Houston palliative care startup partners with new platform to expand reach

palliative care partnership

Health systems working with Dallas-based Guidehealth can now deploy Koda Health’s Advance Care Planning platform to help navigate end-of-life decisions. Photo via Getty Images.

Houston-based Koda Health and Dallas’ Guidehealth, an AI-powered health care services platform, announced a strategic partnership to provide access to tech-enabled solutions to help improve care and reduce costs for patients navigating serious illness.

Health systems and clinically integrated networks working with Guidehealth can now deploy Koda Health’s Advance Care Planning (ACP) platform, which allows patients to document and share their care preferences, goals and advance directives for health systems. Guidehealth’s platform integrates into primary care workflows and allows providers to identify high-risk patients, coordinate care and reduce administrative burden.

Guidehealth also works with a team of virtual caregivers, known as Guidehealth Healthguides, who help patients navigate end-of-life decisions. With this new partnership, the Healthguides will be able to integrate Koda Health’s ACP platform into their workflows.

“Koda Health’s mission is to ensure that every patient’s voice is heard, especially during the most vulnerable times in their lives,” Dr. Desh Mohan, Chief Medical Officer and co-founder of Koda Health, said in a news release. “This partnership with Guidehealth accelerates our ability to reach patients at scale, especially those in value-based arrangements where care alignment and quality of life are top priorities.”

Guidehealth works with more than 500,000 patients and major systems, such as Emory Healthcare, according to the release. The company closed a $14 million seed round last year, which included investment from Memorial Hermann.

“Advance care planning is essential to delivering care that is not just high quality, but also compassionate and aligned with what matters most to each patient,” Dr. Sanjay Doddamani, founder and CEO of Guidehealth, said in a news release. “Koda Health brings a scalable, digital-first approach to a historically complex and emotional process. By embedding Koda into our value-based care ecosystem, we’re equipping providers to have meaningful conversations with patients, reduce unnecessary interventions and ultimately improve the experience for families and clinicians alike.”

Koda Health was born out of the TMC's Biodesign Fellowship and was launched by CEO Tatiana Fofanova, Dr. Desh Mohan, and Katelin Cherry in March 2020. It closed an oversubscribed seed round for an undisclosed amount last year, with investments from AARP, Memorial Hermann Health System and the Texas Medical Center Venture Fund. The company also added Kidney Action Planningto its suite of services in 2024.

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The Lone Star State isn't shining bright when it comes to equality. Photo by Claudio Schwarz on Unsplash

New study asserts Texas is the 2nd worst state for women's equality

all's not fair

Texas, WalletHub thinks we have a major equality problem. The Lone Star State has ranked at the bottom of the personal finance website's new nationwide analysis of gender equality.

The annual "Best & Worst States for Women's Equality" report, published August 19, ranked Texas No. 49 out of all 50 states where where women receive the most equal treatment in the U.S. Texas is accompanied in the bottom five by Utah (No. 50), Wyoming (No. 48), Idaho (No. 47), and Missouri (No. 46).

At the top of the list of the best states for women's equality is Hawaii (No. 1), followed by California (No. 2), Minnesota (No. 3), Maine (No. 4), and New Mexico (No. 5).

The study ranked each state based on 17 metrics in three key dimensions: Workplace environment, education and health, and political empowerment. Factors that were examined in the study include income disparity, job security disparity, the share of the population aged 25 and older with an advanced degree (higher than a bachelor's degree), and the disparity in the share of Congress members and other elected officials, among others.

Texas earned a miserable score of 39.75 points out of a possible 100. The state performed the best in the "workplace environment" equality rank, earning No. 23, but fell far behind as No. 40 in the "political empowerment" ranking. The state landed at the bottom in the national comparison of "education and health" equality, ranking No. 49.

Texas' ranking may not come as a surprise for women living in Houston, where the city's gender pay gap means men can earn over $4,000 more income than women.

