This case tells the story of Included Health, a U.S. health care venture born from the unification of a major virtual care provider and two health care navigation platforms. The company's overarching mission is to raise the standard of health care for everyone by becoming a single source where all of a patient's services are provided - such that the patient is fully supported physically and financially. As of late 2023, it served tens of millions of individual members across America, counting as clients 32 of the Fortune 100 companies. We enter the case almost three years since the merger of the health navigation platform that Included Health's CEO Owen Tripp first founded, Grand Rounds, and the virtual care provider Doctor On Demand. He and Dr. Ami Parekh, the chief health officer, are at a crossroads. As the case describes their options for strategic direction going forward, Included Health becomes a window into several important industry themes: rethinking future models of in-person care, government regulation of virtual care after its boom during the COVID-19 pandemic, opportunities and challenges of incorporating AI, the increasing "consumerism" in health care, the primary care doctor shortage, and more.

Across the globe, inspiring startup founders are creating a meaningful impact on people's lives and generating economic growth through new applications of deep technology. This category, often called "deep tech" for short, includes ventures whose key innovative solution is grounded in potentially game-changing advancements in science and technology-like those leveraging the latest in artificial intelligence (AI), robotics, augmented reality (AR) and virtual reality (VR), cybersecurity, biotechnology, and so on. Because of its ability to catalyze significant changes across industries, deep tech has sometimes been called the "fourth wave of innovation," following on the heels of the industrial revolution, the information revolution, and the digital revolution. And deep tech startups can have a major impact on the world, as their founders spend their days leveraging "tangible scientific discoveries and engineering innovations" in the pursuit of "solv[ing] big issues that really affect the world around them." This case shares the stories of three such founders-born, raised, and working in India, Mexico, and Turkey. Two of the founders launched their own product/service startups, leveraging emerging innovations in AI, cloud computing, computer vision, and biotechnology to address major challenges and opportunities in the medical device and mental health spaces. And the third founder established her own investing startup-a VC fund centered on deep tech ventures, bridging the insights and networks of Silicon Valley with the talent and energy in her region. Through each of their stories, similar themes emerge: capitalizing on the newfound accessibility of deep technologies to solve major problems locally, growing their startups with the ambition to expand beyond their regions, helping establish their regions' entrepreneurial ecosystem for future generations, and helping talented people all over the world reach their potential.