Redefine how members navigate to care and wellness
Clinical-grade AI built for your bottom line
Validated by clinicians. Powered by AI.
Proven by outcomes.
43%
Engagement in
aftercare³
$211
Savings per
clinical encounter¹
71%
Member health
improvement²
Deliver a clear path to better care and wellness
With Pager Health’s AI-powered care navigation and wellness solutions, every interaction moves your members toward improved health, at a lower cost.
Meet every member where they are: Personalized guidance supports the full journey, from finding care to staying well
Right care, right time, every time: Matching intelligence to individual needs routes members correctly the first time, reducing avoidable utilization
Clinical expertise, built in: Clinical guardrails ground every AI recommendation, with clinicians and health coaches available 24/7/365 and the member’s full history already in view
Navigator guides your members through benefits, providers, and care in a single conversation. ReallyWell℠ keeps them healthy between care moments and closes gaps before they become claims. Enterprise 360 connects members, payers, point solutions, and providers into one integrated system of care.
Savings that don’t come at your members’ expense
With Pager Health as your partner, your care navigation and wellness platforms can:
Reduce medical spend without restricting member access
Increase in-network utilization and appropriate care
Improve the Star Ratings, CAHPS, and HEDIS performance you’re measured on
Provide a personalized care navigation and wellness journey for every member, without losing the reliability and infrastructure you require:
Proven across 26,000,000 members in the US and LatAm, with more than a decade of healthcare and AI experience
Built on Google Cloud, backed by leading investors, embedded and white-labeled to fit your existing tech stack and workflows
A personal approach for every member. Delivered at scale, without trade-offs.
Clinical AI that knows its limits
Limitless AI can require an unlimited budget. Models without guardrails that flag when to move on or hand off carry a cost: delayed or misrouted care, frustrated members, and excessive token spend.
With Pager Health, your care navigation and wellness AI meets the clinical moment, matching the right resource to member needs:
Engage: AI handles the warm, member-friendly conversation and intake
Assess: Deterministic protocols, not the model’s own reasoning, drive the clinical logic and decide whether something needs to be escalated to a clinician
Decide: A clinician reviews and makes the call, with the full picture in front of them
Routine questions get instant, efficient answers. The moment one requires clinical judgment, it goes straight to an expert clinician with full context, guided by proven clinical governance.
Unlock the ROI Pager Health can deliver for your organization
Results you can measure from standards you can trust
GREATER MEMBER SATISFACTION
41%
Members w/o PCP
provided preventative care
<30s
Time to connect with a nurse
HEALTHIER OUTCOMES
20%
Improvement in
closing gaps in care
64%
Increase in medication adherence
MULTI-COST REDUCTION
$211
Savings per clinical encounter
66%
Virtual or home
care resolution
93%
Steerage to preferred
in-network providers
From care navigation to wellness to enterprise orchestration, every Pager Health solution is grounded in clinical governance, built on advanced AI, and designed specifically for healthcare organizations.
“Pager Health’s Care Nurse did an outstanding job! She stayed with me the whole time...she handled the logistics and the clinical advice flawlessly, and her manner made me feel cared for. I was scared and alone, but she was there for me. She is an absolute superstar, and I’m so grateful for her care.”
- Client health plan member
¹ $211 analysis based on claims-based steerage success rates.
² 71% of the high-risk population eliminated at least one health risk using our wellness services in FY2023.
³ 43% of members responded to the aftercare services in Q4 2023.