Rovi Health provides employer-sponsored health plans with a clinician‑in‑the‑pocket service that uses licensed nurses and AI‑driven clinical intelligence to monitor members’ health signals, recommend high‑quality, cost‑effective providers, and deliver virtual care. By continuously analyzing claims, labs, and pharmacy data, the platform surfaces actionable events, matches members to top‑decile clinicians, suggests lower‑cost treatment options, and handles appointment scheduling and follow‑up, helping employers reduce total medical spend while improving member health outcomes.
Funding
Funding not disclosed
Founders
Product
Problem
Employer-sponsored health plans often struggle to guide members toward high-quality, cost-effective care, leading to unnecessary spending, fragmented experiences, and suboptimal health outcomes.
Solution
Rovi Health provides a clinician‑in‑the‑pocket for each plan member, using licensed nurses and AI‑driven clinical intelligence to monitor health signals, recommend high‑value providers, and deliver virtual care when appropriate. The platform continuously analyzes claims, labs, pharmacy fills, and other data to surface actionable events, then navigates members to top‑decile providers, lower‑cost options, and convenient settings. Integrated asynchronous and synchronous virtual visits allow clinicians to answer questions, refill prescriptions, and treat common conditions without requiring in‑person visits. By aligning provider quality, cost, and convenience, Rovi helps employers reduce total cost of care while improving member health and satisfaction.
Target Audience
Rovi’s primary customers are employers and health plan administrators seeking to improve member outcomes, control medical spend, and increase engagement across their employee health benefits.
Features
- Real‑time clinical signal detection from claims, labs, pharmacy fills, and hospital event feeds
- Licensed nurse navigation that matches members with high‑quality, in‑network providers based on outcome data for over 1 million clinicians
- Automated cost optimization, including biosimilar recommendations and generic substitutions that lower medication spend
- Integrated virtual care suite offering async text/voice support and live video visits for primary, urgent, and mental‑health needs
- End‑to‑end appointment scheduling, network verification, and follow‑up coordination handled by the nurse navigator
- Compatibility with any existing self‑funded, fully‑insured, or level‑funded plan design
- Guaranteed savings model: employers only pay when Rovi delivers measurable cost reductions