Here's how WalletHub broke down Texas' ranking, where No. 1 is the best and No. 25 is average:

  • No. 21 – Earnings Gap
  • No. 21 – Entrepreneurship Rate Gap
  • No. 22– Work Hours Gap
  • No. 32 – Executive Positions Gap
  • No. 40 – Unemployment Rate Gap
  • No. 40 – Political Representation Gap

The WalletHub study is also doubling down on the unfavorable quality of life in Texas, as the state most recently ranked as the No. 15 worst state to live in the U.S.

Unfortunately, closing these disparity gaps in Texas (and elsewhere) isn't so simple, according to WalletHub analyst Cassandra Happe. She said it's going to take much more than "giving men and women the same fundamental rights" to ensure true equality.

"States also need to work to make sure that women receive equal treatment to men when it comes to financial opportunities, education, and politics," Happe says in the report. "The best states for women’s equality have drastically reduced the disparities between men and women on multiple fronts."

According to WalletHub, the best state for women's equality is Hawaii, earning a score of 79.24 points out of 100. Hawaii has the third smallest gap in work hours between men and women, and no gap in the rate of men and women who are minimum-wage workers. Furthermore, the state has an equal share of political representatives that are men and women in the U.S. Senate and House of Representatives.

The full report and its methodology can be found on wallethub.com.

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This article originally ran on CultureMap.

Living in Texas is not all rainbows and sunshine, according to WalletHub. Photo via Getty Images

Texas tumbles to No. 36 in new 2024 ranking of best states to live

this just in

Texas is being ruled out as one of the top states to live in the country, according to a new livability study by WalletHub. The Lone Star State ranked No. 36 out of all 50 states.

WalletHub ranked every state based on 51 metrics in five major categories: Affordability, economy, education and health, quality of life, and safety. Factors that were considered include a state's housing affordability, the share of the population living in poverty, wealth gaps, the quality of the public school system, road quality, among others.

Texas' not-so-stellar ranking has now branded the state as the 15th worst state to live in the nation. For comparison, Massachusetts ranked as the No. 1 best state to live in, followed by Florida (No. 2), New Jersey (No. 3), Utah (No. 4), and New Hampshire (No. 5).

In a confusing ranking of states with the best economies, Texas placed No. 36, despite WalletHub's earlier 2024 report that declared Texas had the fourth best economy in the nation.

Here's how the study broke down Texas' ranking across the remaining four key dimensions:

  • No. 8 – Quality of life rank
  • No. 34 – Safety rank
  • No. 34 – Affordability rank
  • No. 38 – Education and health rank

The study's findings show Texas has the fifth lowest rate of homeownership nationwide, ranking No. 46 out of all 50 states. In the ranking of each state's population aged 25 and older who have earned a high school diploma or more, Texas ranked No. 49. The state similarly ranked at the bottom of the list for its proportion of the population that has insurance (No. 50). Texas workers also have the second-longest average work week, placing the state at No. 48 (tied with Wyoming) in the national comparison of average weekly work hours.

The only ranking that Texas excelled in (surprisingly) was the restaurants metric. Texas landed in a four-way tie with California, New York, and Florida for the No. 1 most restaurants per capita.

Other WalletHub studies have supported the idea that Texas may not be the best state for putting down roots. Most recently, the state landed a middling rank as the No. 29 best public school system in the U.S., and it ranked No. 28 in WalletHub's annual report of the "Best and Worst States for Military Retirees."

Moreover, Texas ranked 28th in a new report on best states for the arts by SmileHub, a nonprofit tech company founded by the same CEO as WalletHub.

"When deciding on a place to move, you should first consider financial factors like the cost of living, housing prices and job availability," said WalletHub analyst Cassandra Happe. "Many states have strong economies, though, so you should also consider a wide variety of other factors, such as how where you live will impact your health and safety, and whether you will have adequate access to activities that you enjoy. If you have children, a robust education system is also key."

