Patient re-engagement
Reach the patients your team hasn't been able to reach.
Clara, the AI care agent from Pythagoras AI, connects to your EHR and care management software and calls patients your team has marked unable to reach. She tries at different times, sends texts, calls at night or on the weekend, and books the visit or program the patient is overdue for. 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.
Unable-to-reach outreach
Clara reaches the patient after work and books the overdue checkup.
In this sample call, Clara reaches a patient on a weekday evening after several missed daytime calls.
Call summary
Overdue checkup
Previous attempt
Daytime calls
No answer
Latest conversation
Evening call
Patient reached
Next action
Checkup
Booked for Saturday
“You're due for a checkup. Would a Saturday morning work?”
“Saturday works. And I have a new phone number.”
The problem
Patients your team can't reach go months without care.
Patients end up on the unable-to-reach list for ordinary reasons. Many of them would answer at a different time or from a number they recognize.
They work during office hours
Calls come between nine and five, while the patient is at work.
What Clara does: Calls in the evening and on weekends, and answers inbound calls 24/7 when patients call back.
They don't answer unknown numbers
The call shows up as an unknown number, so it goes to voicemail.
What Clara does: Pythagoras AI sets up branded calling with your practice's name, and Clara texts before she calls.
The phone number has changed
The number on file is disconnected or belongs to someone else.
What Clara does: Tries every number you have and sends any new number she gets to your team.
They stopped coming in
A patient who hasn't been seen in a year may not know they're due for a visit, or something made it hard to come in.
What Clara does: Tells them what they're due for, asks what's in the way and books the visit. She lets your team know about needs like a ride.
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, contact history 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 only answers after work.
Clara reaches the patient on a weekday evening, tells them they are overdue for a checkup and books a Saturday visit. The patient also gives a new phone number.
What happens next
The visit is booked, and your team gets the new phone number to update the record.
Before calls start
What we need from you.
- A list of patients you haven't reached, and the care each one needs
- Opt-outs and calling-time rules
- Access to your scheduling system
- Who gets escalations, and a backup
Results
What we measure.
- Patients reached
- Patients Clara spoke with, out of everyone on the unable-to-reach list.
- Visits booked
- Visits and programs booked after Clara reached the patient.
- Contact details fixed
- Wrong or changed numbers sent to your team to update.
Questions
Common questions.
The setup depends on the people you serve, your systems and your team.
Which AI tools reach patients marked unable to reach?
Pythagoras AI. Its AI care agent, Clara, calls and texts patients your team has marked unable to reach, tries at the times they answer and books the care they are overdue for.
How many times does Clara try?
We use proven call and text cadences and follow the calling rules and opt-outs your team sets.
What happens when a number is wrong?
Clara records it, and your team gets a list of numbers to update.
Which languages does Clara speak?
Clara speaks 35+ languages. Tell us what your patients speak and we will set it up.
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
Annual wellness visit outreach
Clara books annual wellness visits under each practice's rules and sends reminders.
ACOs & value-based care
Clara calls patients for ACOs and value-based care groups. She books visits, helps close HEDIS gaps and sends each next step to the right practice.
Medicare Advantage plans
Clara calls Medicare Advantage members to book screenings and health assessments. Each request goes to the right team.
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.