Health Plans — Medicare Advantage & Medicaid
Linda completes Health Risk Assessments, closes HEDIS care gaps, and screens for social needs — member by member, persistently, in a warm and unhurried conversation — and alerts your care managers to every critical insight, with the full report for context.
HIPAA & SOC 2 compliant · BAA before any data moves · Live in as little as 14 days
HRA completion, gap closure, and member experience all depend on outreach your call centers and care managers can’t scale. Unreached members mean inaccurate risk documentation, open gaps at measurement-year close, and Star Ratings — and their $12.7B in bonus payments — decided by the members nobody talked to.
The economics
A 100K-member MA plan typically unlocks $10–60M a year in risk-adjustment accuracy, gap closure, and Star bonus protection.
Each program spells out the objective, who’s called and when, exactly what Linda covers, the triggers that raise an alert, and what your team gets back.
Complete the member’s HRA: accurately capture chronic conditions, functional status, mental health, and social needs (SDOH); confirm the member has a PCP; and alert your staff to clinical or social concerns. Supports risk-adjustment accuracy and surfaces care gaps.
What Linda covers on the call
When Linda alerts your team
Any expression of self-harm or severe depression; a recent fall with injury; food insecurity or inability to afford medications; uncontrolled symptoms; no PCP; a hospital or ER visit in the last 30 days.
What your team receives
Completed HRAs with structured condition documentation supporting RAF accuracy, flagged care gaps, and same-day urgent alerts to behavioral-health or care-management staff.
Identify overdue HEDIS-measured services (A1c, diabetic eye exam, mammogram, colorectal screening, medication refills, and more), motivate members to schedule, and remove the barriers — transportation, cost, language — that keep gaps open.
What Linda covers on the call
When Linda alerts your team
Any active symptom suggesting an urgent problem — a breast lump, blood in stool, chest pain, vision loss — triggers an urgent alert so your clinical team can arrange a diagnostic (not routine screening) pathway.
What your team receives
Gap-closing actions logged per member, barrier data for your SDOH programs, and urgent clinical alerts that would otherwise surface as claims months later.
Also configurable: enrollment welcome calls, medication adherence campaigns, redetermination outreach (Medicaid), and post-discharge transition-of-care calls — built on the same program framework.
Linda does the dialing; your people get the signal. Every program feeds the same four outputs.
Every call becomes a clear report, and alerts flag the interactions that need staff follow-up — delivered instantly by SMS and email.
Their data (via CSV or API), full history of activity with Linda, every alert and report — plus a place for your staff to add notes.
See Linda’s activity across your entire patient or member pool at a glance, and track the numbers that matter.
View your active call programs, the questions each one covers, and the sequence strategy — number of attempts, time between calls, and calling approach.
Linda is designed to catch what matters, not to replace clinical judgment. When a call surfaces a critical insight — a concerning symptom, a safety risk, a medication question, signs of crisis — your staff get an instant SMS and email alert so they can handle next steps, with the full call report available for context. On these calls, the alert is the success.
Every call program is reviewed and approved by your clinical and compliance teams before launch, and tailored to your protocols and populations.