Pivot

For years, people have wrestled with the problem of implementing a behavioral change and developing the habit of improving their health (notably when the standard healthcare systems cannot provide timely actionable support). The desire to be in control of one's own wellness is fueling the provision of digital health tools, especially among young and working age people.

Pivot is at the forefront of this revolution, and CEO Dr. David S. Utley is leading the charge with its AI-driven behavioral health platform, which empowers users to act upon their physical and mental well-being. Through a mobile app with proprietary digital coaching programs and FDA-cleared devices, Pivot's individual approach makes it easy and fun to quit smoking, reduce stress, and create habits for a healthier lifestyle. They aim to personalize and empower health improvement and health promotion, specifically with millennials and Gen Z - two generations too often bypassed by traditional healthcare systems. Once users have entered its programs, Pivot employs behavioral science and AI to collect their health data, track their progress, and create individual coaching recommendations. Users interact with Pivot via the Punt app, which incorporates real-time biomarker tracking, mobile coaching, and gamified health goals. Pivot communicates to users conversationally, engagingly, and supportively, while providing timely personalized interventions. This allows it to feel more like a personal health coach rather than a clinical tool.

To support user adherence to their goals, the service employs reminders, motivational alerts, and behavioral nudges. Specifically, Pivot Breathe is a sophisticated smoking cessation service using a carbon monoxide breath sensor that can provide instantaneous biomarker feedback to users. It is a science-based and stigma-free means of quitting smoking. Many services are offered by Pivot to fit members’ various health needs. Its primary services are tailored coaching for tobacco cessation, Pivot Flex mental well-being support, and Pivot Clear alcohol-reduction programs. Pivot also offers a host of playful engagement strategies to support behavioral change in a way that feels manageable and non-threatening. Including humor with praise or a non-clinical approach to keeping users' motivation high is a significant aspect of their coaching.  Pivot Flex is more serious and offers organized stress management techniques that encourage users to enhance their resilience and mental well-being. Pivot Clear is for users wanting to reduce alcohol with clinically validated strategies.

Pivot has created a niche in the crowded digital health market by providing these services in a more user-friendly, accessible manner.  They have seen a great growth year in 2024, with increases in the corporate client list and user uptake. The firm generates the vast majority of its revenue from employers, insurance plans, and direct to consumer subscriptions. It is one of the more serious digital health firms in the behavioral change marketplace and is estimated to have annual revenues of between $10 million and $100 million. Pivot has received approximately $61.8 million through several rounds of funding. In a benchmark or Series B round of funding, the company received a $25 million round led by Johnson & Johnson Innovation – JJDC, Inc. with investment participation from New York Life Ventures, Khosla Ventures, Marc Benioff, and R7 Partners. Its total funding points to a strong trust from investors in its science-based and technology-enabled approach to behavior change but the particular valuation company figures are not publicly available. Pivot is primarily a B2B2C company and strategically partners with employers, USA-based Doctors, health plans, and wellness providers, who in turn offer their programs to their employees or members. Although the 2025 valuation is not public knowledge, its revenue characteristics indicate they are in a very strong and healthy position. 

This mixed revenue model and over $10 million in funding from respected investor groups, will allow Pivot to have the potential for sustainable growth in the digital health. While the company has been in the spotlight lately, other healthtech companies like Quit Genius, Kaia Health, and Noom have been having their moments. What sets Pivot apart is its intense concentration on clinically measured outcomes coupled with user experience. It has entered a market that increasingly demands digital-first, flexible health solutions, which positions it well with its FDA cleared devices, real-time biomarker reports, and clinically validated programs. Pivot's competitors offer similar direct-to-consumer solutions, including smoking cessation, stress relief, and behavioral health supports, but it does have a distinguishing feature in its focus on science, real-time, data-driven feedback, and real-time human-coaching. Pivot is on track to distinguish itself from competitors with its accessibility and ease of use in health support tools that may result in clinically measurable outcomes. The firm plans to scale globally, with Canada and Europe being its next target markets. Additionally, it is still considering future integrations with other health and wellness platforms that will improve its ability to provide customers with even greater options for holistic health, including chronic disease management or enhancing behavioral interventions with evidence-based prescriptions.

As the comments made by CEO Dr. David S. Utley demonstrates, the company seems to be very optimistic about its future: "Pivot is all about making healthy change accessible, personalized and impactful for everyone." The company has the ideal mix of behavioral insights, biometrics, and human-centered coaching to sustain its leadership position in an evolving digital health landscape. Its audience is growing as thousands of individuals are quickly utilizing Pivot's services, and its momentum in securing new corporate partnerships provides opportunities to gain opportunities in the digital health space.

As Pivot succeeds, the traditional approach to healthcare management will likely shift to a much more empowering approach to managing health. The firm has established a top position in the digital behavioral sector with its unique combination of science-based support, technology-enabled ease of use, and live coaching. Considering their growing clientele, funding, and focus on health outcomes, Pivot seems on course for sustained growth for the next few years.

Click here to access Pivot's website.