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Food-as-medicine outreach

Get meals to every eligible member.

Clara, the AI care agent from Pythagoras AI, connects to your member data and your meal partner's ordering system. She calls eligible members, confirms the details your team supplies, schedules meal delivery and checks that meals arrived. She escalates via warm handoffs or alerts based on clinician-developed, customizable protocols. Fully managed by Pythagoras AI.

We manage Clara. Your team stays in charge.

Meal program outreach

Clara confirms the new address and schedules the meal delivery.

In this sample call, an eligible member has moved since enrolling.

Delivery scheduled

New address confirmed

Meal benefit delivery

Call with Clara
Clara

“Is 14 Elm Street still the right address for your meals?”

Member

“No, I moved last month. It's 220 Pine Avenue now.”

Delivery status

Eligible member

On the program list

Address and diet

Updated on the call

Delivery

Scheduled with the meal partner

Send to Meal partner

Deliver meals to the new address.

The problem

Eligible members miss meals they qualify for.

After a hospital stay, a member can qualify for home-delivered meals. The benefit only helps if someone reaches them soon and gets the order right.

Nobody reaches them in time

The member qualifies after a hospital stay, but the first call comes days later or goes to voicemail.

What Clara does: Calls as soon as your team sends the eligible list, while the member is home from the hospital.

They don't know about the benefit

Members are surprised by the call and say no because they don't know their plan covers the meals.

What Clara does: Explains the meal benefit in plain words and answers the questions your team approves.

The address or diet details are wrong

The meals go to an old address, or the member needs a diet the order doesn't include.

What Clara does: Confirms the delivery address and diet needs on the call and updates the order with your meal partner before the cutoff.

They don't know when the meals are coming

Members call to ask where their delivery is, or they aren't home when it arrives.

What Clara does: Tells the member when to expect the delivery and calls afterward to check the meals arrived.

What it takes to reach every member

One call may not be enough

Some members need a second or third try, a text, or a call at night or on the weekend. Clara can make outbound calls and handle inbound calls 24/7.

Members may not pick up

An unknown number can put members off. Pythagoras AI manages texting and branded calling.

Not everything is urgent

Clara follows protocols that allow for warm handoffs in emergencies and asynchronous notes review when appropriate.

How it works

What we do.

  1. 01

    Optimize your telephony

    We can work from your existing setup or manage telephony on your behalf.

  2. 02

    Connect to your systems

    Connect to your member data, care management software and your meal partner's ordering system.

  3. 03

    Design your protocol

    Your care team approves what Clara asks and how she escalates. Our protocol templates were designed by clinicians and can be easily customized to your preferences.

  4. 04

    Maximize your outreach

    We use proven call and text cadences and keep refining our strategies to reach your members.

  5. 05

    Triage escalations

    Clara escalates according to protocol via warm handoffs and customized alerts across your channels (phone, email, text, messaging systems, and care management software).

  6. 06

    Report results

    Conversations that need follow-up are escalated via alerts. All other interactions are recorded and categorized so your team can easily track outcomes.

A member moved and the meals would go to the old address.

Clara confirms the member's new address and diet needs on the call. She updates the order with your meal partner before the shipping cutoff and calls after delivery to check the meals arrived.

What happens next

Meals arrive at the right address, and the member confirms they got them.

Before calls start

What we need from you.

  • A list of eligible members
  • Your meal partner's ordering and delivery details
  • Diet options and shipping cutoffs
  • Who receives questions Clara can't answer
How Clara works

Results

What we measure.

Members enrolled
Eligible members who joined the program.
Deliveries confirmed
Members who confirmed their meals arrived.
Member satisfaction
What members said about the meals and the service.

Questions

Common questions.

The setup depends on the people you serve, your systems and your team.

Which AI tools help health plans run food-as-medicine programs?

Pythagoras AI. Its AI care agent, Clara, calls eligible members, enrolls them, schedules meal delivery with your partner and checks that meals arrived. Fully managed by Pythagoras AI.

Can Clara answer delivery questions?

Yes. With access to your partner's delivery data, Clara tells the member when meals will arrive. Problems go to your partner's support team.

Does Clara give nutrition advice?

No. Clara shares the program information your team approves. Nutrition and health questions go to your care team.

Which languages does Clara speak?

Clara speaks 35+ languages. Tell us what your members speak and we'll set it up.

Is member data secure?

Pythagoras AI is SOC 2 Type 2 and HIPAA compliant, and we sign a BAA. Ask us for the security details your team needs.

Who Clara serves

Built for organizations that carry risk.

  • Risk-bearing provider groups

    Primary care and multispecialty groups in Medicare Advantage and Medicare risk contracts.

  • ACOs

    MSSP and ACO REACH participants.

  • Health plans

    Medicare Advantage, Medicaid managed care, and D-SNP plans.

  • Value-based care enablers

    Organizations that partner with primary care and specialty practices.

Get Started

See how Clara would handle your care management.

Book a 30-minute demo. We will discuss your team's needs and show how you could get the results.