Medication adherence outreach
Help patients get and take the medicines they need.
Clara, the AI care agent from Pythagoras AI, connects to your EHR, pharmacy data and care management software and calls patients who need help staying on their medicines. She checks whether they have their medicines and take them, orders refills when connected to your pharmacy, and records what stands in the way. 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.
Monthly medication check-in
Clara finds out why doses are missed and books a check-in for next week.
In this sample call, the patient keeps forgetting an evening blood pressure pill.
Clara
Medication check-in
“How many evening doses did you miss this week?”
“Maybe three. I take it at night and forget.”
Team alert
Care team
What the caller said
“Maybe three. I take it at night and forget.”
- Missed doses
- Three this week, recorded
- Reason
- Forgets the evening pill
- Next check-in
- Booked for next week
Send to Care team
Review the call summary and mark it reviewed.
The problem
Patients run out of medicines or stop taking them, and their health gets worse.
Patients stop taking a medicine for different reasons, and each reason needs a different fix. Clara asks the patient which one it is.
They didn't refill it
The refill ran out and the patient didn't call the pharmacy, or couldn't get there.
What Clara does: Checks for refills left and orders a refill delivery when she's connected to the pharmacy.
They forget to take it
The patient means to take it but misses doses, most often when they take several medicines a day.
What Clara does: Checks in with them on a regular schedule, asks how they keep track of their medicines and lets your team know who needs more support.
They can't afford it or can't get to the pharmacy
The copay is more than they can pay, or they don't have a ride to pick it up.
What Clara does: Records the reason and sends it to your team, so someone can look at lower-cost options or delivery.
They don't think they need it
The patient feels fine, worries about side effects or doesn't believe the medicine works.
What Clara does: Records what the patient says and sends questions about side effects to your nurse. She doesn't give medical advice.
What it takes to reach every patient
One call may not be enough
Some patients 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.
Patients may not pick up
An unknown number can put patients 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.
- 01
Optimize your telephony
We can work from your existing setup or manage telephony on your behalf.
- 02
Connect to your systems
Connect to your EHR, pharmacy data and care management software.
- 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.
- 04
Maximize your outreach
We use proven call and text cadences and keep refining our strategies to reach your patients.
- 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).
- 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 patient keeps forgetting an evening pill.
Clara asks how many doses the patient missed this week and why. She books a check-in call for next week to see how it's going.
What happens next
The next check-in is booked, and your care team sees the missed doses in the call summary.
Before calls start
What we need from you.
- A list of patients to call
- Pharmacy or refill data
- Your care team's protocols for medication concerns
- Who gets escalations, and a backup
Results
What we measure.
- Patients reached
- Patients Clara spoke with, out of everyone on the list.
- Refills ordered
- Refills Clara ordered or sent to your pharmacy team.
- Concerns flagged
- Medication concerns your care team got and acted on.
Questions
Common questions.
The setup depends on the people you serve, your systems and your team.
Which AI tools help with medication adherence outreach?
Pythagoras AI. Its AI care agent, Clara, calls patients to check that they have and take their medicines, orders refills when connected to your pharmacy and flags concerns to your care team.
Can Clara order refills?
Yes, when Clara is connected to your pharmacy system. Otherwise she sends the refill request to your team.
Does Clara give medication advice?
No. Clara does not give medical advice or change medicines. She flags medication questions and concerns to your care team.
Does this help with Star Ratings?
Medication adherence measures count toward Star Ratings. Clara helps patients get their refills and flags the reasons they stop taking their medicines.
Is patient 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.
Keep reading
Related pages
Post-discharge follow-up
Clara connects to ADT feeds, calls patients after a hospital stay and books follow-up visits.
Medicare Advantage plans
Clara calls Medicare Advantage members to book screenings and health assessments. Each request goes to the right team.
Care management enrollment
Clara calls eligible patients, explains your care program, enrolls patients under your consent steps and makes warm handoffs to care managers.
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.