Elythea
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What is Elythea?
Elythea is a Voice AI platform designed specifically for Medicare and Medicaid managed care plans to automate AI-native member outreach. The platform concurrently reaches 10,000+ members per hour through dynamic two-way voice conversations and SMS texting, enabling organizations to contact hundreds to hundreds of thousands of members simultaneously on the same morning. It delivers warm transfers to care managers, perfect data reporting, and helps close critical quality gaps that human call centers cannot compete with at scale.
Key features include truly human-sounding Voice AI that is indistinguishable from human interaction, customizable conversation scripts tailored to each plan's needs, support for 20+ languages for culturally-responsive communication, and unlimited scale from hundreds to millions of members. The platform guarantees 10+ engagement attempts for 100% of the member population, collects customizable data for quality reporting (from binary HRA flags to detailed interaction notes), and provides real-time customizable actions like scheduling HRAs, booking high-risk members with care managers, connecting to food banks, and creating intelligent appointments for quality gap reminders.
Elythea serves Medicare Advantage organizations, state Medicaid agencies, and Medicaid Managed Care Organizations (MCOs). For Medicare Advantage, it automates welcome calls, CAHPS survey automation, mammogram and colonoscopy quality gap reminders, preventive care outreach, and annual wellness visit scheduling. For Medicaid, it supports HR1 implementation, work requirement automation, member redetermination reminders, benefit explanation calls, policy update notifications, Health Risk Assessments, care coordination calls, and member satisfaction surveys. The platform requires no IT lift or legacy system integration—only a member list is needed.
The platform is Government Ready with complete documentation meeting federal and state security requirements, HIPAA and SOC 2 compliant with enterprise-grade security and privacy controls, and features a platformless solution with no app or portal needed. It reaches members directly through outbound phone calls and SMS text messages in any language, with whitelabelled conversations under the plan's brand. Recent case studies show 3.88x higher engagement rates for high-risk rural BIPOC populations compared to manual FTE outreach, tripling member engagement in under 2 weeks, and implementing in just 6 days.
Elythea pricing
Pricing model: Freemium
Pricing details are not publicly disclosed on the website. The site states Elythea offers welcome calls and verification calls at a fraction of the cost compared to manual FTE outreach. Users must book a demo to explore partnership opportunities and get pricing information. No free tier is mentioned. The platform serves Medicare Advantage organizations, state Medicaid agencies, and Medicaid Managed Care Organizations with enterprise-level pricing based on member volume and use cases.
Elythea pros
- Reaches 10,000+ members per hour concurrently
- Contact hundreds to hundreds of thousands simultaneously
- Dynamic two-way voice conversations
- SMS texting support in 20+ languages
- Warm transfers to care managers and pharmacists
- Perfect data reporting with detailed logging
- No IT lift or legacy system integration needed
- Only requires a member list to start
- HIPAA and SOC 2 compliant
- Government Ready with federal security documentation
- Platformless solution with no app or portal
- Whitelabelled under plan's brand
- Truly human-sounding AI indistinguishable from humans
- Guarantees 10+ engagement attempts for 100% of population
- Implementation in just 6 days
- 3.88x higher engagement than manual FTE outreach
- Tripled member engagement in under 2 weeks
- Culturally-responsive communication in 10+ languages
- Reduces health disparities through targeted outreach
- 20 times faster than care management and FTE outreach
- Customizable conversation scripts for each plan
- Real-time customizable actions like scheduling HRAs
- Unlimited scale from hundreds to millions of members collects any data needed for quality reporting
- Weekly, daily, or real-time data frequency options
Elythea cons
- No free tier mentioned on website
- Pricing details not publicly disclosed
- Requires booking a demo for pricing information
- Only serves Medicare and Medicaid plans not commercial insurance
- No self-service portal or app for users
- Limited to outbound calls and SMS no inbound hotline
- Requires member list upload manual data handoff
- No integration with legacy systems may limit some workflows
- Platformless approach means no user dashboard
- Custom scripts require plan to provide their own
- May not support specialized non-healthcare use cases
- Limited to Government healthcare sector only
- No mention of API access for custom integrations
- Data collection depends on plan providing script details
- Warm transfers require existing care manager infrastructure
- Requires care managers to have calendar availability
- 20+ languages may not include all minority languages
- No mention of 24/7 availability guarantees
- Case study results may vary by population
- No pricing transparency for budget planning
Frequently asked questions about Elythea
What is Elythea?
Elythea is a Voice AI platform designed for Medicare and Medicaid managed care plans to automate AI-native member outreach. It concurrently reaches 10,000+ members per hour with dynamic two-way voice conversations, SMS texting, warm transfers, and perfect data reporting.
Who is Elythea for?
Elythea serves Medicare Advantage organizations, state Medicaid agencies, and Medicaid Managed Care Organizations (MCOs) that need to automate member engagement, quality programs, and outreach at scale.
How fast can I implement Elythea?
Elythea can be implemented in just 6 days. Send a member list on Monday morning and contact all members by Tuesday evening in any language, with no IT lift or legacy system integration needed.
What languages does Elythea support?
Elythea supports 20+ languages, enabling culturally-responsive AI communication and fluent conversation with members in their native language over SMS texting and real-time phone calls.
Is Elythea HIPAA compliant?
Yes, Elythea is HIPAA and SOC 2 compliant with enterprise-grade security and privacy controls. It is Government Ready, meeting federal and state security requirements with complete documentation.
How does Elythea compare to manual FTE outreach?
Elythea achieves 3.88x higher engagement rates than manual FTE outreach (p<0.001) and is 20 times faster. A case study showed tripling member engagement in under 2 weeks with implementation in 6 days.
What uses does Elythea have for Medicare Advantage?
For Medicare Advantage, Elythea automates welcome calls for new members, CAHPS survey automation, mammogram and colonoscopy quality gap reminders, preventive care outreach, and annual wellness visit scheduling.
What uses does Elythea have for Medicaid?
For Medicaid, Elythea supports HR1 implementation, work requirement automation, member redetermination reminders, benefit explanation calls, policy update notifications, Health Risk Assessments (HRAs), care coordination calls, and member satisfaction surveys.
Do I need to integrate with my legacy systems?
No, Elythea requires no integration with legacy systems. It is a platformless solution with no app or portal needed. You only need to provide a member list, and Elythea reaches members directly through outbound phone calls and SMS text messages.
How do I get pricing information?
Pricing details are not publicly disclosed on the website. You must book a demo to explore partnership opportunities and get pricing information. The site mentions Elythea offers services at a fraction of the cost compared to manual FTE outreach.