AI-AUTOMATED CARE MANAGEMENT

Autonomous Outreach at Population Scale

Florence AI Navigator handles routine member outreach autonomously — and escalates to your care team via a structured HANDOFF the moment a clinical need arises. Every action logged. Every escalation documented.

47
Automated Workflows
2
Operating Modes
5
HANDOFF Sections
100%
Audit Trail

Two Modes. One Platform.

Automate the routine. Reserve your care team for the complex.

MODE 1 — HUMAN-IN-THE-LOOP

Your Care Managers, Augmented

Complex conversations stay human-led. Florence transcribes in real time, surfaces clinical flags, and auto-generates documentation — so your team spends time on patients, not paperwork.

Engage Convene Check-In
MODE 2 — AUTONOMOUS

Routine Outreach at Scale

Appointment reminders, adherence checks, preventive care follow-ups — handled end-to-end without staff involvement. Clinical concerns trigger an immediate HANDOFF to your team.

Appointment reminders Medication adherence Preventive care Post-discharge
POPULATION HEALTH

Campaign-Level Outreach Management

Launch, monitor, and measure population-wide outreach from a single command center

12
Active Campaigns
8,247
Members Targeted
73%
Avg. Completion
4.2%
Escalation Rate
Active

AWV Scheduling

Florence calls members due for Annual Wellness Visits, confirms availability, and books directly with the provider.

2,341 members82% completed
Active

Statin Adherence

Members with PDC below 80% get adherence check-ins. Barriers identified, pharmacy coordination handled.

1,856 members68% completed
Scheduled

Post-Discharge TCM

48-hour follow-up on all discharges. Med reconciliation, appointment confirmation, red-flag screening.

Rolling enrollment15-min response
SAFETY ARCHITECTURE

Every Autonomous Action Has a Safety Net

When Florence encounters a clinical concern during autonomous outreach, the HANDOFF system delivers a structured 5-section brief to the care team in seconds

1

Patient & Workflow

Who was Florence speaking with and what was the outreach goal

2

Interaction Summary

Narrative overview of what happened during the conversation

3

Full Transcript

Complete color-coded transcript for clinical review

4

Key Findings

Bullet-point highlights of clinically significant information

5

Suggested Next Step

AI-powered recommendation for immediate follow-up action

Florence never makes clinical decisions. Chest pain, new symptoms, medication confusion — the conversation escalates immediately. Your clinicians always have the final word.
COMPLIANCE

A Complete, Auditable Record

Every interaction — human and autonomous — logged chronologically with full attribution

AUTO AI Transparency

Every autonomous action tagged with a visible badge. Immediately clear what Florence did vs. what your team did.

HANDOFF Filter

One-click view of every escalation event across your population. Verify that every clinical concern was addressed.

Billing-Ready Documentation

Timestamped activity logs support TCM, CCM, and RPM billing. CMS-ready without additional documentation effort.

Healthcare Data Interoperability Hub

Florence connects to every major healthcare data source — aggregating clinical intelligence in real-time before every patient interaction

Nightingale Central Hub
CMS
CMS
CareQuality
CareQuality
eHealth Exchange
eHealth
Diagnostic Labs
Labs
Pharmacy
Pharmacy
Regional HIE/RHIO
HIE/RHIO
MyBlueButton
MyBlueButton
CommonWell
CommonWell
18.7
Avg providers per Medicare patient
100%
Specialist notes analyzed
35%
Fewer medication conflicts

Care Management Console

Florence AI facilitating your care team — three specialized workflows

Margaret Chen
Florence: "Hi Margaret, this is Florence calling for your monthly check-in..."
2 min agoActive
Robert Johnson
Member: "Yes, I can make the appointment Thursday"
5 min agoScheduling
Maria Rodriguez
Florence: "Your A1C results show great improvement..."
8 min agoActive
Margaret Chen
CCM Enrolled · 20 min/month used · Next Check-in: 3 days
CCM Active
F
Hi Margaret, this is Florence calling for your monthly chronic care management check-in. How have you been feeling since we last spoke?
Pretty good, but I've been having some swelling in my ankles again.
F
I see. Let me check your recent weight logs. Have you been weighing yourself daily as we discussed? Also, have you been limiting your sodium intake?

CCM Care Plan Goals

Daily weight monitoring
Reduce sodium to <2000mg/day
Medication adherence >90%
Walking 15 min daily

Platform Intelligence

The clinical engines powering Florence's 47 automated workflows

Operations Center
Florence Operations Center
Real-time monitoring of all Mode 1 and Mode 2 conversations, HANDOFF escalations, and care coordination across your entire member population.
Chronicity Matrix
Chronicity Matrix™
Multi-condition risk stratification that identifies members with overlapping chronic conditions for targeted intervention.
Transition Compass
Transition Compass™
15-minute response from discharge to patient contact. Automated care coordination across 95% of US hospitals.
EmpathyCore
EmpathyCore™
Vocal biomarker intelligence detecting cognitive decline, depression, and health deterioration through voice analysis.
Predictive Care Gap
Predictive Care Gap Intelligence™
90-day early warning system with 85% accuracy. Close gaps in the same measurement year.
Language Support
20+ Language Support
Native-quality conversations in members' preferred language with cultural competency built into every interaction.

