Cove, On A Mission To Crush Migraines

Courtesy of Cove

Courtesy of Cove

Cove is one of the three brands at Thirty Madison, a New York City-based health company itself that has developed lines of hyper-focused customizable care and treatment brands. Thirty Madison, started in 2017 by former Google employees Demetri Karagas and Steven Gutentag, launched Cove in early 2019 with a mission to make the lives of migraine sufferers easier. Using their direct-to-consumer platform, consumers are able to consult with licensed physicians about their symptoms and be matched with a customized treatment.

To date, Cove has treated more than 300,000 migraine attacks, according to their company website, with 74 percent of patients saying their treatments have reduced the severity of their attacks.

To understand all of this more, we sat down with Cove Product Lead Grace Pelling, who is part of the Thirty Madison team, to give you a unique perspective from how the Cove story came to be. We chat about why they focus on migraines, how their model works, and their ambitions to reach patients who are unknowingly living with the chronic condition.


Hi Gray: Thanks for chatting. Cove is interesting because as a direct-to-consumer pharmaceutical company, you solely focus on treating migraines. How did this come about?

Grace Pelling: Migraine is a chronic condition that impacts over 37 million people in the United States. It affects all facets of life—a migraine attack may prevent you from spending time with your family, hold you back in your career, or delay your education. Despite the negative impact it has on this large population it’s both underdiagnosed and under-treated. The American Migraine Foundation estimates less than 5 percent have seen a doctor for their migraine symptoms. We want to change that by ensuring it’s easy to get the migraine treatment you may need!

HG: How does Cove work? Touch on the physician consultation and touchpoint.

GP: When a patient signs up for Cove, they’ll complete an online consultation which consists of a questionnaire and two short videos that take about 20 to 30 minutes to complete. The consultation dives deep

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