Friday, Jan 27, 2023
SVB's 2022 Healthtech Report Reveals Strong Investment Opportunity in Mental Health
Christopher MonizMarket Manager, Healthtech & Device, SVB
Since its onset, the COVID-19 pandemic has led to a proliferation of mental health conditions ― impacting millions and putting pressure on an already-strained mental healthcare system. At the same time, the landscape for investments in mental health companies continues to evolve to help address new and emerging challenges. Rates of anxiety and depression continue to rise, with 30% of all Americans reporting symptoms of anxiety or depressive disorder in 2022, compared to 11% pre-pandemic.1 For example, employee burnout is hitting alarming new highs, while trends such as “quiet quitting” highlight the impact of work-related anxieties. Roughly 47 million Americans have quit their jobs since the spring of 2021 in what’s been dubbed “The Great Resignation.”2
According to SVB’s latest report, The Future of Healthtech 2022, investment in mental health companies this year is down from 2021’s blockbuster levels — mirroring a broader downtrend in investment from 2021’s record pace — but remains strong and well ahead of 2020 investment, with rising deal sizes, valuations and M&A activity. So far this year, the mental health space has seen promising developments, including improvements in mental healthcare accessibility and prioritization of high-quality mental healthcare for underserved populations.
Get a copy of The Future of Healthtech, which provides a detailed analysis on healthtech investments and exits across a variety of subsectors.
Venture Capital Investment in Mental Health Companies: Emphasis on Quality Care
Mental health companies are not immune to the market downturn, with investments slowing from 2021 levels this year. However, while the broader healthtech industry saw deal sizes and valuations lower in 2022, mental health companies uniquely saw increases: median deal size in 2022 grew to $10 million from $8 million in 2021 and median post-valuation in 2022 grew to $97 million from $40 million in 2021.3
The development and delivery of mental health services remain ripe for innovation as challenges persist. At the same time, while market size grows (mental health spending in the US is slated to increase to $99 billion in 20284), demand continues to soar. Despite the broader downturn, increasing deal sizes and valuations in mental health demonstrate investor confidence boosted by recent, tangible improvements in mental healthcare, particularly in expanding accessibility. These improvements are partially attributed to the record capital deployed into mental health-focused companies in 2021, enabling them to develop and scale their platforms. Higher quality mental healthcare may also prevent costly inpatient psychiatric visits. Promisingly, the use of inpatient mental health services in 2020 remained unchanged from 2013 despite a much higher rate of mental illnesses in 2020.5
Accessibility ― a considerable focus in the last three years ― has improved as employer-sponsored mental health support expanded in 2022. Evolving virtual care options also enhanced patient access to providers. Still, access and affordability remain challenging for many, with 25%6 of US adults with a mental illness reporting an unmet need for treatment and 46%7 reporting treatment as unaffordable.
In 2022, the focus shifted beyond access to high-quality, outcome-based mental healthcare. Tighter financial markets have shifted investment into top-quality mental health companies that deliver quality outcomes and effectively reduce costs.
Preventive care measures are expanding to deliver higher quality care, enabled by virtual care models that allow for more touchpoints with providers. Culturally appropriate mental healthcare services that meet patients’ social, cultural and linguistic needs are growing. For example, the Bronx-based company Health in Her Hue connects Black women to appropriate healthcare providers, including mental health. Shine, acquired by Headspace this year, provides mental health-related activities for many patients with diverse backgrounds and cultures.
Point solutions (companies focusing on a single mental health condition) grew in popularity in 2021 and continue to show promising results. Interestingly, point solutions’ median deal size in 2022 ($12 million) is double that of platform-based business models (companies that focus on more than one mental health condition, $6 million). The focus on single conditions can offer high-quality, specialized healthcare, especially for higher-acuity mental health disorders like treatment-resistant depression or OCD. Brightline, which closed the largest point solution deal this year ($115 million Series C), focuses on mental health for children, teens and their families. Equip Health ($58 million Series B) provides virtual, affordable care for eating disorders, with aims to expand services nationwide this year. Eleanor Health ($79 million Series C) provides a wide range of outcome-based services for substance use disorders.8
Venture Capital Backed M&A in Mental Health
Last year, the mental healthcare industry saw a handful of public exits, including CareSpan, TalkSpace and Highmark Interactive. This year, public market pressures shut the public exit window for healthtech companies. As public markets remain volatile, I expect IPO/De-SPAC activity in the space to remain muted. Instead, private M&A activity is promising this year, with some notable deals spurring the industry. Headspace expanded its platform with two acquisitions this year: Shine and Sayana. As the market becomes saturated with point solutions, I expect more consolidation. As effective and affordable mental healthcare increasingly tops the concerns of patients, employers, investors, payers and providers, investment and M&A activity will remain steady in Q4 2022 and 2023.
At SVB we are encouraged by the entrepreneurs leading these companies and how they navigate this increasingly challenging environment. At SVB, we have a pulse on life sciences and healthcare and believe it its innovators and we are proud sponsors of this year’s HLTH 2022 in Las Vegas, NV.
For a deep dive into investment and exit information across healthtech, please read SVB’s The Future of Healthtech report, including detailed analysis across a variety of subsectors such as alternative care, provider operations, clinical trial enablement, wellness & education, healthcare navigation, medication management and spotlights on mental and women’s health.
1Anxiety and Depression. https://www.cdc.gov/nchs/covid19/pulse/mental-health.htm.
2 Morgan, K. (2022, August 18). Why workers just won’t stop quitting. https://www.bbc.com/worklife/article/20220817-why-workers-just-wont-stop-quitting.
3,8 The Future of Healthtech. SVB. Retrieved from https://www.svb.com/trends-insights/reports/healthtech-trends-report?utm_source=na&utm_medium=events&utm_campaign=gb-2022-11-ne-ev-na-na-lh-na&utm_content=1pr_na_oc_na
4 Fortune Business Insights. (2022, February 23). US Behavioral Health Market Size worth USD 99.40 billion in 2028 | with remarkable 3.6% CAGR. https://www.globenewswire.com/. Retrieved from https://www.globenewswire.com/news-release/2022/02/23/2390169/0/en/US-Behavioral-Health-Market-Size-worth-USD-99-40-billion-in-2028-with-remarkable-3-6-CAGR.html
5 Use of Health Care Services for Mental Health Disorders and Spending Trends. EBRI. Retrieved from https://www.ebri.org/docs/default-source/ebri-issue-brief/ebri_ib_569_mentalhealth-8sept22.pdf?sfvrsn=12bb382f_4&utm_source=newsletter&utm_medium=email&utm_campaign=newsletter_axioswhatsnext&stream=science
6 2022 The State of Mental Health in America. https://mhanational.org/. Retrieved from https://mhanational.org/sites/default/files/2022%20State%20of%20Mental%20Health%20in%20America.pdf
7 National Survey on Drug Use and Health. https://www.samhsa.gov/. Retrieved from https://www.samhsa.gov/data/sites/default/files/reports/rpt35323/NShttps://www.samhsa.gov/data/sites/default/files/reports/rpt35323/NSDUHDetailedTabs2020v25/NSDUHDetailedTabs2020v25/NSDUHDetTabs8-33to8-35pe2020.pdfDUHDetailedTabs2020v25/NSDUHDetailedTabs2020v25/NSDUHDetTabs8-33to8-35pe2020.pdf