Talkiatry has closed a $210M Series D financing round led by Perceptive Advisors, with participation from Sofina and prior lead investors Andreessen Horowitz (a16z), blisce/, and Left Lane Capital, alongside a debt facility from Banc of California. The raise brings the company’s total funding to more than $400M and positions it to further scale what it describes as the nation’s largest private psychiatry practice.
The company now employs more than 800 full-time W2 psychiatrists and has delivered over three million patient visits. Unlike marketplace models that rely on independent contractors, Talkiatry directly employs its physicians, owns its technology platform, and manages its payer contracts. The company characterizes this approach as a “full-stack provider group,” arguing that vertical integration enables tighter quality control and more consistent outcomes.
Scale is central to the model. Talkiatry is in-network with more than 100 insurers, covering approximately 170 million lives. Through its Mindshare Partner Program, the company has partnered with more than 50 health systems, effectively serving as an outsourced psychiatry department for hospitals struggling to recruit and retain specialists. “Talkiatry is setting the standard for how psychiatry is delivered… with a proven national operating model centered on employed psychiatrists,” said Robert Krayn, CEO and cofounder.
The company reports strong early outcomes tied to its employment-based model. Eighty-seven percent of anxiety patients and 86 percent of depression patients report symptom improvement after just two visits. Patient dropout rates are said to be 60 percent lower than industry benchmarks, a figure that Talkiatry attributes to continuity of care and tighter operational oversight. For payers, the company estimates savings of up to $700 per member per month, driven by reduced emergency department visits and inpatient admissions.
Operationally, Talkiatry relies on a proprietary AI-powered platform to manage scheduling, billing, and patient engagement. By reducing administrative burden, the company reports a 90 percent clinician satisfaction rate and 80 percent less burnout than the industry average, reinforcing its argument that employment, paired with technology infrastructure, can improve both physician experience and patient outcomes.
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