Zebeth Media Solutions

women’s health

recruitment or retention? • ZebethMedia

Hello and welcome back to Equity, a podcast about the business of startups, where we unpack the numbers and nuance behind the headlines. This week, Alex and Natasha discussed the latest and greatest of this consuming news cycle. Our goal with the episode, as always, is to go beyond what you may see in a 140 character-take on [insert big story here]. And in today’s recording? That wasn’t hard at all. We started with our good news segment: 1) Maven, now valued at $1.35 billion, is answering a countrywide demand: More fertility benefits and 2) Alibaba eyes logistics growth in LatAm as China commerce slows. We love a chance to talk about growth, despite all odds and even trends! Then, right off the heels of our amazing debut crypto conference, we take a minute to talk about the FTX Fall out. Yep, we’re talking about how one African Web3 startup got screwed over  and why SoftBank joined Sequoia in marking down its investment in the crypto exchange. We then turn to the latest in layoffs: Amazon’s 3% cut, cuts at Morning Brew and Protocol, and Musk’s latest attempt to recruit (or retain?) Twitter employees. We still don’t know what’s happening there, don’t ask us. Ok fine, you can. And we’ll end by throwing this gem here, with little to know context: I volunteer as tribute.  And that’s wrap. As always you can follow the show @equitypod, leave us a rating on Apple Podcasts and, most importantly, be kind to your people. Talk soon! Equity drops at 7 a.m. PT every Monday and Wednesday, and at 6 a.m. PT on Fridays, so subscribe to us on Apple Podcasts, Overcast, Spotify and all the casts. ZebethMedia also has a great show on crypto, a show that interviews founders, one that details how our stories come together, and more!

More fertility benefits • ZebethMedia

Maven, a women’s health clinic and benefits platform, has had no shortage of macroeconomic plot twists: from investors questioning its market size to the still on-going pandemic to, most recently, the startling overturn of Roe v. Wade. But CEO and founder Kate Ryder stays optimistic. “This is a massive industry that’s full of entrenched interests and misaligned incentives and then there’s the government and the regulators. But I think that the change is afoot,” she said in an interview with ZebethMedia. “There’s a lot of stuff to be done here, but I think employers are actually recognizing it for the first time, we see it being prioritized – because we wouldn’t be growing if not.” Indeed, the startup’s growth is impressive: Maven’s employer-paid benefits suite currently covers 15 million people, five times as many people that it covered since August 2021. Amid an environment where many late-stage companies are struggling, Maven’s user growth has unsurprisingly attracted fresh investor interest. The company announced yesterday that it has raised a $90 million Series E led by General Catalyst, which just announced a $670 million healthcare focused fund over the summer. Other investors in the round include CVS Health Ventures, La Famiglia, and Intermountain Ventures, as well as existing investors Sequoia, Oak HC/FT, Icon Ventures, Dragoneer Investment Group, and Lux Capital. Investors also increased Maven’s valuation from $1 billion to $1.35 billion. Lux Capital’s Deena Shakir said that Maven’s financing, “despite the current macro environment” reflects an “extraordinary long-term potential.” “Regardless of Roe-related regulatory or recessionary reservations, one thing is clear: women’s health is population health, and companies like Maven have a more important role than ever to play in helping to advance human health and health equity through technology,” Shakir told ZebethMedia. Ryder notes that the $90 million round is definitely not being put “aside for a rainy day,” saying that “one one hand, we’re having more rigor in our budgeting and spending process like every company, but the new capital we’re investing in growth.” Maven declined to share what new products are in the works, but Ryder did hint that they are building for the market demand for a better fertility and maternity bundle of benefits; “not only on the reimbursement side but also the clinical outcomes.” Maven is also working to support the Medicaid side of its business, and is continuing to invest in health equity that “attacks from of the social determinant issues.” Maven launched its first Medicaid population this year. For example, Maven launched with Arkansas Blue Cross Blue Shield this year and it is able to be offered as a free benefit to families who are enrolled in the plan. Scale has brought the ability to spin up programs with fast impact. For example, within six weeks of launching a menopause program, over 1.2 million lives were covered across 150 employers. Additionally, Maven’s network of providers offer on average 5,100+ appointment slots every week; all factors that help play into the reason that the startup has a 96% client retention rate. The challenge ahead of Maven, similar to any digital health clinic looking to have the biggest impact, is its ability to serve the most complex medical issues for high-risk, diverse patients. Ryder notes that the whole industry is getting more into value-based contracts – a model in which providers only get paid based on patient health outcomes – which means that startups need to continue to deliver and put the money where their mouth is. In this case, let’s see how a new round at a higher valuation helps Maven do exactly what they say the industry wants.

