Miga

What Miga does

Miga was a San Francisco-based virtual cardiometabolic care company that combined a HIPAA-compliant telehealth platform with insurance-billed clinical services for US adults managing hypertension, obesity, diabetes, high cholesterol, and tobacco use. The platform paired a consumer-facing website (migahealth.com) and a Miga mobile app with connected medical devices — a blood pressure monitor and a scale — plus integrations with Apple Health and Google Fit, ingesting heart rate, steps, weight, BMI, sleep, and accelerometer data into longitudinal care plans. Clinical services were delivered by an independent Medical Group (Park Hill Health Services, P.A., Richard Joseph, M.D., P.C., and Park Hill Health Services of New Jersey, P.C.) operating in 28 US jurisdictions, under contract with Enduring Management Services, LLC (the legal entity doing business as Miga).

Each patient was supported by a dedicated team of medical providers, registered dietitians, health coaches, and care navigators, with medication optimization, insurance navigation, and remote monitoring bundled into a continuous, auto-renewing subscription. The business model was primarily insurance reimbursement, with in-network status across Medicare (19 states), Medicare Advantage (Aetna CA, BCBS TX, Humana TX), Aetna PPO/HMO, Anthem Blue Cross, BCBS TX, Humana TX, and Sana (27 states + DC); ancillary revenue came from device sales, HSA/FSA-accepted copays, and a $25 no-show fee. Go-to-market was direct-to-consumer via paid social (Meta Pixel, Twitter Pixel), Google Ads remarketing, email, and an owned-website eligibility quiz feeding a free onboarding call.

Founded in 2022 by Jarrad Aguirre, MD/MBA (Stanford) and Dre Limberopoulos, with a clinical bench drawn from Stanford, Harvard, Yale, and UCSF, Miga closed a $12 million seed round in May 2022 led by Quiet Capital. By December 2024, the company had ceased accepting new patients and transferred custody of patient medical records to Clary Document Management, indicating a wind-down of active clinical operations.

Name

Miga

Legal name

Enduring Management Services, LLC

Website

https://migahealth.com

Company type

Private

Founded year

2022

Operating status

Closed

Headcount range

11–50 employees

Short description

Miga was a San Francisco-based virtual cardiometabolic care company that paired a HIPAA-compliant telehealth platform, mobile app, and connected BP monitor/scale with insurance-covered clinical services for US adults managing weight, blood pressure, diabetes, and cholesterol; it ceased accepting new patients in December 2024.

Ownership category

akta.pro rank

Product category

Virtual Cardiometabolic Care

NAICS

Direct Health and Medical Insurance Carriers (524114), Services for the Elderly and Persons with Disabilities (624120)

SIC

Services-Home Health Care Services (8082)

akta.pro primary industry

Cardiometabolic RPM & Chronic Disease Management (diabetes, hypertension, CHF, obesity) (HLALAFAA)

akta.pro secondary industries

Chronic Condition Virtual Care & Disease Management (Payer-Sponsored) (HLALACAE), Membership/Subscription Concierge Virtual Care (HLALAAAH)

Keywords

• Virtual cardiometabolic care
• Telehealth clinic services
• Heart health management
• Weight loss telehealth
• Chronic disease management

Headquarters

HQ city

San Francisco

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Technology or R&D, Marketing or Sales, Operations, Others

Revenue model

1. Insurance reimbursement: Primary revenue stream. Miga is in-network with Medicare (19 states), Medicare Advantage plans (Aetna CA, BCBS TX, Humana TX), Aetna PPO/HMO (CA), Anthem Blue Cross PPO (CA), Blue Cross Blue Shield (TX), Humana (TX), and Sana (27 states + DC). Miga bills payers directly; patients pay standard copay/coinsurance/deductible. After claims adjudication, Miga shares patient responsibility via email from [email protected].
2. Continuous subscription (auto-renewing): Per Terms of Use, subscriptions to the Platform and/or Services are continuous and auto-renew at the end of the applicable subscription period unless cancelled. Miga may change subscription pricing with advance notice. Payments accepted via US credit/debit cards processed through Stripe.
3. Device and product sales: Miga provides compatible Miga Devices (blood pressure monitor, scale) as part of the personalized experience, and Products are available for purchase through the Platform via the Website.
4. HSA / FSA payments and ancillary fees: Patients may use HSA or FSA funds to pay any copays (per Insurance page). Miga also charges a $25 no-show/late-cancellation fee.

