Escher Health offers an AI‑driven platform that automates the entire Medicaid enrollment workflow for health systems and provider networks. By integrating directly with electronic health records, its virtual enrollment assistants handle eligibility checks, application completion, and continuous coverage monitoring, reducing administrative costs and increasing revenue capture. Real‑time dashboards provide visibility into enrollment rates and staff performance, enabling providers to serve more patients without adding personnel.
Funding
Funding not disclosed
Founders
Product
Problem
Many eligible patients, especially low‑income individuals, remain uninsured because the Medicaid enrollment process is complex, time‑consuming, and often overwhelmed by limited staff capacity, leading to missed enrollments and higher cost‑to‑collect for providers.
Solution
Escher Health provides an AI‑driven enrollment platform that automates the end‑to‑end Medicaid enrollment workflow. The system integrates directly with electronic health records, eliminating the need for patients to download separate apps or log into portals. AI‑enabled software agents guide patients through eligibility verification, application completion, and ongoing coverage monitoring, while alerting staff to lapses that require re‑engagement. Real‑time dashboards give providers visibility into enrollment rates, staff performance, and program efficiency, enabling them to increase revenue and reduce administrative burden without adding personnel.
Target Audience
Primary customers are health systems, hospitals, and provider networks that manage large Medicaid patient populations and seek to improve enrollment efficiency and revenue capture.
Features
- Seamless EHR integration for automatic data capture and submission of Medicaid applications
- AI‑powered virtual enrollment assistants that handle eligibility checks, form completion, and follow‑up communications
- Patient‑friendly workflow that requires no separate app download or portal login, boosting participation rates
- Continuous coverage monitoring with automated alerts to re‑initiate enrollment when lapses are detected
- Real‑time analytics dashboard for tracking enrollment metrics, staff productivity, and program ROI
- Scalable solution that supports all patient accounts regardless of account value, preventing anyone from falling through the cracks