Chronicity Matrix™

Multi-condition intelligence across your highest-cost populations

CHF + CKD
847
members identified
Diabetes + HTN
2,341
members identified
COPD + CHF
523
members identified
CKD + Diabetes
1,156
members identified
Depression + Chronic Pain
1,892
members identified
HTN + Lipids
3,247
members identified
Triple Chronic
412
members identified
5+ Conditions
189
members identified

Transition Compass™: Real-Time Care Coordination

15-minute response from discharge to patient contact. 95% of US hospitals covered.

0
Discharge Event
5
min: ADT Received
10
min: Care Plan Generated
15
min: Patient Contact

Discharge Orchestration Engine

  • Automated appointment scheduling with all specialists
  • Medication reconciliation across all pharmacies
  • Home health and DME coordination
  • Transportation arrangement and confirmation

24/7 Emergency Response Protocol

  • Severity assessment algorithm
  • Nurse triage escalation
  • Direct 911 activation when needed
  • Provider notification in real-time

EmpathyCore™: Vocal Biomarker Intelligence

Industry-leading emotional intelligence detecting cognitive decline, depression, and health deterioration through voice

Cognitive
78.2%
Cognitive Decline
90-day early detection
Depression
85%
Depression Screening
Before clinical presentation
Anxiety
92%
Anxiety Detection
Real-time assessment
Pain
88%
Pain Level
Non-verbal indicators

Adaptive Conversation Engine

Florence adjusts communication style in real-time — mirroring the nursing instinct to meet each member where they are

35%
Better adherence
90%
Satisfaction score
30+
Languages supported

Predictive Care Gap Intelligence™

90-day early warning system with 85% accuracy. Close gaps in the same measurement year.

Lab
Lab Trend Analysis
Silent non-adherence detection
Prediction
90-Day Prediction
ML models identify risk
Outreach
Proactive Outreach
Florence engages member
Quality
Gap Closed
Same-year Stars impact

Medication Adherence

85%
Prediction accuracy

Preventive Screening

75%
Completion rate

Disease Control

65%
In-range metrics

Why Florence Succeeds Where Others Fail

Complete member intelligence before first contact

Contact
Every Number, Every Time
Florence has instant access to all contact methods through LexisNexis integration — home, mobile, work, emergency contacts. Never loses touch with a member.
Powered by LexisNexis Risk Solutions
Language
Speaks Their Language
Automatically detects and switches to member's preferred language. Currently supporting 20+ languages with cultural competency built in.
Real-time translation engine
Omnichannel
Omnichannel Persistence
Seamlessly moves between voice, SMS, and WhatsApp based on member preference and response patterns. 87% connection rate vs 23% industry average.
Multi-channel orchestration
Context
Complete Context
Knows full medical history, recent events, medications, providers, and preferences before dialing. No awkward information gathering.
HIE + ADT + Claims integration
24/7
24/7 Availability
Members answer when convenient for them. Early morning, late night, weekends. Florence is always ready, never tired.
Always-on infrastructure
Human
Care-Team Partnered
Every autonomous interaction includes a structured HANDOFF safety net. When Florence detects a clinical need, your care team receives a 5-section brief and takes over instantly.
HANDOFF escalation protocol

Hear Florence in Action

Experience the empathy and clinical precision of our conversational AI

Post-Discharge Follow-Up
Florence reaches out within 2 hours of discharge, preventing readmission through medication reconciliation
HEDIS Gap Closure
Scheduling overdue mammogram screening with transportation arrangement and reminder setup
Medication Adherence
Diabetic member with low PDC gets personalized barriers assessment and pharmacy coordination
Complex Care Navigation
Multi-morbidity member gets coordinated specialist appointments and transportation assistance
Policy alignment: Built to interoperate under TEFCA's "baseline legal and technical requirements"; designed to avoid information-blocking "disincentives"; and aligned with CMS's Health Tech Ecosystem to "Conversational AI Assistants".
"We pledge to build conversational AI assistants that enhance human connection in healthcare." — CMS Health Tech Ecosystem Early Adopters

What We Measure in Pilots

  • • 7-day post-discharge contact rate and time-to-contact
  • • Medication reconciliation completion and ADE flags
  • • Follow-up scheduling and kept-visit rate
  • • Risk-adjusted 30-day ED revisits/readmissions
  • • Gap closure (med adherence, A1c, BP), CAHPS experience signals

Context: Medicare's risk-adjusted readmission rate remains about "15.0%"; ADEs drive "~500k hospitalizations" annually.

Ready to Transform Your MA Performance?

Schedule an executive briefing to see Florence in action

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Ready to see Florence in action? Request Demo