Flush with Series A funding, Daye unwraps the big gynae health mission • ZebethMedia

Talking to Valentina Milanova, the still just 28-year-old founder of U.K. femtech Daye, is best described as an exhilarating experience. During our interview, she talks in and around her topic — building a startup supporting women’s sexual and reproductive health — non-stop for the best part of an hour, barely pausing for breath and without needing to be prompted to unpack the detail (although an engaged listener will be forced to interject with exclamations and follow-on questions as she lays out her sharp takes) — dispensing, at times, part-fascinating, part-horrifying insights from the coal-face of a field that’s suffered from a chronic lack of research and innovation for far too long. The thrill comes in knowing she’s intent on being the change — and bringing positive change — to gynaecological health by working with clinicians to do the research and build out a platform that’s designed to open up an overlooked and neglected ‘Pandora’s Box’ of intimate female health issues and put women in the driving seat over choices affecting their bodies and lives. Daye’s first product — a CBD-infused cramp-fighting tampon, which launched back in 2019 — was just the start (although the startup has built up a user-base of some 60,000 subscribers thus far for that direct-to-consumer play, selling “fully sustainable” organic tampons which are also proudly touted as produced to “medical device standards” and feature eco innovations like a flushable, biodegradable wrapper and a non-plastic (sugarcane) applicator); Milanova has always had a wider “gynae” health mission in mind for Daye and is now rolling out the next pieces of the plan with the launch of a tampon-based at-home vaginal microbiome screening kit that it’s billing as a “world first”. The at-home testing experience is more convenient, private and less intrusive for women than the traditional option of going to see their doctor or attending a dedicated sexual health clinic where a health worker would need to take a swab. Instead, they just insert a tampon into their vagina and remove it. The test tampon then goes in the specimen bag provided — and they post it back to Daye’s lab for analysis, with their results delivered back digitally. And of course they don’t just get a bunch of raw medical data; the product mission is to offer an informative, accessible informational experience, with analysis of the screening data presented in language (and with graphics) that make it easy for anyone to understand. The analysis comprises a breakdown of certain good and bad bacteria that were detected (or not detected) in the user’s sample, along with explanations and recommendations for how they might want to act on the information — such as downloading a PDF to take with them to a doctor; or by the platform pointing them to where they can locate a local sexual health clinic if an analysis suggests the user should get checked for infections. Image credits: Daye “This was actually always part of the original vision for Daye. From the earliest pitch decks I had ever created. The intention for us was always to deliver on a number of different areas of gynaecological health — not just changing the tampon so it serves people better and so it delivers pain relief. We always saw tampons as a potential tool for bridging the many gaps that exist in gynaecological health today. So tampons can be used to deliver all sorts of medications to the vaginal canal and tampons can also be used to really effectively screen vaginal health for a number of different diseases and infections,” Milanova tells ZebethMedia. “This isn’t a novel scientific discovery — it’s existing scientific knowledge that we’re building upon. Since the 1990s, when researchers from Westminster University first pioneered the method of menstrual tampon screening, we’ve known that tampons have greater levels of sensitivity and specificity, or diagnostic capacity, compared to vaginal swabs and cervical swabs and urinary swabs for the detection of vaginal infections and STIs [sexual transmitted infections]. So what we’re doing now with the introduction of the gynaecological health screen is we’re hoping to democratize access to insightful gynaecological health information that is not typically available through other providers or through the NHS [the UK’s National Health Service].” Daye’s first vaginal microbiome screening tests are focused on identifying two pathogens: mycoplasma and ureaplasma — which Milanova says are typically asymptomatic but associated with a negative impact on the reproductive function — putting carriers at a higher risk of miscarriage, pre-term labor or ectopic pregnancy. The vaginal microbiome screening test could therefore be of particular interest (initially) to women who are looking for explanations for fertility issues, though she also points to wider utility, noting: “The health of the vaginal microbiome in general not only has repercussions for your fertility, it also has an implication on your risk of contracting an STI and your risk of contracting a vaginal infection. And again this isn’t novel scientific discovery that we have made — we’re largely building on top of existing scientific knowledge.” Daye is also planning to introduce more types of tests as it continues to develop the screening product — including screening for STIs. It’s also currently conducting research in conjunction with Liverpool Women’s Hospital into pathogens with suspected links to certain conditions that can affect women (or people assigned female at birth), like polycystic ovary syndrome (PCOS) and endometriosis, with the aim of further expanding the utility of the screening test by (it hopes) helping to verify those links. In addition to launching the vaginal microbiome screening kit — which will be offered to users in the UK in the coming days — Daye is busy building out a gynaecological health platform that will do more than just distribute individual screening results. The idea is to offer a place where women can get validated, accessible information about the full spectrum of gynaecological health — along with expert support and guidance to help them access appropriate treatments (or make helpful lifestyle changes) for any specific issues identified.

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