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Digital well being funding plummeted in 2022, with US-based startups elevating $15.3 billion in 572 offers.

Rock Well being Report discovered that whole funding for the yr was simply over half the $29.3 billion in 2021, and topped the $14.7 billion in 2020. The median deal dimension was $26.7 million, which didn’t exceed both of the earlier two years.

“With recession issues looming, the second half 2022 quarterly common of $2.4 billion could also be a benchmark for upcoming quarters that means that 2023 could possibly be the primary yr of $10 billion or much less in digital well being enterprise funding since 2019,” authors Kyle Bryant, Madelyn Knowles, and Adriana Krasniansky wrote. saved dry powder, and troublesome exit climates are more likely to lure late-stage digital well being corporations again to the fundraising desk.”

One contributing issue to the slowdown was the comparatively few megadeals, or rounds value $100 million or extra, raised final yr. The report tracked simply 35 mega-deals in 2022, an enormous drop from 2021’s 88. Even 2020 noticed extra mega-deals at 43.

Some corporations prevented elevating cash in essentially the most difficult market to keep away from a bear spherical, the place new corporations supply shares at a cheaper price in comparison with their earlier funding rounds. Buyers may have been much less keen to take dangers in startups with excessive valuations, favoring slower development with extra established outcomes.

“For growth-stage startups that did not ramp up in 2022, restricted money reserves might push once-crowned digital well being unicorns to the fundraising desk (presumably at decrease valuations) or towards the underside. M&A territory 2023 will probably see some ‘fallen’ unicorns settle for takeover presents if money reserves are tight For individuals who select to take a position moderately than M&A, land-based approaches shall be most profitable “, the authors of the report wrote.

Nonetheless, 2022 noticed continued curiosity in early-stage digital well being corporations. The report discovered that the median deal dimension for Sequence A rounds peaked at $15 million final yr, whereas verify sizes decreased for the B, C and D raises.

However many startups have shifted technique in 2022. Simply 37% of corporations that raised funds this yr offered on to shoppers in contrast with 43% in 2021, as inflation issues hit pocketbooks and privateness updates to the app made it dearer to get customers to enroll.

So the place did all that cash go? As well being programs confronted Damaging margins and staffing points, corporations selling non-clinical workflow instruments raised $2.2 billion in 2022. The report ranked the section because the third best-funded worth proposition, leaping from seventh in 2021. Workflow software program of medical work rose to eighth from eleventh in 2021. On-demand healthcare was first, grossing $2.4 billion.

By way of medical indications, startups providing psychological well being instruments continued to carry the highest spot, elevating $2.1 billion.

Massive tech continued its push into healthcare, however the report famous a extra conservative strategy in areas the place these corporations are already profitable. For instance, Google perfected the search instruments for each sufferers and docs, whereas Amazon launched its digital clinic for frequent situations.

As corporations look to 2023, the report argues, declining funding just isn’t the loss of life of digital well being.

“2022 was a vital reminder that funding is cyclical and that robust gamers construct resilience to climate funding local weather adjustments,” the authors wrote. “We count on 2023 to be constructed on sluggish, regular, and possibly even boring methods for startups and healthcare corporations alike: managing money, restructuring to accommodate income volatility, and investing in know-how infrastructure.”

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Report: Digital health funding declines to $15.3B in 2022