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Mexican health startup Koltin acquires home-care provider Last Mile Care

Koltin started out as a Last Mile Care client; now it is buying the home-visit provider to add infusions, therapies and post-discharge care at home to its insurance and telemedicine offer for older adults.

ASAcquired deals deskLatin America6 April 2026 · 3 min read
Koltin acquires Last Mile Care
Photo: Shixart1985 / Wikimedia Commons, CC BY 2.0

Koltin, a Mexican health company that sells health insurance and care plans to older adults, announced that it had acquired Last Mile Care, a provider of clinical visits in patients' homes. The Mexican business site Momento Corporativo reported the deal on April 6, 2026.

Financial terms were not disclosed in the reports.

Last Mile Care's two founders are staying on. Mateo Hernández Romieu has become Koltin's vice president of patient innovation, and Bernardo Alarcón Jiménez is leading Koltin's last-mile care service, which takes over Last Mile Care's operations. Koltin will add home visits to the clinical care and telemedicine it already offers its members.

What Last Mile Care built

Hernández Romieu and Alarcón Jiménez designed Last Mile Care around specialised clinical visits at home. Its staff deliver infusions and therapies and look after patients after they are discharged from hospital, at a lower cost than the same care in traditional settings, according to Momento Corporativo.

The reports did not give Last Mile Care's founding date, its number of patients or staff, the cities it covers, or any outside funding. LatamList, which also covered the deal, described the same services and the same new roles for the two founders. By folding the business into Koltin, the founders move from running an independent provider to running the home-care arm of one of its former clients.

Why Koltin is buying

The two companies first worked together as supplier and customer. According to Momento Corporativo, citing Koltin executive Eduardo O. Reynaga, they found they were dealing with the same problem: a Mexican health system that is fragmented, hard to navigate and poorly prepared for an ageing population. Koltin was building a care model built on technology, while Last Mile Care had built the ability to carry out clinical procedures in people's homes.

Koltin said owning the home-visit service lets it cover the whole care cycle, so that each patient gets the right treatment in the right place at the right time. Adding visits to its telemedicine and clinical services is meant to let it follow patients more closely in their daily surroundings, spot risks earlier and step in before problems turn into emergencies.

Momento Corporativo set the deal against a global move toward hospital-at-home programmes. It cited international studies in which 30-day readmissions fell from 23% to 7% in some cases, and an analysis of more than 64,000 patients that found up to an 18% lower risk of returning to hospital and a 20% lower risk of death. For older patients, care at home also reduces exposure to infections picked up in hospital, such as pneumonia and urinary infections.

Who Koltin is

Koltin launched in 2022 and was founded by chief executive Eduardo Ortiz and Carmen Rosillo. It describes itself as the first company in Mexico to offer private health insurance to seniors. Members get major medical cover and personalised plans for healthy ageing, can reach their care team online and through WhatsApp, and receive in-person support for annual check-ups and emergency hospital stays.

In September 2024 Koltin raised a $7.3 million Series A round led by Left Lane Capital, whose vice president Rachel Schow joined its board, with earlier investors also taking part, according to Pulse 2.0. At the time it said it had thousands of customers. That funding belongs to the buyer; no funding was reported for Last Mile Care.

What happens to patients

Koltin said the aim is a more preventive, continuous and integrated model in which specialist care is brought into the home and hospital beds are kept for patients who really need them. Home visits will now be part of the service Koltin members can use alongside telemedicine and clinic care.

The companies did not say whether Last Mile Care would continue to serve patients outside Koltin's membership, or whether the Last Mile Care name would remain in use.

Sources