- Sectors
- Digital health
- Digital therapeutics
Digital therapeutics
Digital therapeutics are software-based interventions that deliver clinically evaluated treatment for specific medical conditions, typically prescribed by a clinician and reimbursed through payers or paid for by employers. The category sits between consumer wellness apps and traditional pharma - products are validated through randomised controlled trials, run through FDA or equivalent regulatory pathways, and carry indication-specific labels. Reimbursement has remained the central commercial bottleneck. Pear Therapeutics, the publicly listed pioneer of the category, filed for bankruptcy in 2023 after failing to secure broad payer coverage, and Better Therapeutics delisted from Nasdaq the same year. The survivors have largely pivoted to employer-paid and risk-sharing models.
The sector spans prescription digital therapeutics (PDTs) for chronic disease, behavioural and mental health DTx, musculoskeletal (MSK) digital care, cardiometabolic and diabetes management programs, and ADHD and cognitive disorder DTx aimed at pediatric and adult populations.
Revenue comes from employer per-member-per-month (PMPM) contracts paid by self-insured employers and benefits brokers, health plan reimbursement under medical or pharmacy benefit, outcomes-based payments tied to engagement and clinical results, direct-to-consumer subscriptions for non-prescription wellness adjacencies, and pharma partnership deals where DTx products are bundled alongside drug therapies.
Digital therapeutics is part of Digital health.
$7.9B
Global market size
16
Public companies
Key VC investors
Key strategic buyers
How digital therapeutics companies monetize?
Digital therapeutics companies monetize through employer PMPM contracts, outcomes-based pricing and pharma co-promotion deals.
Employer PMPM contracts
Self-insured employers pay a per-member-per-month fee for access, plus engagement-tied fees. Now the dominant commercial model for Omada, Hinge Health and Sword Health.
Payer reimbursement
Coverage under medical or pharmacy benefit on a per-prescription or per-episode basis. Hardest path commercially - Pear and Better Therapeutics failed here.
Outcomes-based pricing
Fees tied to weight loss, A1c reduction, pain scores or engagement thresholds. Increasingly required by sophisticated employer buyers and PBMs.
Direct-to-consumer subscriptions
Monthly fees paid by users for sleep, anxiety and CBT-based apps with light or no prescription gating. Used by Big Health, Happify and Sleepio adjacencies.
Pharma co-promotion deals
Upfront and milestone payments from drug makers to bundle DTx with branded therapies. Welldoc and Click Therapeutics built deal flow here with Sanofi, Otsuka and Boehringer.
Risk-sharing & capitated arrangements
Provider or vendor takes downside risk on member outcomes against a per-capita budget. Increasingly seen with Medicare Advantage and ACO contracting partners.
Digital therapeutics valuations in May 2026
Public digital therapeutics comps trade at 3.2x EV/Revenue. Median revenue multiple across digital therapeutics M&A deals was 1.9x in the last 12 months. Median revenue multiple across digital therapeutics VC rounds was 17x in the last 12 months.
3.2x
Median EV/Revenue as of May 2026 for public digital therapeutics companies
0.8x
Alignment Healthcare is the highest valued public digital therapeutics company based on EV/Revenue (excluding outliers)
1.9x
Median EV/Revenue across digital therapeutics M&A deals in the last 12 months
17x
Median EV/Revenue across digital therapeutics VC rounds in the last 12 months
Digital therapeutics market segments
Digital therapeutics spans MSK digital care, cardiometabolic and diabetes programs and behavioural and mental health DTx.
Musculoskeletal (MSK) digital care
Virtual physical therapy programs combining motion sensors, app-guided exercise and remote clinicians for back, joint and post-surgical pain. The largest and most commercially proven DTx category, sold mainly to self-insured employers under PMPM and per-episode pricing. Key players: Hinge Health, Sword Health, Kaia Health and SpineZone.
Cardiometabolic & diabetes DTx
Programs combining CGM data, coaching and behavioural intervention for type 2 diabetes, prediabetes, hypertension and obesity. Most run as employer-paid PMPM with engagement guarantees. Key players: Omada Health, Livongo (Teladoc), Virta Health and Welldoc.
Behavioural & mental health DTx
Software-delivered CBT, mindfulness and psychiatric adjuncts indicated for insomnia, depression and anxiety. Some prescription-grade, most consumer or employer subscription. Key players: Big Health (Sleepio, Daylight), Headspace Health, Click Therapeutics and Happify.
ADHD & cognitive DTx
Prescription software for paediatric and adult ADHD, including video-game-based interventions. The narrowest reimbursement footprint of any DTx subcategory. Key players: Akili Interactive (EndeavorRx), Click Therapeutics, Pear (defunct) and Mightier.
