Bold Health transforms gut health management with the most effective and convenient digital care focused on GI disorders that affect 60% of population. By bringing together key evidence-based interventions such as medication, nutritional therapy, and psycho-behavioral interventions, Bold can generate the greatest patient improvement while saving total costs of care.

CEO
Elena Mustatea
Founded
2018

Tech Brief

Our superpower is our love for our patients. We aspire to offer a real solution to people's pain and suffering, so we have spent the last 4 years serving 20,000 users and iterating in the search of a formula that can maximise outcomes while minimising costs. Driven by this love, we made it our mission to make best-in-class specialty care accessible to every person that needs it, starting with gut health, and have the ambition to scale this mission to other disease areas. With demonstrated and long-term impacts, Bold Health can help our members achieve sustained and unparalleled relief to their gut symptoms, improvement in their wellbeing, boosted productivity, as well as significant savings on medical claims spend. Our secret sauce has two aspects: 1) our multidisciplinary teams of providers that work together to deliver care personalised to the needs of each patient; composed of care coordinator (nurse), primary or specialist doctor, therapist, health coach 2) our digital therapeutic programs, which are based on proprietary psycho-behavioral interventions developed in collaboration with top academic institutions, (such as Cognitive Behavioral Therapy, nutritional therapies, hypnotherapy and others that are proven in clinical trials), which we standardise and deliver digitally in scalable digital therapeutic pathways. Some companies only do telemedicine consultations, some only digital therapeutics, some only remote patient monitoring. We have coined "virtual therapeutic care" for a comprehensive solution that brings all of these into one platform, to support the patient from diagnosis, to treatment, to long term management and monitoring.

Problem Tech Solves

Chronic disease management is broken, offering a fragmented journey and poor outcomes for patients. It can take months so see a specialist and years to get a diagnosis, and when it finally happens, conventional medicine will offer little information and a prescription of medication that may or may not be effective, or have side effects. Patients are sent home left even more confused, with little to no lifestyle and mental health support, entering in a long cycle of continued symptoms and disempowerment. Not any more. At Bold Health we change all this with specialty care that delivers results and supports patients in their care journey back to health every step of the way. We believe healthcare must be accessible, affordable, and effective, so we created a model of virtual therapeutic care that we believe is the chronic disease management of the future: - Holistic with multidisciplinary teams of providers, so patients get the combined benefit of multiple evidence based interventions - Scalable with disease-specific digital programs for self-management equipping patients with the education, tools, exercises they need - Personalised, tiered and longitudinal, serving different acuity levels, so critical clinician time can be spend on those who need it most, while stable, less severe patients can be managed with digital programs. Traditionally with telehealth, we have just brought the clinical consultation online. There is so much more we can do utilising technology to deliver much more accessible, effective and cost-efficient chronic care, and Bold Health is at the forefront of redefining virtual-first multidisciplinary care.

Validation

We published a successful 120-person RCT with our academic collaborator at the University of Pennsylvania, Dr. Melissa Hunt. The study investigated the efficacy of our digital therapeutic program, Zemedy for IBS. Our results met all primary and secondary outcomes, meaning we saw clinically-significant improvements for over 50% of participants on each of the measures including gastrointestinal symptom severity, health-related quality of life, GI symptom-specific anxiety, depressive symptoms, and more (study can be found here: https://mhealth.jmir.org/2021/5/e26152). Most notably 66% of patients achieved clinically significant improvement in their GI symptom severity scores, with results maintained at 3 months follow up. We are currently running 2 more RCTs with UPenn and Stanford. Integrated, multi-disciplinary care of GI conditions is proven to save 20-70% of costs depending on the condition (below are a couple of examples). We have not yet a run a health economics study, but gathered some evidence of cost reduction from our early employer deployments. Eg. in an employer population, our participants reported 33% reduction in emergency rooms visits. - A study done by Dartmouth looking at 100,000 insured patients showed 67% saving in IBS patients who received multi-disciplinary care - An Australian study showed $22k savings annually in at-risk IBD patients from CBT therapy alone.