HealthAgents for Health Plans
HealthAgent is the execution layer health plans have been missing.
Most solutions inform members. HealthAgent goes further — it understands, decides, and acts on the member’s behalf to remove friction from the moments that drive STAR metrics and CAHPS experience ratings.
We start where plans feel the most pressure: Medication Adherence. From there, HealthAgent expands into high-impact workflows like refill management, medication reconciliation, post-discharge follow-up, and preventive care scheduling — all orchestrated through a personalized AI agent for every member. Other use cases we are building are Post-Discharge Management, Refill and PDC improvement, Medication Reconciliation, Medication Therapy Management, Fall Risk Detection and Followup and Preventive Care.
Why it matters for Payers
Closes STAR gaps at scale through deterministic adherence and refill workflows
Improves CAHPS experience by reducing member stress and confusion
Drives real member action — not just reminders, but completed tasks
Reduces avoidable risk through post-discharge and follow-up orchestration
Creates a true CX layer between the plan and the member
How HealthAgent is different
Portals and apps wait for members to log in.
Campaigns send more texts and emails.
Chatbots answer questions,, don’t take action.
We are different.
HealthAgent executes.
Our AI agents continuously monitor for risk, engage members in natural conversation, and trigger real-world actions — scheduling visits, initiating refills, resolving medication confusion, and guiding next best steps.
The result is a simpler experience for members and measurable performance for plans.
The Agent is the Experience.
Just as Salesforce.com transformed CRM, HealthAgent is building the intelligent CX and execution layer for healthcare — one that turns member engagement into completed care..
Healthcare doesn’t need another engagement tool — it needs a transformation in how care actually gets done. HealthAgent represents a new consumer experience layer for healthcare: a personalized, concierge-like care system that doesn’t just inform members, but actively supports and executes the next step on their behalf.
By combining continuous learning about each member’s preferences, behaviors, and life challenges with deterministic, STARS-aligned workflows, HealthAgent makes healthcare feel simple, human, and reliably handled. The long-term vision is a world where navigating medications, follow-ups, and preventive care no longer depends on portals, call centers, or member guesswork — but instead is orchestrated by an intelligent personal health agent that works quietly in the background to ensure care actually happens.
