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NewslettersMPW Daily

She used to be a dietician. Now her startup aims to make getting advice on healthy eating as routine as going to the dentist

By
Ellie Austin
Ellie Austin
and
Nina Ajemian
Nina Ajemian
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By
Ellie Austin
Ellie Austin
and
Nina Ajemian
Nina Ajemian
Down Arrow Button Icon
December 27, 2024, 8:49 AM ET
woman unpacking fruit and vegetables onto kitchen counter
Vanessa Rissetto's Culina Health aims to make healthy eating accessible. Getty Images

Good morning! Cynthia Fisher will inherit her husband’s stake in the company that brews Samuel Adams, Lara Trump removes herself from the running for Florida senator, and Fortune’s Ellie Austin covers a founder’s efforts to democratize nutrition.

– Food matters. We all know that healthy eating leads to better health outcomes. So in her work as a dietician at Mount Sinai hospital in New York City, Vanessa Rissetto had a big question: Why wasn’t insurance paying to help people eat better and avoid expensive procedures and costly management of chronic conditions?

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During her time at Mount Sinai and later, as the dietetic internship director at NYU, Rissetto became passionate about making nutrition care not only more financially accessible, but also more culturally inclusive. In 2020, she cofounded Culina Health, a virtual nutrition startup, with Tamar Samuels, a dietitian and former student of Rissetto’s. The pair had one goal: to deliver high-quality, culturally competent care to patients across the country, regardless of their income level. “We wanted to democratize access to the dietitian and we wanted to normalize using your health insurance to do it,” says Rissetto.

Patients can approach Culina directly or via a referral from a physician. They are then matched with a dietitian based on their goals and personal needs. Next comes an initial consultation via the company’s online platform where patients are asked about their lifestyle, history, and relationship with food. “What happened to you as a kid?” says Rissetto. “What do you like? How do you work? Do you have $20 at the end of the week to pay for groceries?” This process results in a personalized care plan, punctuated by regular check-ins with the dietitian for accountability, that aims to improve a patient’s diet and overall confidence in navigating food choices.

Fast-forward almost five years and the company has 90 clinicians that have served over 10,000 patients. Earlier this month, it announced a $7.9 million Series A funding round led by Healthworx, CareFirst’s innovation and investment arm. Revenue has also more than doubled year-on-year: “Last year we ended at $3 million and this year, we’re ending at $6.5 million,” Rissetto says.

Culina Health operates in all fifty states and accepts all commercial insurance and Medicare, Rissetto says. (It does not accept Medicaid because doing so would result in “very low” margins for its dietitians who conduct sixty minute sessions and are paid “above market” rates, she says.) According to the Commission of Dietetic Registration, more than 80% of registered dietitians in the United States are white. The breakdown of Culina’s employees, however, is deliberately far more representative of the general population. “Our clinician base is 42% Caucasian and then the rest is diverse on purpose,” says Rissetto. The company’s patient base skews female and is made up of about 40% people of color. While weight loss is a priority for many, others are seeking preventative care for conditions such as heart disease and Type 2 diabetes.

The new influx of funding will help the company improve its user experience and technology so that clinicians have “less admin time, more time with patients,” says Rissetto. She also wants to raise awareness of its work in rural communities. Ultimately, she hopes that Americans of all backgrounds will come to see visiting the dietitian as a nonnegotiable part of their well-being. “You go to the physician once a year. You go to the dentist twice a year,” she says. “You go to the dietitian twelve times a year and the dietitian will be in contact with your physician for you. That’s really the goal.”

Ellie Austin
ellie.austin@fortune.com

The Most Powerful Women Daily newsletter is Fortune’s daily briefing for and about the women leading the business world. Today’s edition was curated by Nina Ajemian. Subscribe here.

ALSO IN THE HEADLINES

- Brew news. Cynthia Fisher will inherit a controlling interest in Boston Beer from her husband Jim Koch, the founder of beer brand Samuel Adams. Fisher is a founder in the healthcare space and sits on the board of Boston Beer, which is valued at around $3.5 billion. Wall Street Journal

- Out of the running. Donald Trump’s daughter-in-law Lara Trump has removed her name from consideration to fill a senator spot in Florida. There was previous speculation that she was looking to replace Sen. Marco Rubio (R-Fla.), if he is confirmed as secretary of state. NBC

- Norway's needs. As the end of the year nears, companies in Norway are rushing to add women to their boards to comply with a law stating that no more than 60% of a board is one gender. Around 5,000 women are still needed to join the boards of companies that bring in more than 100 million kroner ($8.8 million) in revenue. Bloomberg

- SKKY's the limit. Kim Kardashian is no longer listed as a managing partner at the private equity firm she cofounded. Now she is only named as a senior operating advisor at the firm, which has yet to reach its fundraising target. Axios

MOVERS AND SHAKERS

GoodRx, a prescription savings platform, named Wendy Barnes president and CEO. Most recently, she was CEO of RxBenefits.

Rubicon Organics, an organic cannabis company, named Melanie Ramsey COO. She was previously the company’s chief commercial officer.

Hallmark, a healthcare labor management platform, named Michelle Lichte chief client success officer. Previously, she was EVP of global sales and marketing at Nordic Consulting Partners.

Meadows Behavioral Healthcare, a behavioral healthcare provider, appointed Marina Rodina as SVP of business development. Most recently, Rodina was VP of business development-west at Acadia Healthcare.

Huron, a consulting firm, named Hope Katz executive vice president, general counsel, and corporate secretary. She was the firm’s corporate vice president, legal affairs, and corporate secretary.

Pagaya Technologies, an AI infrastructure provider for the financial services sector, appointed Alison Davis to its board of directors. Davis is currently chairman and managing partner of Blockchain Coinvestors.

ON MY RADAR

How we fell out of love with dating apps Financial Times

Newcleo’s Elisabeth Rizzotti tells BI about the startup’s aim to become Europe’s leading nuclear juggernaut and IPO Business Insider

Director Halina Reijn hopes Babygirl can help her ‘become a better feminist’ Elle

PARTING WORDS

“We knew we wouldn’t be able to transform the business if we didn’t change the culture first.”

— Maryjo Charbonnier, CHRO of Kyndryl, on spinning off from IBM

This is the web version of MPW Daily, a daily newsletter for and about the world’s most powerful women. Sign up to get it delivered free to your inbox.
About the Authors
Ellie Austin
By Ellie AustinEditorial Director, Most Powerful Women
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Ellie Austin is the editorial director of Most Powerful Women at Fortune.

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By Nina AjemianNewsletter Curation Fellow

Nina Ajemian is the newsletter curation fellow at Fortune and works on the Term Sheet and MPW Daily newsletters.

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