Substance use disorder DTx
Software adjuncts to medication-assisted treatment for opioid use, alcohol use and tobacco cessation. The space hardest hit by Pear's bankruptcy, which discontinued reSET-O. Key players: DynamiCare Health, Quit Genius, Workit Health and Pelago.
Oncology & specialty support DTx
Symptom monitoring, side-effect management and adherence tools for cancer, multiple sclerosis and rare disease patients. Mostly distributed through pharma deals rather than payer contracting. Key players: Voluntis (Aptar Pharma), Medisafe, ResApp and Welldoc.
Fractional CFO, financial modelling and deal advice for digital therapeutics companies
See how Flow helps digital therapeutics founders.
We speak founders' language and have great operational understanding of digital therapeutics businesses.
Book an intro call - we'll look under the hood and recommend concrete next steps.
Fractional CFO
For founders who want to improve their FP&A functions, build an investor-ready financial model, and prepare for the next VC round.

Capital raising
For bootstrapped and already-VC-backed entrepreneurs who are looking to raise late stage venture or growth capital.

M&A
For category-leading technology companies who are exploring exit alternatives with either financial or strategic acquirers.

Key digital therapeutics KPIs to track
Members under contract, PMPM revenue, engagement rate and clinical outcomes are the metrics investors track in digital therapeutics.
| KPI | Definition |
|---|---|
| Members under contract | Total covered lives across employer and health plan contracts. The headline scale metric replacing 'paying users' in employer-paid DTx. |
| PMPM revenue | Per-member-per-month fee multiplied by eligible lives. Reads the contract economics of employer-paid models like Hinge, Sword and Omada. |
| Enrolled member rate | Share of eligible lives that activate. Usually 5-15% in MSK and cardiometabolic; the most-watched commercial efficiency lever in employer DTx. |
| Engagement rate | Share of enrolled members hitting weekly or monthly activity thresholds. Drives the engagement-tied portion of PMPM revenue and clinical outcomes. |
| Clinical outcomes | Indication-specific endpoints - pain reduction, A1c drop, weight loss, depression PHQ-9 score. Increasingly contractually tied to fees. |
| Net revenue retention | Existing employer revenue 12 months later. Reads the renewal economics; high-NRR DTx businesses look like enterprise SaaS, low-NRR ones like fading point solutions. |
| Reimbursement coverage | Covered lives under medical or pharmacy benefit. Prescription DTx products that fail to reach broad coverage (Pear, Better Therapeutics) do not survive. |
| Cost of acquisition per member | Sales and marketing cost divided by net new enrolled members. The unit-economics input that separates sustainable DTx from cash-burning programs. |
Main digital therapeutics players globally
The most active digital therapeutics companies and category leaders globally.
| Company | HQ | Overview |
|---|---|---|
Hinge Health hingehealth.com | San Francisco | Largest digital MSK provider, covering pain and post-surgical care for employer-sponsored populations. IPO'd on the NYSE in May 2025 (NYSE: HNGE) at roughly $2.6B valuation after raising more than $1B privately. |
Sword Health swordhealth.com | Porto | Virtual physical therapy and pelvic care platform serving over 5,000 employer clients. Raised $130M Series E in mid-2024 at $3B valuation; Khosla, General Catalyst and Sapphire are lead backers. |
Omada Health omadahealth.com | San Francisco | Cardiometabolic, MSK and behavioural health programs sold to self-insured employers and health plans. IPO'd on the Nasdaq in June 2025 (NASDAQ: OMDA). |
Akili Interactive akiliinteractive.com | Boston | Maker of EndeavorRx, the first FDA-cleared video-game ADHD therapeutic. Delisted from Nasdaq in 2024 after a take-private by Virtual Therapeutics; the original SPAC trade is one of the cautionary tales of the category. |
Big Health bighealth.com | San Francisco | Maker of Sleepio (insomnia) and Daylight (anxiety), both with CBT-based randomised trial evidence. Sold mainly through employer and PBM channels after pulling back from pure prescription routes. |
Click Therapeutics clicktherapeutics.com | New York | Builds prescription DTx through pharma partnerships rather than self-funded reimbursement. Boehringer Ingelheim deal for schizophrenia DTx (CT-155) is the highest-profile current program. |
Welldoc welldoc.com | Columbia, MD | BlueStar diabetes management platform, one of the longest-running DTx products. Distributes through health plan and employer channels with pharma co-promotion partnerships alongside Sanofi. |
Kaia Health kaiahealth.com | Munich | European MSK DTx using computer-vision motion tracking via smartphone camera. Backers include Optum Ventures and Balderton; competes head-on with Hinge and Sword in employer channels. |
Virta Health virtahealth.com | Denver | Clinical care platform for type 2 diabetes reversal using continuous remote care plus nutritional ketosis. Sold to self-insured employers and Medicaid managed care plans under outcomes-based contracts. |
Headspace Health headspace.com | Santa Monica | Formed from the 2021 merger of Headspace (consumer mindfulness) and Ginger (employer mental health coaching). Layoffs in 2023 and 2024 reset the cost base; serves 4,000+ employer customers. |
Raising your next round?
