Elythea

Elythea is a specialized AI-powered contact center solution designed to revolutionize member outreach for Managed Care Organizations (MCOs), including Medicaid and Medicare plans. It leverages advanced Voice AI and SMS technology to engage with thousands of members in minutes, offering a scalable, efficient, and cost-effective alternative to traditional human-staffed call centers. The platform's core mission is to improve health outcomes by ensuring timely and effective communication for critical healthcare functions, all while operating seamlessly under the health plan's brand (whitelabelled).

The AI conversations are engineered to be remarkably human-like, fostering trust and encouraging member participation. Elythea's platform is built for scale, capable of contacting an entire member population, whether it's 50,000 or over 5 million, with a guarantee of at least 10 engagement attempts per member. This ensures comprehensive coverage and maximizes the chances of closing important care gaps.

How to use Elythea

Partnering with Elythea is designed to be a straightforward and low-operational-lift process for MCOs:

1. Provide Member Data: The MCO simply provides Elythea with a list of members to be contacted for a specific campaign. No deep IT integration or new platform adoption is required.
2. Define the Campaign: The MCO supplies its existing call scripts and objectives. Elythea's team then custom-builds and manages the entire outreach workflow.
3. Automated Outreach: Elythea's AI initiates outbound phone calls and SMS messages to the members, engaging them in fluent, natural conversations in their native language.
4. Real-time Actions & Scheduling: The AI can perform actions during the conversation, such as conducting a Health Risk Assessment (HRA), scheduling high-risk patients directly into a care manager's calendar, or warm-transferring a member to a plan's pharmacist.
5. Receive Detailed Reports: The MCO receives custom, high-quality reports in a spreadsheet format, detailing engagement status, HRA data, quality gap closures, and other custom data points for the entire member list.

Core Features of Elythea

• Scalable AI Contact Center: Capable of reaching millions of members in a single day, automating outbound operations for any managed care plan.
• Human-like Voice AI: Delivers natural, empathetic, and fluent conversations that members find trustworthy and engaging.
• Multi-language Support: Fully HIPAA-compliant support for over 20 languages across both voice calls and SMS, ensuring equitable access for diverse populations.
• Low-Lift, No-Integration Model: A 'platformless' solution that requires only a member list to start, making it one of the easiest vendors for an MCO to adopt.
• Managed Workflows: Elythea's team provides a white-glove service, managing the entire campaign from setup to reporting based on the plan's specific needs.
• Customizable Real-time Actions: The AI can conduct screenings, schedule appointments, connect members to resources like food banks, and provide intelligent reminders.
• Advanced Maternal Health Models: Utilizes machine learning to predict risks for conditions like preeclampsia and C-sections, enabling proactive intervention and significantly improving maternal health outcomes.
• HIPAA-Compliant Reporting: Delivers detailed, accurate, and customizable reports on all member interactions and data collected, available as frequently as needed.

Use Cases for Elythea

Elythea is tailored for major managed care functions, including:

• Quality Gap Closure: Proactively reaching out to members for reminders about crucial screenings (e.g., breast cancer, colonoscopies) to improve HEDIS, CAHPS, and STARS ratings.
• Health Risk Assessments (HRAs): Conducting SDoH (Social Determinants of Health) and depression screenings at scale and at any required interval.
• Care Management Outreach: Contacting 100% of a member population to identify and schedule high-risk individuals for appointments with care managers.
• Pharmacy Outbound: Contacting members about missed prescription pickups, sending medication reminders, and facilitating connections with pharmacists.
• Provider Directory Verification: Automating the process of contacting all providers in a directory to verify their information on a monthly basis, ensuring compliance and accuracy.
• New Member Welcome Calls: Executing mandatory welcome and verification calls to all new members efficiently and at a fraction of the traditional cost.

Advantages of Elythea

Elythea offers a 'no-risk' approach with significant advantages. It eliminates the high costs and scalability limitations of human call centers. The low-lift partnership model ensures rapid implementation (average adoption in <1 month) without burdening the MCO's IT resources. By guaranteeing extensive engagement attempts and supporting numerous languages, Elythea improves health equity and ensures no member is left behind. The platform's proven success in randomized control trials—showing significant reductions in ICU admissions and C-sections—demonstrates its tangible impact on improving health outcomes and reducing costs.

Pricing and Plans

Elythea operates on a custom pricing model tailored to the specific needs and scale of each Managed Care Organization. Pricing information is not publicly listed. To get a detailed quote and see the value the platform can bring to your plan, you are encouraged to book a customized demo with their executive team through their official website.