HealthAgent
Book a pilot call
HealthAgent
Book a pilot call
Your care management team can't reach every member who needs help. HealthAgent pairs human Navigators with AI agents that call pharmacies, resolve refill delays, and close admin gaps at a volume no team could staff alone.
For years, care management teams have carried the heaviest caseloads — doing everything they can for the most vulnerable members. But the members in the middle, the ones who actually swing your Stars bonus, get left to navigate alone. It's time that changed.
We don't just inform these members. We do it for them — closing gaps at scale with AI and real hand-holding.
Each agent owns one workflow end to end — detection, outreach, and execution. Navigators coordinate the fleet: they don't do the volume work, they make the judgment calls the AI can't.
Tracks PDC in real time and calls the pharmacy before the eGap opens.
PDC · adherenceReaches out to the prescriber directly when a script has lapsed or needs renewal.
PDC continuityFlags members who've gone quiet on a chronic med and re-engages before they lapse.
Gap recoveryFinds an in-network specialist and books the referral before it goes stale.
Referral completionBooks wellness visits and screenings, then reminds the member as the date nears.
HEDIS · AWVArranges rides for members who'd otherwise no-show a booked appointment.
Access to careTriggers on the discharge alert and books the day-7 follow-up automatically.
Transitions of careVerifies the discharge med list against home meds to catch the errors that cause readmits.
Discharge safetyThe story behind the workflows — and the four ways we deliver it.