Nashville-based Imagine Pediatrics partners with major health insurance providers, including UnitedHealthcare in Texas and Florida, to provide virtual and in-home care to roughly 40,000 children with special needs.
One in five kids in the US has a special care need, which can be costly to un- and underinsured families. Imagine’s model integrates services for medical, behavioral and social care from its team of pediatricians, nurses, social workers and therapists.
The company says its services have reduced emergency room visits and hospital readmissions, saving partners more than $65 million in healthcare spending last year.
The organization raised $67 million in a Series B round backed by Oak HC/FT, Optum Ventures, Rubicon Founders and the Autism Impact Fund.
Maximizing Medicaid
Federal health spending cuts in the Trump administration’s One Big Beautiful Bill Act are expected to hit low-income children with special care needs hardest. An increasing number of health startups are working to stretch remaining Medicaid dollars and keep vulnerable families enrolled through outcomes-based funding and partnerships with state Medicaid insurance providers.
New Orleans-based Nest Health works with AmeriHealth Caritas in Louisiana and Blue Cross Blue Shield in Arizona. In Washington, DC, Recovery Cafe is partnering with AmeriHealth Caritas, AmeriGroup and MedStar Health, which collectively manage $8.8 billion in Medicaid funds in the District.