At the opposite end of the study, Louisiana landed at the bottom of the national ranking as the worst state to live in for 2024. New Mexico (No. 49), Arkansas (No. 48), Alaska (No. 47), and Nevada (No. 46) round out the five worst states.

The full report can be found on wallethub.com.

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This article originally ran on CultureMap.

Houston could have ranked higher on a global report of top cities in the world if it had a bit more business diversification. Photo via Getty Images

Report ranks Houston as a top global city — with one thing holding it back

take note

A new analysis positions the Energy Capital of the World as an economic dynamo, albeit a flawed one.

The recently released Oxford Economics Global Cities Index, which assesses the strengths and weaknesses of the world’s 1,000 largest cities, puts Houston at No. 25.

Houston ranks well for economics (No. 15) and human capital (No. 18), but ranks poorly for governance (No. 184), environment (No. 271), and quality of life (No. 298).

New York City appears at No. 1 on the index, followed by London; San Jose, California; Tokyo; and Paris. Dallas lands at No. 18 and Austin at No. 39.

In its Global Cities Index report, Oxford Economics says Houston’s status as “an international and vertically integrated hub for the oil and gas sector makes it an economic powerhouse. Most aspects of the industry — downstream, midstream, and upstream — are managed from here, including the major fuel refining and petrochemicals sectors.”

“And although the city has notable aerospace and logistics sectors and has diversified into other areas such as biomedical research and tech, its fortunes remain very much tied to oil and gas,” the report adds. “As such, its economic stability and growth lag other leading cities in the index.”

The report points out that Houston ranks highly in the human capital category thanks to the large number of corporate headquarters in the region. The Houston area is home to the headquarters of 26 Fortune 500 companies, including ExxonMobil, Hewlett Packard Enterprise, and Sysco.

Another contributor to Houston’s human capital ranking, the report says, is the presence of Rice University, the University of Houston and the Texas Medical Center.

“Despite this,” says the report, “it lacks the number of world-leading universities that other cities have, and only performs moderately in terms of the educational attainment of its residents.”

Slower-than-expected population growth and an aging population weaken Houston’s human capital score, the report says.

Meanwhile, Houston’s score for quality is life is hurt by a high level of income inequality, along with a low life expectancy compared with nearly half the 1,000 cities on the list, says the report.

Also in the quality-of-life bucket, the report underscores the region’s variety of arts, cultural, and recreational activities. But that’s offset by urban sprawl, traffic congestion, an underdeveloped public transportation system, decreased air quality, and high carbon emissions.

Furthermore, the report downgrades Houston’s environmental stature due to the risks of hurricanes and flooding.

“Undoubtedly, Houston is a leading business [center] that plays a key role in supporting the U.S. economy,” says the report, “but given its shortcomings in other categories, it will need to follow the path of some of its more well-rounded peers in order to move up in the rankings.”

H-Town jumped 43 spots into No. 97 this year. Photo via Getty Images

Houston jumps significantly on annual list of best places to live in 2024

by the numbers

Things are looking a little brighter for Houston as the city was recently named among the top 100 best places to live in U.S. News and World Report's "Best Places to Live" list for 2024-2025.

Previously, H-Town had shockingly plummeted toward the bottom of the list as No. 140 in the 2023-2024 rankings. But the latest report has placed Houston at No. 97, suggesting substantial improvements over the last year.

U.S. News annually measures 150 top American cities for their livability and ranks them based on four major indexes: quality of life, value, desirability, and job market.

New for the 2024-2025 report, U.S. News updated its methodology to analyze city-based data rather than metropolitan area data. Secondly, the report's annual survey decided to place greater weight on a city's "value and job market" while "weights for desirability and quality of life took a slight dip" on the grading scale.

"Rising concerns about career prospects, housing affordability and increased cost of goods and services are reflected in this year’s rankings," said U.S. News loans expert and reporter Erika Giovanetti in a press release. "While quality of life remains the top priority for many Americans, a city’s value and job market are becoming increasingly important for those looking for a place to live."

