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9am.Health

It’s 9 a.m. on any given day. Do you know where your diabetes management is?

If not, there’s a new virtual clinic on the scene offering complete diabetes care starting at the low rate of $20 for a basic telehealth visit. On top of that, it also ships prescription medications and at-home lab tests directly to your door.

This new virtual clinic is known as上午9点。健康, a name drawing inspiration from the notion that each new day is a time to start again and do better than you might have done the day before. The San Diego-based clinic is for those living with type 2 diabetes (T2D) and prediabetes, so it’s not geared to anyone with type 1 diabetes (T1D) and probably won’t be in the future. And while one of the big appeals is that this virtual clinic does ship medications right to your door, insulin is not one of those currently offered.

Frank Westermann

What’s interesting is that this T2D-focused virtual clinic is co-founded by T1D peep Frank Westermann, an entrepreneur with particular street credit in the diabetes community given his success creating the popularmySugrmobile app. That Austria-based startup was eventually sold to Roche Diabetes Care in 2017, and Westermann says his time there directly influenced the formation of this newest venture. He’s co-founder and co-CEO, alongside fellow mySugr alum Anton Kittelberger, who also lives with T1D.

DiabetesMine spoke with Westermann recently about how the learnings he and business colleagues took from mySugr helped pave the way for 9am.health, whichlaunched in September 2021and is now available in 33 states across the United States.

科·认为mySugr是1.0和远程医疗2.0 versions, while 9am.health is the next generation, allowing more extensive models of care and prescription medication fills — all of which can be delivered to people’s homes to coincide with digital check-ins.

“It’s a digital front door to healthcare, offering 360-degree care with a clinic,” Westermann told DiabetesMine. “Healthcare is just not a great experience in the U.S. Costs have increased massively, but outcomes for those with diabetes haven’t gotten better. Good healthcare doesn’t need to be expensive, and I’m determined to prove that.”

Subscribers to 9am.health can get personalized treatment plans with 24/7 access to “patient care advocates,” a network of endocrinologists and diabetes care and education specialists (DCES) who can answer patient questions and provide care virtually.

They have contracted with a network of diabetes professionals spread out throughout the country, and internally they have 18 employees in house.

As far as costs, the company uses a subscription model, starting at $20 per month.

  • Subscribers get the first (non-insulin) prescription medication delivered to their homes, as well as unlimited support from the diabetes care team via chat.
  • Any additional medications cost $5 each.
  • Refills can be filled on a monthly or quarterly basis as needed.
  • At-home tests for A1C or cholesterol lipid screenings are available for $15 per month, which includes delivery and being sent back to a lab for analysis.

上午9点。健康doesn’t develop its own tests or supplies; they have licensing agreements with those manufacturers and simply add their virtual clinic’s brand on the packaging. The same goes for the medications, which are shipped from 9am.health, but are made by established pharma companies.

They only accept cash pay, so no insurance is needed. Westermann believes the barriers to healthcare are often tied to insurance companies and middlemen, who only serve to complicate the process and jack up the final price tag. So, instead of replicating those issues, they’re cutting out the middlemen and keeping it cash-price only.

To get started, subscribers sign up on the 9am.health site using any device and fill out a medical questionnaire. Then, they get connected to a particular healthcare provider, likely one who is licensed to practice in their particular state.

“We want to make this as smooth as possible, so it’s not like your traditional healthcare experience,” Westermann said.

As to the name 9am.health, he laughs and says it comes from the idea that each day of life with a chronic condition is a “daily battle,” and that each day you have a chance to start over and do something differently or better, starting each 9 a.m.

“忘记yeste发生的一切rday. It’s a new chance for the new day to manage your diabetes,” he said. “We really want to empower people to just make the day as good as it can get, and take every day as a chance to get better.”

Of course, we’re living in anew era of telehealththat exploded with the COVID-19 pandemic, so new online healthcare solutions are popping up like weeds.

Westermann says he recognizes a gap in what’s available for those with prediabetes and T2D. While many in the T1D world more commonly use diabetes technology and mobile apps that support telemedicine and virtual care, those not on insulin have a more difficult time finding helpful options.

“T2D needs are often different,” Westermann said. “Many feel stigmatized , even by their healthcare providers, because of affordability and accessibility. Costs add up very quickly. Most of the time, you call and get an appointment and then wait for it. You drive there, and especially for those in rural areas, it can be a rough long drive. And with that in-person visit, you’re really there for such a short period of time. Many can’t take time to see a doctor or do labs. With all the digital tools we have, we can lower the access barrier but make it affordable and very easy to use so that it fits into your everyday life.”

Westermann points to stats from the American Diabetes Association showing that the average person with diabetes spends about$16,750 per yearon medical expenses, which ismore than twice as highas what they’d spend without the condition.

Investors have been enthused about the idea, as 9am.health has announced they received $3.7M in startup seed funding fromDefine Ventures,Speedinvest,iSeed Ventures, andFounders Fund.

Westermann confirms that COVID-19 and the changing telehealth landscape helped make this a perfect time for 9am.health to materialize. Virtual care is primed for more people who need healthcare but traditionally have not had access to it, he said.

Up until 2020, many telehealth visits were not reimbursed the same as in-person office appointments. That meant primary care doctors, specialists and other providers like diabetes educators and nutritionists weren’t paid the same rates for that care. This led to many healthcare providers pushing back on embracing virtual care.

That changed in 2020, when the effects of the pandemic led the Centers for Medicaid and Medicare Services (CMS) torelax those rules并使更多的人远程获得医疗保健。保险公司也这样做,使人们获得更多需要的护理。

“I clearly foresee a future in which more devices… within households [can] communicate needed data to a provider,” Westermann said. “That at-home healthcare, combined with the regulatory framework, has really come to a point where holistic remote care is more possible.”