Pricing tiers

Go-to-market motion3 records

Distribution channels6 records

Marketing channels7 records

Core offering

Miga delivers insurance-covered, longitudinal virtual care for cardiometabolic conditions (weight management, blood pressure, diabetes, cholesterol, and tobacco cessation) through a gamified mobile app, a multidisciplinary care team (medical provider, registered dietitian, health coach, and care navigator), and connected medical devices (Miga Devices blood pressure monitor and scale). Patients access personalized heart health plans, in-app messaging, and remote monitoring, with clinical services delivered in-network across Medicare, Medicare Advantage, Aetna, Anthem, BCBS, Humana, and Sana plans in 28 US jurisdictions.

Differentiator

Problem solved

Functional benefit

Products and services

• Miga Virtual Cardiometabolic Care Program
• Miga Heart Health App
• Miga Devices (Blood Pressure Monitor and Scale)

Quantifiable outcome

• Patient (Olivia, 64, TX) was able to take fewer antihypertensive medications as blood pressure improved with weight loss over 6 months.
• +2 more outcomes

Named customers4 records

Segments3 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration3 records

Feature4 records

Partnerships

16 partnerships are on record, tiered flagship / core, core and minor.

• Park Hill Health Services, P.A. (and Richard Joseph, M.D., P.C., and Park Hill Health Services of New Jersey, P.C.)flagship / coreStrategic or Co-development PartnerEnduring Management Services, LLC d/b/a Miga contracts with the collectively-branded 'Medical Group' (Park Hill Health Services, P.A., Richard Joseph, M.D., P.C., and Park Hill Health Services of New Jersey, P.C.), an independent medical group with a US-based network of healthcare Providers. Miga licenses the 'Miga' brand to Medical Group and affiliated practices; Providers deliver clinical telehealth services on behalf of the independent medical practice in 28 US jurisdictions. Miga is not a medical group and does not provide medical advice, care, or treatment.
• Medicare (CMS) and Medicare Advantage plans (Aetna CA, BCBS TX, Humana TX)flagship / coreChannel Partner/ Reseller/ DistributorMiga is in-network with traditional Medicare in 19 states (AZ, CA, CO, FL, LA, IL, MA, MD, MI, NC, NJ, NY, OH, PA, TX, VA, WA, WV, WI) and with Medicare Advantage PPO and HMO plans from Aetna (CA), Blue Cross Blue Shield (TX), and Humana (TX). Members pay standard copay/coinsurance/deductible.
• SanacoreChannel Partner/ Reseller/ DistributorMiga is in-network with Sana across Arizona, California, Colorado, Connecticut, Delaware, Florida, Georgia, Illinois, Kentucky, Louisiana, Massachusetts, Maryland, Michigan, North Carolina, New Jersey, Nevada, New York, Ohio, Pennsylvania, Tennessee, Texas, Utah, Virginia, Washington, Washington DC, West Virginia, and Wisconsin (27 states + DC).
• AetnacoreChannel Partner/ Reseller/ DistributorMiga is in-network with Aetna's PPO and HMO plans in California. HMO patients require a PCP referral prior to the first appointment.
• Anthem Blue CrosscoreChannel Partner/ Reseller/ DistributorMiga is in-network with Anthem's PPO plans in California.
• Blue Cross Blue Shield (Texas)coreChannel Partner/ Reseller/ DistributorMiga is in-network with Blue Cross Blue Shield in Texas.
• Humana (Texas)coreChannel Partner/ Reseller/ DistributorMiga is in-network with Humana in Texas.
• Apple HealthcoreTechnology or IntegrationThird-party app that users may connect their mobile device to so Miga can import Personal Information including heart rate, steps, sleep, and other health metrics.
• Google FitcoreTechnology or IntegrationThird-party app that users may connect their mobile device to so Miga can import Personal Information including activity and health metrics.
• StripecoreTechnology or IntegrationPayment processor used by Miga. PCI-compliant vendor collects credit/debit card numbers; Stripe cookie used to detect and prevent fraud (session cookie, typically 24 hours).
• HubSpotcoreGTM or Marketing PartnerMarketing/CRM platform that uses web beacons and cookies to analyze use of Miga's Websites, evaluate IP, geography, browser, visit duration, and pages accessed on Miga's behalf, generating reports on visits and pages visited.
• Meta (Facebook and Instagram) — Meta PixelcoreGTM or Marketing PartnerWeb analytics and advertising service used to track users after they see or click a Facebook/Instagram ad, build target audiences, and remarket across devices. Data also saved and processed by Meta and may be linked to the user's Facebook/Instagram account.
• Google (Google Analytics, Google Ads / AdWords)coreGTM or Marketing PartnerGoogle Analytics used to collect information on Platform use; Google Ads (AdWords) remarketing service used to re-engage visitors and customize Display Network ads.
• Twitter — Twitter PixelminorGTM or Marketing PartnerRemarketing service used for marketing and advertising purposes.
• Clary Document ManagementcoreImplementation/ SI/ Consulting PartnerClary Document Management acts as custodian of Miga patient medical records in compliance with state regulations and HIPAA privacy standards; copies of records can be transferred to the patient or another provider with the patient's authorization via the Authorization to Release Medical Records Form.
• Better Business Bureau (BBB)minorOthersBBB accreditation and seal displayed on Miga website footer as a trust signal; BBB profile located at bbb.org/us/ca/san-francisco/profile/telemedicine/miga-1116-951516.

