Primary Care
Pediatric primary care is being rebuilt from the edges — school-based health centers, text-first urgent care, and value-based primary care models targeting Medicaid's highest-volume pediatric benefit. The economics are hard; the market is real.
Coverage
Luma Health Rents the Pediatric Channel Instead of Rebuilding It
A native PCC integration reaches 300+ independent practices and 1,400 pediatricians without a practice-by-practice sale — the opposite bet from Develo's pediatrics-native stack. Both bets cannot be right.
One Date, Four Discontinuities: What Florida's October 1 Stack Is Teaching Every Pediatric Medicaid Operator
Pediatric Associates alleges Florida funded its ABA carve-in by shrinking the primary care share of the same capitation pool — roughly 15% statewide. Actuarial allocation risk is a fourth underwriting column.
Built for Medicaid Children, Bypassed by Medicaid Plans: The MCO Contracting Gap That Most Investor Decks Skip
Nearly 49% of U.S. children are enrolled in Medicaid or CHIP, and roughly 68% are in comprehensive managed care. Most pediatric startups describing themselves as Medicaid-serving are not MCO-contracted.
UnitedHealthcare Drops Two-Thirds of Pediatric Prior Authorization Requirements
The incumbents moved while venture sat out a fourth straight week — prior authorization relief across commercial and Medicaid plans for members under 18.
The Pediatric Translation Gap: Why a $14B Sector Still Spends Single Digits on Children
Five structural mechanisms compound against pediatric pure-plays. The viable pediatric digital health business in 2026 is increasingly not a pediatric digital health business.
Related Resource
Pediatric Value-Based Care
A deep look at value-based care models in pediatric and maternal health — what's working in Medicaid, where ACO structures are gaining traction, and which companies are building the infrastructure.
Read the VBC Overview →