BetterNight

BetterNight provides a virtual, end-to-end program for the diagnosis and management of obstructive sleep apnea. Patients schedule a telemedicine consultation with a physician; if indicated, BetterNight ships a home sleep testing device to be worn for a single night at home. A board-certified physician reviews the test data and issues a therapy recommendation, after which BetterNight delivers the therapy device to the patient's home and its sleep specialists and respiratory therapists provide ongoing coaching and support. The model is positioned as an alternative to conventional pathways involving multiple specialist referrals, long wait times and repeated co-pays. The company states it accepts most insurances nationwide and is SOC 2 Type II compliant.

Alongside its direct-to-individual offering, BetterNight markets distinct programs to organizations: physician practices, health plans and ACOs, onsite and employer-facing clinics, ENT practices, cardiology practices, and Department of Transportation-regulated commercial drivers. For ENT practices it supports diagnosis via home sleep testing and telehealth consults and helps identify patients who may benefit from medical or surgical intervention while routing PAP candidates into ongoing care. For health plans and ACOs it frames its virtual care model around medical loss ratio, delivery cost, outcomes and patient satisfaction. Its driver program is designed around the medical examination and referral requirements faced by commercial drivers. BetterNight also partners with companies offering direct-to-consumer sleep health solutions.

Business model

BetterNight combines virtual clinical services (telemedicine consults, physician interpretation of home sleep tests) with distribution of home sleep testing and PAP therapy devices and ongoing therapy coaching by sleep specialists and respiratory therapists. It sells both directly to individuals, who are billed through insurance, and to organizations such as health plans, ACOs, clinics, physician practices and transportation employers, and partners with direct-to-consumer sleep health companies.

The company states it accepts most US insurances nationwide, indicating reimbursement for virtual consults, home sleep testing and therapy devices; it additionally contracts with organizations including health plans, ACOs, clinics, physician practices and Department of Transportation-related driver programs.

Traction

BetterNight reports 30 years of experience and treatment of more than 100,000 patients. It has expanded through acquisition, announcing the purchase of Coastal and Epoch Sleep Centers to broaden its national sleep health services, and lists multiple locations and open roles.

Latest developments

BetterNight announced the acquisition of Coastal and Epoch Sleep Centers to expand its national sleep health services. It also added an ENT physician program and continues publishing clinical education content, including material on cardiologists' increasing attention to sleep health and on the COPD, obesity and sleep apnea overlap.