Elythea

Elythea: AI Voice for Member Outreach in Managed Care

Elythea is a cutting-edge AI-powered contact center designed specifically for managed care plans. By leveraging advanced voice AI and SMS technology, Elythea enables healthcare organizations to proactively engage with their members, improve health outcomes, and streamline administrative processes.

What is Elythea?

Elythea is a comprehensive solution that replaces traditional call centers with scalable AI outreach. It utilizes human-like conversations to engage members and close gaps in care. The platform is white-labeled under your plan, ensuring a seamless brand experience for your members.

How does Elythea work?

Elythea works by automating member outreach through AI-driven phone calls and SMS texts. Here's a breakdown of its key functionalities:

• Member List Integration: Simply provide your member list, and Elythea takes care of the rest.
• AI-Powered Communication: Elythea automatically reaches out to members for contracted purposes, such as conducting health risk assessments or scheduling appointments with care managers.
• Multi-Lingual Support: Elythea supports multiple languages, ensuring effective communication with a diverse member population.
• Data Security and Compliance: Elythea is HIPAA compliant, ensuring the privacy and security of patient data.

Key Features and Use Cases

Elythea offers a wide range of features and use cases to address the unique needs of managed care plans:

• Quality Gap Reminders: Reach members to close gaps impacting HEDIS, CAHPS, and STARS, such as breast cancer screenings or colonoscopies.
• Pharmacy Outbound: Contact members who missed prescription pickups, send prescription reminders, and warm transfer patients to your plan's pharmacists.
• Health Risk Assessments (HRAs): Conduct SDoH screening and required screenings (like depression screening) at scale, at any interval. Warm transfer or schedule high-risk patients with Care Managers (CMs).
• Care Management Outbound: Contact 100% of all members and schedule high-risk ones in with your CMs. Your care managers wake up on a Monday with 15 patients already booked into their calendar.
• Provider Directory Verification: Contact all your providers in your directory and verify all the information in your directory in <1 week, on a monthly basis.
• Welcome Calls: Automate mandatory welcome and verification calls to all new members at a fraction of the cost.

Why Choose Elythea?

• Scalability: Reach thousands of members in minutes, regardless of language or location.
• Cost-Effectiveness: Replace expensive call centers with a more efficient AI-powered solution.
• Low-Lift Partnership: Elythea requires no deep integration or separate platform, making it easy to implement and manage.
• Improved Member Engagement: Engage members with human-like conversations that build trust and encourage participation.
• Data-Driven Insights: Track key metrics and gain valuable insights into member behavior and health outcomes.

Who is Elythea for?

Elythea is ideal for:

• Managed Care Organizations (MCOs)
• Health Plans
• Value-Based Care Providers
• Accountable Care Organizations (ACOs)

Pricing

Contact Elythea for custom pricing and demo.

Conclusion

Elythea is transforming member outreach in managed care by providing a scalable, cost-effective, and engaging AI-powered solution. With Elythea, healthcare organizations can improve member engagement, close gaps in care, and drive better health outcomes.