September 26, 2023
Happy Tuesday, Health Tech readers!
Situational awareness: Erin is at the Rock Health Summit, where she is MCing Tuesday's awards dinner and moderating a Wednesday panel on health innovation.
1 big thing: Cartwheel circulates $20M Series A
School-focused telemental health provider Cartwheel raised $20 million in Series A funding, CEO Joe English tells Erin exclusively.
Why it matters: Just last month, three high-profile medical associations warned that emergency rooms were buckling under the youth surge in demand for psychiatric care.
- "This is the crisis of our times, even in an era of COVID," says Menlo Ventures partner and Cartwheel investor Greg Yap.
Details: Menlo Ventures led the round.
- New backer Reach Capital participated alongside previous investors General Catalyst, BoxGroup and Able Partners.
- The Series A will be funneled into expanding Cartwheel's services to new states and to new schools in states where the company already has a presence.
- English tells Axios the funding gives Cartwheel three to four years of runway.
How it works: Based in Cambridge, Massachusetts, Cartwheel provides virtual individual and group therapy, plus parent guidance and medication support, and accepts most commercial and Medicaid insurance plans.
- Cartwheel offers its services free to uninsured students and those with Medicaid.
- School counselors refer students to Cartwheel, which treats a wide range of behavioral health issues, from social skill building and school avoidance to grief, loss, anxiety, depression, suicidal ideation and self-harm.
- It does not treat issues that generally require more of an in-person approach, such as primary substance use disorders, eating disorders or active psychosis.
- The company uses a blended funding model: The majority comes from health insurers; the rest comes from school districts.
- "It's really an in-network health care provider that partners with schools," says Yap. "Schools can help pay for this, but they can't afford all of it."
Zoom in: Cartwheel tracks student outcomes using a combination of satisfaction and accessibility questions plus standard anxiety and depression scales such as the GAD-7 and PHQ-8.
What they're saying: English grew up on a farm in upstate New York, where he began envisioning schools — and teachers, counselors and administrators — as playing a key role in the provision of mental health services for students.
- "People looked to [my school] for a lot more than education. They looked to it for social services, a hot meal, and a roof in some cases, and certainly for health care and for mental health care," English says.
Flashback: English met Cartwheel co-founder and COO Daniel Tartakovsky at McKinsey, where they both worked as consultants.
- Before starting Cartwheel, English founded a nonprofit focused on schools and emotional learning.
- Tartakovsky was a mental health adviser to U.S. Surgeon General Vivek Murthy, where he contributed to the Surgeon General's 2021 Advisory on Protecting Youth Mental Health.
🤸🏻 One fun thing: The name Cartwheel is meant to represent joy.
- "Mental health should be about helping kids experience joy, and envision and build toward a life that they're super excited to live," says English.