vary from primarily integrated health delivery systems to unions to other types of non profit charities to insurance companies. The largest sponsor is a hybrid: the non-profit interest group AARP using UnitedHealth.

<span class="mw-page-title-main">Bupa</span> Company that offers health insurance and healthcare services.

The British United Provident Association Limited, trading as Bupa, is a British multinational health insurance and healthcare company with over 43 million customers worldwide.

Molina Healthcare, Inc. is a managed care company headquartered in Long Beach, California, United States. The company provides health insurance to individuals through government programs such as Medicaid and Medicare.

Blue Cross and Blue Shield of Alabama (BCBSAL) is a nonprofit health insurance company headquartered in Birmingham, Alabama. The company was founded in 1936, provides coverage to more than 3 million people and is a member of the Blue Cross and Blue Shield Association (BCBS). BCBSAL employs nearly 5,000 people, which includes almost 3,500 people at its corporate headquarters in Birmingham. The company also operates Cahaba Government Benefit Administrators and Cahaba Safeguard Administrators, both headquartered in Birmingham. It commands over 90 percent of the health insurance market in Alabama, a state with half a million uninsured people, one of the highest uninsured rates in the nation at 10 percent of the population.

<span class="mw-page-title-main">Elevance Health</span> American healthcare company

Elevance Health, Inc. is an American health insurance provider. Prior to June 2022, Elevance Health was named Anthem, Inc. The company's services include medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans through affiliated companies such as Anthem Blue Cross and Blue Shield, Anthem Blue Cross in California, Wellpoint, and Carelon. It is the largest for-profit managed health care company in the Blue Cross Blue Shield Association. As of 2022, the company had 46.8 million members within its affiliated companies' health plans.

Gravie is a health insurance marketplace headquartered in Minneapolis, Minnesota. Gravie provides individually-tailored recommendations to individuals who are in the process of purchasing health insurance.

Oscar Health, Inc. is an American health insurance company, founded in 2012 by Joshua Kushner, Kevin Nazemi and Mario Schlosser, and is headquartered in New York City. The company focuses on the health insurance industry through telemedicine, healthcare focused technological interfaces, and transparent claims pricing systems which would make it easier for patients to navigate.

<span class="mw-page-title-main">DaVita</span> American dialysis provider

DaVita Inc. provides kidney dialysis services through a network of 2,816 outpatient dialysis centers in the United States, serving 204,200 patients, and 321 outpatient dialysis centers in 10 other countries serving 3,200 patients. The company primarily treats end-stage renal disease (ESRD), which requires patients to undergo dialysis 3 times per week for the rest of their lives unless they receive a donor kidney. The company has a 37% market share in the U.S. dialysis market. It is organized in Delaware and based in Denver.

CareFirst BlueCross BlueShield is a health insurance provider serving 3.5 million individuals and groups in Maryland and the Washington metropolitan area. It has dual headquarters in Baltimore, Maryland and Washington, D.C. It is a nonprofit organization and an independent licensee of the Blue Cross Blue Shield Association.

<span class="mw-page-title-main">Sidecar Health</span> American health insurance technology company

Sidecar Health is an American health insurance company headquartered in El Segundo, California. The company offers insurance plans serving the large group, ACA and IFP markets in 18 states.

Clover Health Investments, Corp. is an American health care company founded in 2014. The company provides Medicare Advantage (MA) insurance plans and operates as a direct contracting entity with the U.S. government. The company manages care for Medicare beneficiaries in 11 states and started trading publicly on January 8, 2021.

