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Photo courtesy of Peachy

When Lex Oiler, co-founder and CEO of Los Angeles-based health care payments startup Peachy, first met for coffee with Roshan Patel, her counterpart at New York-based Walnut, she says she tried to break the ice by asking, “So—mergers and acquisitions?”

The quip came from the fact that many venture capital investors viewed the two startups as competitors, according to the founders, since both are tackling the complex web of health care payments. Walnut allows patients to pay large medical bills in manageable installments, while Peachy streamlines payment collection while also helping patients maintain and improve their credit scores.

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After getting to know one another, Topography Health’s co-founders realized that they had all witnessed family members try—sometimes unsuccessfully—to access clinical trials for emerging drugs addressing treatment-resistant medical issues.

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By all accounts, these are heady times for health-tech startups. In 2020, as the pandemic raged, a record $28.5 billion of venture capital poured into the U.S. biotech startup scene, according to Pitchbook data. New dollars inflated valuations for telehealth services, concierge medical practices and a slew of other startups designed to save doctors, hospitals and patients time and money.

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