Fractional CFO services covering model, narrative and data room - end-to-end fundraise support.
Key digital therapeutics market trends
DTx reimbursement reset, MSK and cardiometabolic IPOs and GLP-1 wraparound care are reshaping digital therapeutics right now.
DTx reimbursement reset after Pear and Better Therapeutics
Pear Therapeutics filed for bankruptcy in April 2023 and Better Therapeutics delisted from Nasdaq later that year. Both ran out of cash before securing broad payer coverage. The category response since 2024 has been to pivot toward employer PMPM contracts and outcomes-based pricing rather than prescription reimbursement.
MSK and cardiometabolic going public
Hinge Health (May 2025) and Omada Health (June 2025) both completed Nasdaq IPOs at lower valuations than their private peaks. The listings re-opened the digital health IPO window and reset comparables for Sword Health, Virta and Kaia.
GLP-1 drugs reshaping the diabetes and obesity DTx market
Wegovy, Ozempic and Mounjaro adoption since 2023 has forced cardiometabolic DTx vendors (Omada, Virta, Livongo) to reposition as wraparound care providers rather than primary intervention. Omada, Noom and Wondr Health all launched GLP-1 companion programs through 2024-25.
AMA CPT codes for digital therapeutics
The AMA added new CPT codes for prescription digital behavioural therapies in 2024, providing the first standardised billing infrastructure for the category. Coverage uptake by CMS and commercial payers has been slow but is providing a path Pear and Better could not access in time.
Employer benefits consolidation
Benefit consultants Mercer and Aon are pushing self-insured employers to consolidate point solutions, putting pressure on standalone DTx vendors to either bundle or be bundled. Transcarent, Included Health and Virgin Pulse are positioning as the consolidating layer.
Generative AI in DTx delivery
Vendors are embedding LLM-based coaches and triage agents into DTx programs to reduce per-member coaching cost. Big Health, Headspace and Sword shipped AI coaching layers in 2024-25; the unit-economics impact on employer-paid DTx is the most-watched question for the next renewal cycle.
Similar verticals to digital therapeutics
Explore niches like EHR & practice management, fitness & wellness, health data & analytics and medical devices.
Explore other sectors
We know tech inside & out.
We live and breath tech - true understanding of how startups operate is fundamental at what we do.
Recent insights across digital therapeutics and beyond
Talk to us
Schedule a call to get a health check on your business and see how we could help.
Fractional CFO
- Fractional CFO for Software
- Fractional CFO for AI & ML
- Fractional CFO for Fintech
- Fractional CFO for Consumer internet
- Fractional CFO for Digital media
- Fractional CFO for E-commerce & marketplaces
- Fractional CFO for Consumer products
- Fractional CFO for Mobility
- Fractional CFO for Digital health
- Fractional CFO for Industrial technology
- Fractional CFO for Digital infrastructure
- Fractional CFO for IT services
Stages
Countries
- UK Fractional CFO
- Ireland Fractional CFO
- France Fractional CFO
- Germany Fractional CFO
- Spain Fractional CFO
- Portugal Fractional CFO
- Italy Fractional CFO
- Netherlands Fractional CFO
- Belgium Fractional CFO
- Switzerland Fractional CFO
- Austria Fractional CFO
- Denmark Fractional CFO
- Sweden Fractional CFO
- Norway Fractional CFO
- Finland Fractional CFO
- Poland Fractional CFO
- Estonia Fractional CFO
- US Fractional CFO
- Canada Fractional CFO
- Mexico Fractional CFO
- Brazil Fractional CFO
- UAE Fractional CFO
- Australia Fractional CFO
Cities
- London Fractional CFO
- Dublin Fractional CFO
- Paris Fractional CFO
- Berlin Fractional CFO
- Madrid Fractional CFO
- Lisbon Fractional CFO
- Milan Fractional CFO
- Amsterdam Fractional CFO
- Brussels Fractional CFO
- Zurich Fractional CFO
- Vienna Fractional CFO
- Copenhagen Fractional CFO
- Stockholm Fractional CFO
- Oslo Fractional CFO
- Helsinki Fractional CFO
- Warsaw Fractional CFO
- Tallinn Fractional CFO
- New York Fractional CFO
- Toronto Fractional CFO
- Mexico City Fractional CFO
- São Paulo Fractional CFO
- Dubai Fractional CFO
- Sydney Fractional CFO
































