Digital health startup Fit4D announced last week that it has secured Series A funding (amount undisclosed) from SJF Ventures, Sovereign Health System, and (notably) Blue Cross and Blue Shield of Nebraska. The company’s aim is to tackle adherence through a mix of technology and CDE coaching. The platform provides regular educational interactions with patients through different modalities and formats (e.g., web, phone, email, text, video, articles, webinars, etc.), and algorithms help segment patients – according to the company, the software triples each CDE’s patient capacity from 120 to 400. We’re not quite sure how many patients the platform is currently reaching; the website lists 42 diabetes coaches, led by AADE Educator of the year Joanne Rinker. We like the focus on technology-enabled human touch, though scalability is always a question with such approaches. Of course, payer investments are a good signal of potential cost-effectiveness, and Fit4D has “Fortune 500 clients” spanning pharma, payer, provider, and wellness companies. We see diabetes care increasingly moving in the direction of prioritized care delivery that leverage technology, though the challenge is making these programs compelling enough to keep patients on board, seamless and automatic enough to minimize data input burden, and clinically effective. Fit4D was founded in 2006 by type 1 (and still current CEO) David Weingard, and our initial experience came through a diaTribe test drive in 2010.