Elythea provides specialized Voice AI solutions for Medicare and Medicaid managed care plans to automate member outreach and engagement. The platform facilitates dynamic, two-way conversations at scale for tasks like quality gap reminders, scheduling, and compliance notifications. This service improves member outcomes and streamlines administrative processes for government healthcare programs.
Funding
Funding not disclosed
Founders
Product
Problem
Medicaid members, particularly those who are hard to reach, often face barriers in accessing timely prenatal care, leading to avoidable pregnancy complications and increased healthcare costs. Traditional care management approaches struggle to engage these individuals proactively and connect them with necessary resources.
Solution
Elythea offers a machine-learning-driven platform that uses SMS-based digital care management to identify high-risk Medicaid members early in their pregnancies and engage them in personalized conversations. The platform, featuring a digital care manager named Clara, proactively contacts members via text message to understand their needs and connect them with relevant healthcare resources, such as care management, social workers, and community-based organizations. By establishing real-time, bespoke conversations, Elythea aims to prevent complications by ensuring members receive timely and appropriate care throughout their pregnancy.
Target Audience
The primary customers are Medicaid Managed Care Organizations (MCOs) seeking to improve maternal health outcomes, reduce costs associated with pregnancy complications, and enhance member engagement.
Features
- Machine learning algorithms to identify high-risk pregnancies based on available data.
- SMS-based communication platform for personalized, two-way conversations with members.
- Digital care manager (Clara) that conducts real-time interactions and provides tailored support.
- Connection to a network of healthcare resources, including care management, social workers, and CBOs.
- Proactive outreach to engage hard-to-reach Medicaid members.
- Peer-reviewed clinical evidence supporting the effectiveness of the platform.