There's many factors that draw folks to Houston, among them our city's diversity, the highly esteemed schools, top universities, and much more. Houston is also a great place for retirees looking to settle down without compromising on the big city lifestyle. The city truly has something for everyone.

The good news continues: Houston additionally moved up two spots to take No. 8 on the report's Best Place to Live in Texas list for 2024. The Bayou City ranked No. 10 last year.

Elsewhere in Texas
The recent focus on city-based data was likely a major factor that fueled Houston's improvement in the statewide and national rankings, but it also favorably shifted nine other Texas cities.

Austin – which previously ranked No. 40 in last year's rankings – became the only city to represent the Lone Star State among the top 10 best places to live in 2024. The Texas Capital jumped up 31 spots to claim No. 9 nationally, due to its "high desirability and job market scores," the report said.

Three cities in the Rio Grande Valley also ranked higher than Houston, suggesting that South Texas may be a better place to live than East Texas. The border towns of McAllen (No. 48) and Brownsville (No. 87) climbed into the overall top 100 this year after formerly ranking No. 137 and No. 134 last year. Meanwhile, Corpus Christi moved up from No. 132 last year to No. 77 in 2024.

Naples, Florida won the gold medal as the No. 1 best place to live in the U.S. in 2024. Rounding out the top five are Boise, Idaho (No. 2); Colorado Springs, Colorado (No. 3); Greenville, South Carolina (No. 4); and Charlotte, North Carolina (No. 5).

Here's how other Texas cities faired in 2024's Best Places to Live report:

  • No. 62 – El Paso (up from No. 128 last year)
  • No. 89 – San Antonio (up from No. 103 last year)
  • No. 95 – Dallas (up from No. 113 last year)
  • No. 99 – Beaumont (up from No. 131 last year)
  • No. 107 – Killeen (up from No. 122 last year)
The full report and its methodology can be found on realestate.usnews.com.

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This article originally ran on CultureMap.

Houston needs to lighten up a little, sheesh. Photo by Rome Wilkerson on Unsplash

Houstonians are pretty miserable, new study finds

frowns in H-town

Not-so-happy news for Texans living in Houston – they're living in one of the "unhappiest" cities in the nation.

A recent SmartAsset study ranked Houston the No. 81 happiest city in the U.S., based on an analysis of 90 large cities for their residents' quality of life, well being, and personal finances.

The city's rank in the bottom 10 — alongside Texas neighbors Dallas (No. 80), El Paso (No. 83), and Laredo (No. 89) – shows not everything about Houston is as easygoing as people think it is. We can hear Ken Hoffman's disagreement from here.

The study found 28.5 percent of all Houston households make a six-figure salary or more, and 16.2 percent of residents are burdened by their housing costs. Houston's poverty rate is 20.7 percent, so maybe it really is more difficult to live comfortably in the city, after all.

Houston has a marriage rate of 39.4 percent, and its residents have a life expectancy of 79 years old. Nearly 76 percent of residents have health insurance, and a Houstonian has nearly five "mentally unhealthy" days per month on average.

Our beloved city has had some bad press recently: H-Town isn't exactly revered for having the best drivers; the city and its suburbs are apparently less appealing for new residents making the move to Texas; and its popularity in the tech industry seems to be waning.

It's not all doom and gloom, though. There's always plenty of new restaurants to try, our city's inventive art scene remains unmatched, and plenty of hometown hero celebrities, Hall of Fame athletes, and talented musicians praise Houston for its culture and hospitality.

While money can't necessarily buy happiness, SmartAsset suggests that having a higher quality of life can influence a person's financial decisions, therefore leading to a greater probability of beneficial outcomes. Of course, that's assuming high financial literacy and strong money management skills.

"Depending where you live, certain quality of life factors, including metrics like life expectancy, infrastructure and the rate of marriage, can ultimately impact your happiness," the report's author wrote.

