HealthAgent
Book a pilot call
HealthAgent
Book a pilot call
STARS and engagement teams spend billions sending reminders, mailing letters, and making calls that ask members to act on their own. HealthAgent pairs a human navigator with AI that executes instead — calling the pharmacy, booking the visit, closing the gap so the member never has to.
Before: A refill running low, a pharmacy hold line that never picks up, a reminder letter in English when the language at home is Portuguese — and no clear next step, so the gap just sits there until it shows up in next year's Stars score.
With HealthAgent: A bilingual navigator calls the pharmacy directly — no hold line, no wondering if anyone will call back. The conversation happens in the member's own language, the refill gets confirmed the same day, and the member never has to guess what happens next.
When a refill is running low, the member sees it before it becomes a problem — days of supply left, pharmacy status, next step. One tap on "Do it for me" hands it straight to a HealthAgent navigator, who calls the pharmacy and confirms pickup. No portal to dig through, no hold music, no missed dose.
See how this works behind the scenes ↓Refill gaps are flagged before supply runs out. A navigator calls the pharmacy and confirms pickup — no member effort.
Referrals get booked, confirmed, and followed up on — so a visit doesn't fall through after it's been made.
Unused OTC and supplemental benefits are identified, ordered, and delivered — turning entitled benefits into activated ones.
The 30 days after a hospital stay are covered end to end — medication reconciliation, day-7 follow-up, and outreach.
The future of healthcare isn’t replacing people with AI. It’s using AI to make caring people dramatically more effective. Members don’t talk to AI—they build relationships with trusted navigators while AI quietly handles the busywork behind the scenes.
Dials the pharmacy, works the phone tree, and gets a real answer — the navigator steps in only to confirm and close the loop with the member.
Tracks every post-discharge window automatically, so the right member gets the right day-7 call — nothing depends on someone remembering.
Books and confirms referrals, then checks that the visit actually happened — a referral doesn't just quietly go missing.
When something doesn't resolve cleanly — a dead-end transfer, a conflicting record — it routes straight to a navigator, not back to the member.
A refill reminder in the wrong language isn't a smaller version of the message — it's a message that doesn't land. For members who are more comfortable in Portuguese or Spanish than English, a generic English-language call or letter can be the difference between a gap that closes and one that quietly stays open.
HealthAgent pairs members with navigators who share their language and cultural context — not just translation, but the kind of trust that gets a call answered, a pharmacy actually contacted, and a refill actually picked up. Matching the right voice to the right member turns generic outreach into outreach someone acts on.
How each workflow maps to the measures your quality team already tracks.