References

  1. 1 2 Miller, Carrigan (13 February 2020). "Bright's Future". Minneapolis / St. Paul Business Journal. Retrieved 17 April 2021.
  2. "News". Bright Health. Retrieved 27 April 2021.
  3. "Health Insurance Startup Raising Big Money". Fortune Magazine.
  4. Herman, Bob (6 April 2016). "Former UnitedHealthcare CEO launches venture-backed insurer". Modern Healthcare. Retrieved 14 April 2021.
  5. "Bright Health". Fortune Magazine. 17 October 2017.
  6. "Health insurance startup Bright Health picks up another $160 million". Mobile Health News. 1 June 2017.
  7. "After raising $80 million Bright Health prepares to sell insurance online". Digital Commerce 360. 8 August 2016.
  8. "Health startup Bright Health picks Colorado as first market". The Denver Post. 26 May 2016.
  9. "Bright Health Acquires Marketing Agency Spyder Trap". TCB Magazine.
  10. "Bright Health buys Minneapolis digital-marketing agency Spyder Trap". Minneapolis/St. Paul Business Journal.
  11. Gormley, Brian (1 June 2017). "Bright Health Is Latest to Fundraise Despite Obamacare Uncertainty". The Wall Street Journal via www.wsj.com.
  12. Adams, Susan (26 September 2017). "The Next Billion-Dollar Startups 2017". Forbes. Retrieved 14 April 2021.
  13. Brunsman, Barrett J. (18 July 2018). "Mercy Health teams with insurer on new plans". Cincinnati Business Courier. Retrieved 14 April 2021.
  14. Beaton, Thomas (24 August 2018). "Payers, Providers Create New Medicare Advantage Partnerships". HealthPayerIntelligence. Retrieved 14 April 2021.
  15. Mack, Heather (29 November 2018). "Mack's Take: A New Wave of Health Insurers is Taking Charge—and Market Share". Wall Street Journal. Retrieved 14 April 2021.
  16. "Bright Health is expanding into Medicare market". The Star Tribune.
  17. "Oscar gets into bed with Humana to scale employer health insurance business (Updated)". medcitynews.com. MedCity News.
  18. 1 2 "Health insurer plans Alabama expansion, will partner with Brookwood". Birmingham Business Journal.
  19. 1 2 "In quest to fix broken member experience for insurance, Bright Health raises fresh capital". medcitynews.com. MedCity News.
  20. Morse, Susan (24 January 2019). "AHIP advocacy group questions Medicare Advantage payment changes". Healthcare Finance News. Retrieved 17 April 2021.
  21. Snowbeck, Christopher (3 September 2019). "Minneapolis-based startup Bright Health adds top executives". Star Tribune. Retrieved 16 April 2021.
  22. Snowbeck, Christopher (17 December 2019). "Bright Health raises additional $635 million for expansion". Star Tribune. Retrieved 16 April 2021.
  23. Ostuni, Amanda (6 September 2019). "Former Best Buy Exec Mike Mikan Joins BrightHealth". Twin Cities Business. Retrieved 16 April 2021.
  24. Miller, Carrigan (3 September 2019). "Bright Health hires former interim Best Buy CEO as president; co-founder Rolfing has left". Minneapolis / St. Paul Business Journal. Retrieved 17 April 2021.
  25. 1 2 Reuter, Elise (22 September 2020). "Bright Health raises $500M, plans expansion into employer-based insurance". MedCity News. Retrieved 17 April 2021.
  26. "Bright Health Picks Former Target Exec to Be CFO". Twin Cities Business. Retrieved 2020-04-07.
  27. Minemyer, Paige (8 January 2020). "Bright Health to buy California health plan, further growing its MA reach". FierceHealthcare. Retrieved 17 April 2021.
  28. Miller, Carrigan (8 January 2020). "With purchase of California health plan, Bright Health will cover America's three biggest cities". Minneapolis / St. Paul Business Journal. Retrieved 17 April 2021.
  29. Gilyard, Burl (24 April 2020). "Mike Mikan Tapped as New CEO for Bright Health". Twin Cities Business. Retrieved 12 April 2021.
  30. "Former Periscope CEO Liz Ross Joins Bright Health". www.bizjournals.com. Retrieved 2020-12-12.
  31. Vaidya, Anuja (2 April 2021). "Report: Bright Health eyes $1B IPO". MedCity News. Retrieved 17 April 2021.
  32. Dela Cruz, Katherine (7 January 2021). "Corporate America Not Likely To Unwind COVID-19 Debt Buildup Despite Credit Hits". S&P Global. Retrieved 17 April 2021.
  33. Gilyard, Burl (8 January 2021). "Bright Health to Buy California-based Central Health Plan Amid Ballooning Growth". Twin Cities Business. Retrieved 17 April 2021.
  34. "Bright Health exiting six markets after a rough 2021". Healthcare Finance News. Retrieved 2022-05-17.
  35. https://www.mobihealthnews.com/news/bright-health-cut-individual-family-insurance-plans-next-year
  36. https://www.healthcarefinancenews.com/news/bright-health-announces-sale-its-remaining-medicare-advantage-plans
  37. "Former UnitedHealth executive to launch new health plan". The Star Tribune.
  38. St. Anthony, Neal (22 July 2017). "Minnesota venture capital take in first half nearly topped last year's entire funding". Star Tribune. Retrieved 12 April 2021.
  39. Snowbeck, Christopher (3 September 2019). "Minneapolis-based startup Bright Health adds top executives". Star Tribune. Retrieved 12 April 2021.
  40. Carlson, Joe (24 July 2019). "Minneapolis' Bright Health plans to double markets where it sells health plans". Star Tribune. Retrieved 12 April 2021.
  41. Hackett, Mallory (30 June 2020). "Bright Health Plan to expand into new markets in 2021". Healthcare Finance News. Retrieved 12 April 2021.
  42. Landi, Heather (8 April 2021). "Bright Health snaps up Zipnosis to build out telehealth services". FierceHealthcare. Retrieved 12 April 2021.