Elythea
Voice AI for scalable member outreach in healthcare
What is Elythea? Complete Overview
Elythea is an AI-powered contact center solution specifically designed for managed care organizations (MCOs) in the healthcare industry. It provides human-like voice AI and SMS engagement to automate member outreach at scale. The platform helps healthcare plans close quality gaps, conduct health risk assessments, manage pharmacy outbound communications, and verify provider directories efficiently. Elythea currently serves thousands of patients from the largest national MCOs, offering whitelabelled solutions that integrate seamlessly with existing operations. The system requires minimal setup - just a member list - and can reach thousands of members within days, significantly reducing operational costs compared to traditional call centers while improving HEDIS, CAHPS, and STARS performance metrics.
Elythea Interface & Screenshots
Elythea Official screenshot of the tool interface
What Can Elythea Do? Key Features
Quality Gap Reminders
Automated outreach to members to close critical care gaps that impact HEDIS, CAHPS, and STARS measures. Whether it's breast cancer screenings, colonoscopies, or other preventive services, Elythea's AI engages members with human-like conversations to improve compliance and health outcomes.
Pharmacy Outbound
Contact members who missed prescription pickups and send medication reminders. The system can warm transfer patients directly to your plan's pharmacists when needed, improving medication adherence while maintaining the human touch in critical interactions.
Health Risk Assessments
Conduct Social Determinants of Health (SDoH) screenings and required assessments (like depression screening) at scale. The AI can identify high-risk patients and either warm transfer them immediately or schedule follow-ups with care managers, ensuring timely intervention.
Care Management Outbound
Contact 100% of assigned members and automatically schedule high-risk patients with care managers. Your team starts each week with pre-booked appointments, maximizing their productivity and ensuring consistent member engagement.
Provider Directory Verification
Rapidly verify all provider information in your directory in less than one week, with monthly updates available. This ensures your member-facing provider information remains accurate and up-to-date with minimal administrative burden.
Welcome Calls
Handle mandatory welcome and verification calls for new members at scale. Simply provide your script, and Elythea delivers consistent, compliant outreach at a fraction of traditional call center costs while maintaining high member satisfaction.
Best Elythea Use Cases & Applications
HEDIS Measure Improvement
A Medicaid plan uses Elythea to contact thousands of members overdue for breast cancer screenings. The AI conducts personalized outreach, answers questions, and schedules appointments, helping the plan improve its HEDIS scores significantly within one measurement period.
Medication Adherence Program
A Medicare Advantage plan implements Elythea to contact members who haven't picked up critical prescriptions. The AI system provides reminders, addresses concerns, and connects members with pharmacists when needed, resulting in a 30% improvement in medication adherence rates.
New Member Onboarding
A managed care organization automates its welcome call process using Elythea, delivering consistent, compliant outreach to all new members within 48 hours of enrollment while reducing onboarding costs by 60% compared to traditional call centers.
How to Use Elythea: Step-by-Step Guide
Provide your member list to Elythea with basic contact information and any relevant segmentation (e.g., members needing specific screenings or follow-ups).
Customize the outreach scripts or approve Elythea's optimized templates for your specific use case (gap closure, HRA, welcome calls, etc.).
Elythea deploys AI-driven phone calls and SMS texts to engage members using human-like conversations in multiple languages if needed.
The system handles responses, schedules appointments when applicable, and warm transfers members to live agents for complex interactions.
Receive comprehensive reports on outreach results, member engagement metrics, and completed actions to measure program effectiveness.
Elythea Pros and Cons: Honest Review
Pros
Considerations
Is Elythea Worth It? FAQ & Reviews
Elythea offers one of the lowest-lift vendor partnerships available. We require no deep integration and have no separate platform to learn. The process simply begins with your member list, and from there we automatically reach out to members for our contracted purpose - whether it's conducting an HRA or scheduling members with care manager appointments.
Yes, Elythea's AI can conduct outreach in multiple languages to serve diverse member populations effectively.
Elythea requires minimal setup, no long-term contracts, and delivers measurable results quickly. Our performance-based approach aligns with your quality metrics and member engagement goals.
Yes, Elythea is fully HIPAA compliant, ensuring all member data and communications meet healthcare privacy and security requirements.
Elythea's voice AI is designed to sound completely human-like, building natural rapport with members. For sensitive interactions or when requested, the system can seamlessly warm transfer to live agents, maintaining member trust throughout the engagement.