Elsewhere in Texas, the Dallas suburb of Plano soared to the top as the No. 2 happiest city in the nation. More than half (52.5 percent) of all Plano households make a six-figure salary or more, and only 12.1 percent of residents are burdened by their housing costs. Plano's poverty rate is less than five percent, its marriage rate is 56 percent, and nearly 90 percent of Plano residents have health insurance.

Other Texas cities that earned spots in the report, that notably aren't as happy as Plano, include: Fort Worth (No. 38), Arlington (No. 47), Irving (No. 64), Austin (No. 65), San Antonio (No. 70), Corpus Christi (No. 77), and Lubbock (No. 78).

The top 10 happiest cities in the U.S. are:

  • No. 1 – Arlington, Virginia
  • No. 2 – Plano, Texas
  • No. 3 – Fremont, California
  • No. 4 – San Jose, California
  • No. 5 – Seattle, Washington
  • No. 6 – Boise City, Idaho
  • No. 7 – Raleigh, North Carolina
  • No. 8 – Chesapeake, Virginia
  • No. 9 – San Francisco, California
  • No. 10 – Anchorage, Alaska
The report ranked the 90 most populous U.S. cities based on data from the U.S. Census Bureau 1-Year American Community Survey for 2022 and from the County Health Rankings and Roadmaps for 2023. Data that factored into each city's ranking included a city's household income, poverty level, life expectancy, health insurance rates, marriage rates, overcrowding rates, and more.The full report and its methodology can be found on smartasset.com

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This article originally ran on CultureMap.

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Pioneering cohousing development opens in Houston's historic 2nd Ward

Housing in Hou

An experimental, multi-generational building in the East End is now open and accepting residents. Only 10 of the 33 units remain available at East End Commons, the first project from CoHousing Houston.

Located at 115 Lenox, East End Commons was first conceived in 2017 and is designed to combine the security of home ownership with the community aspect of apartment life, essentially a condominium but with added focus on bringing neighbors together.

Units range from 900-2,000 square feet, offering ample private home space, but with a large Common House area and central courtyard for gatherings, working, and interaction. Large front porches encourage people to spend time outside where they can meet their neighbors, as do extensive foot paths for casual meetings.

"At East End Commons, you know your neighbors before you move in — so you have a network of people and spaces that are immediately there for you," said founding resident Kelli Soika. "We designed for larger shared spaces versus larger personal spaces in order to foster the breakdown of the barriers that lead to loneliness."

Combating loneliness and isolation is certainly necessary. A 2025 survey conducted by the American Psychological Association shows that most Americans feel a sense of societal division and lonely. A loss of "third spaces," where people gather outside the home or work, is a prime factor. East End Commons aims to alleviate some of that disconnectedness.

"I wanted to live in a neighborhood that is imbued with a sense of community above the individual, like we have all experienced in Houston during times of disaster recovery," said Lynn Morstead, one of East End Commons‘ founding residents. "In those instances, such as Hurricane Harvey, we surface from our separateness and come together in new and unexpected ways. With East End Commons, the goal is to translate that notion beyond a set period of time and make it a fixture of everyday life. I call it 'disaster-free neighborliness.'"

East End Commons was designed by Kathleen English of English + Associates. Sustainability is part of the project's design, with amenities such as geothermal heating and cooling exchange HVAC, pre-heated water systems, low-energy use air conditioning and heating, and native landscaping.

Prices for units range from $300,000 to the $900,000s, which can be more than double the home price in the rapidly gentrifying East End. HOA fees not only help maintain communal areas, they also cover shared internet, water, and other communal expenses. Similarly, government of the building is handled democratically via a community board that aims to make decisions by building consensus.

For more information, email info@cohousinghouston.com or call 832-900-2919.

MD Anderson president to retire after nine years, interim successor named

retirement plan

An era is ending at The University of Texas MD Anderson Cancer Center.

