Proactive outreach that keeps patients engaged in their care journey
AI-driven follow-up campaigns for chronic care management, medication adherence, post-discharge check-ins, and wellness programs — reaching patients at the right time through the right channel.
Built for Care Management, Population Health & Patient Engagement Leaders
The Problem
Why manual triage doesn't scale
Patient Drop-Off from Care Programs
Patients enrolled in chronic care, wellness, or post-surgical programs disengage quickly without consistent follow-up and encouragement.
50% of patients drop out of chronic care programs within 6 months
Medication Non-Adherence
Patients forget to take medications, skip refills, or stop treatment early — leading to avoidable complications, readmissions, and worse outcomes.
Non-adherence causes 125,000 preventable deaths annually in the US
Post-Discharge Follow-Up Gaps
Care teams struggle to reach every patient within the critical 48-72 hour post-discharge window, increasing readmission risk.
Care Coordinators Are Stretched Thin
Manual outreach by phone is time-consuming and unscalable. Care coordinators can only reach a fraction of their patient panels each day.
Average care coordinator manages 80-120 patients
Results
Measurable impact from day one
45%
Higher Program Retention
Consistent, personalized follow-up keeps patients engaged in care programs longer.
35%
Better Medication Adherence
Automated reminders and check-ins improve refill rates and treatment compliance.
50%
Fewer Readmissions
Proactive post-discharge outreach catches warning signs before they become emergencies.
4x
Outreach Capacity
AI extends care coordinator reach to contact every patient, not just the highest-risk.
Capabilities
Everything you need for intelligent triage
Chronic Care Outreach Engine
Automated, personalized check-ins for patients in chronic care programs — diabetes management, cardiac rehab, behavioral health, and more.
- Condition-specific conversation templates
- Symptom and vitals collection via chat or SMS
- Escalation to clinical staff for concerning responses
Medication Adherence Campaigns
AI-powered reminders for medication schedules, refill prompts, and side-effect check-ins that adapt to patient behavior.
- Personalized dosing schedule reminders
- Pharmacy refill coordination and reminders
- Side-effect monitoring with clinical escalation
Post-Discharge Monitoring
Automated outreach within 48 hours of discharge to assess recovery, reinforce care instructions, and schedule follow-ups.
- Automated post-discharge wellness checks
- Recovery assessment questionnaires
- Follow-up appointment scheduling prompts
Population Health Dashboard
Track program enrollment, engagement rates, adherence metrics, and health outcomes across your patient population.
- Program enrollment and retention analytics
- Risk stratification and intervention tracking
- Outcome reporting for value-based care contracts
How It Works
Three steps to automated triage
Step 1
Enroll & Segment
Patients are enrolled in care programs and segmented by condition, risk level, and communication preference for personalized outreach.
Step 2
Engage & Monitor
AI delivers scheduled check-ins, medication reminders, and wellness assessments via the patient's preferred channel.
Step 3
Escalate & Report
Concerning responses trigger clinical escalation. Population-level analytics drive program optimization and outcomes reporting.
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