Scale indicators5 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Omada Health: Virtual cardiometabolic care platform bundling coaching, connected devices, and physician-guided programs for diabetes, hypertension, and weight management — directly overlaps Miga's clinical model, payer channels, and target patient population.
• Virta Health: Telehealth-enabled cardiometabolic clinic focused on type 2 diabetes reversal, obesity, and prediabetes via continuous remote care and nutrition — directly competes with Miga on the diabetes/weight management care bundle and payer-contracted delivery.
• Hello Heart: Virtual heart-health platform pairing a connected blood pressure monitor with coaching and clinician oversight for hypertension and cholesterol management — directly comparable on heart-health focus, device integration, and payer-sponsored distribution.
• Vida Health: Virtual cardiometabolic and mental health clinic delivering coaching, clinical care, and app-based programs across diabetes, hypertension, and weight — directly comparable care-team-plus-app bundle with enterprise and payer distribution.
• Noom: Consumer-facing behavior-change and weight-management platform with coaching, tracking, and increasingly clinical and telehealth services — overlaps Miga on weight management, gamified engagement, and direct-to-patient acquisition.

Broad incumbents

• Livongo (Teladoc Health): Now part of Teladoc Health, Livongo pioneered connected-device-enabled virtual cardiometabolic care for diabetes and hypertension. Functions as a broad incumbent in the same category with overlapping insurance-sponsored distribution and clinical programs.
• Kaiser Permanente (Virtual Care): Integrated payer-provider delivering virtual cardiometabolic care to a large insured member base; functions as a broad incumbent in the same clinical category with deep insurance distribution Miga was seeking to access.

Emerging players

• Lark Health: AI-driven virtual care platform for chronic conditions including diabetes, hypertension, and prediabetes delivered through health-plan partnerships — adjacent cardiometabolic focus with a payer-channel-led GTM similar to Miga's.
• Twin Health: Whole-body digital twin platform for type 2 diabetes reversal combining continuous monitoring, AI, and clinician oversight — emerging competitor targeting the same diabetes and cardiometabolic reversal outcomes as Miga.
• Verily (Onduo): Alphabet-owned precision-health business with a virtual cardiometabolic care program (historically Onduo) combining devices, coaching, and clinician support — comparable clinical model backed by substantially deeper capital and data infrastructure.

Market position

Strengths4 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/migahealth
• Facebookfacebook.com/migahealth
• LinkedInlinkedin.com/company/miga-health

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 records

Funding overview

Funding rounds1 record

Investors8 records

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Miga