On Aug. 26, Dr. Peter WT Pisters announced his plans to retire from his role as president of the comprehensive cancer center. He will work on a smooth transition of leadership with interim president Dr. Jeffrey E. Lee throughout September.

“I first arrived at UT MD Anderson 32 years ago with a passion for doing everything I could to advance our mission to end cancer. Serving as the only faculty member to become president, and now marking nine years in the role, I can say with great pride and gratitude that there is no better place than UT MD Anderson to turn hope into healing for patients and families everywhere,” Pisters said in a news release. “With a timeless strategy, a strong leadership team, unprecedented levels of financial health, and a priceless culture anchored in our deeply held Core Values, now is the right time for me to transition to other opportunities. UT MD Anderson has never been stronger, and its future has never been brighter.”

Pisters assumed the presidency in 2017 and helped launch some of the most cutting-edge new clinics in MD Anderson history. One of those was the James P. Allison Institute, named for the Nobel Laureate scientist who discovered a way to suppress immune response on tumors so that immune cells would attack cancer cells instead. As head of his titular clinic, Allison pioneered several new immunotherapies against cancer.

Pisters also oversaw the creation of the Institute for Data Science in Oncology in 2024, an innovative consortium of scientists dedicated to enhancing single-cell imaging to improve precision in cancer treatments. The institute also brought together teams to use data-driven analytics regarding safety, quality and access.

The UT System Board of Regents praised the leadership and work of Pisters in a statement, wishing him well in the next phase of his career.

“The Board of Regents and I are profoundly grateful to Dr. Pisters for his exceptional presidency over the past nine years and for thoughtfully concluding his service when UT MD Anderson is thriving at its best position of peak performance, strength and impact. We wish him our very best with his retirement and in his next chapter,” Kevin P. Eltife, chairman of the UT System Board of Regents, added in the release.

Houston e-commerce giant Cart.com launches government-focused subsidiary

government branch

Houston e-commerce and logistics unicorn Cart.com has launched a new subsidiary.

Cart Government Solutions (CGS), which was announced earlier this week, will provide supply chain and logistics services and software for the federal and state government sectors. The new subsidiary will be headquartered in Washington, D.C., and operate out of about 6 million square feet of secure warehouse space across 14 U.S. facilities, according to a news release from Cart.com. It will support both domestic and overseas logistics.

Industry veteran Gregg Zegras will lead the new entity as president. Zegras previously served as Cart.com's chief revenue officer, according to LinkedIn. Before that, he served as president of Connecticut-based Pitney Bowes Global eCommerce, a digital shipping solutions company.

Remington Tonar, Cart.com's co-founder, will serve as CGS's chief innovation officer.

“Government agencies face procurement and logistics challenges that many commercial platforms simply weren’t built to solve,” Zegras said in the news release. “Cart Government Solutions exists to change that. We’re combining the speed and innovation of a technology company with the compliance rigor, security, and operational depth that federal and state customers require, and we’re doing it with a team that has spent careers working alongside and inside these agencies.”

According to the company, CGS will focus on meeting compliance and security requirements in the public sector. Some of the services the new entity will offer include:

  • Inventory management
  • Cold-chain and specialty storage for pharmaceuticals, medical devices and regulated goods
  • Enterprise-grade supply chain software
  • Government-compliant webstores and online ordering portals
  • Cybersecurity operations

Cart.com has been serving the public sector since 2022, when the company began distributing COVID-19 health supplies nationwide, according to the news release. Through that pandemic-era contract, the company reports it moved more than 725 million units, with an average of under two days per shipment.

Cart.com was founded in Houston in 2020, though it briefly moved its headquarters to Austin. The company reached unicorn status with its $60 million Series C raise in 2023. It most recently raised $180 million in growth capital from private equity firm Springcoast Partners in March, which put the startup over the $1 billion in fundraising mark in just six years.

At the time, Cart.com said it planned to scale its logistics network, expand AI capabilities and develop workflow automation tools.

Houston-based KBR Inc. also recently launched a government services spinoff. Read more here.

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