Close the gaps your outreach can't reach — in their language.
Ethon's AI care agents call the member, the pharmacy, and the prescriber — resolve the real barrier, and book the visit before the call ends. A gap counts as closed only when your payer's next file confirms it. That's also the only time you pay.
Gaps don't close in dashboards.
They close on calls.
Day 21 after a missed refill, Ethon calls — in the member's language, with their chart, their pharmacy, and their open gaps on one agenda. It discloses it's AI, finds the barrier, fixes it, and books the visit.
Scripted replay on synthetic data — no PHI. The live demo above runs the real agent.
Three teams called the same member. Zero gaps closed.
Uncoordinated outreach isn't a vendor problem — it's structural. Each team works its own list, in the language of its script, blind to the others. Here's how the same member's week changes. (Illustrative scenario.)
Most platforms stop at ‘call attempted.’ Ethon stops at verified.
The loop ends where your bonus line begins: verification in the payer's file.
Ethon detects
Payer gap files and EHR data resolve to one record per member. Day-21 refill flags, discharge events, screening gaps — work starts when the event lands, not when the report compiles.
Ethon reaches
One language-matched call from one deduplicated queue — member, pharmacy, and prescriber. Books the visit during the call. Judgment cases route to a named human.
Ethon verifies
Evidence packet per close, exports in your payer’s format, and the close counts when the payer’s next file confirms it. That’s the number we report — and bill.
Built to close, not to remind.
Reminder bots attempt. Ethon carries the gap from signal to verified close — and every mechanism below is in the product today.
One outreach queue
Voice, SMS, and WhatsApp from a single deduplicated queue. One sequenced, language-matched call per member — every team’s gaps on one agenda.
Day-21 pre-gap flag
A pre-due flag on 30-day fills starts outreach before the gap opens — pharmacy, prescriber, and member.
Both TCM clocks
A discharge starts the 2-business-day contact and 7/14-day visit clocks automatically.
Booked in-call
The visit goes on the schedule before hangup — no callback loops, no lost referrals.
TCPA by construction
Quiet hours, caps, consent records, instant revocation — enforced by the engine.
Named-human routing
Sensitive, clinical, or low-confidence cases go to a person with the full attempt history.
Speaks payer, natively
Evidence packets per close · exports in each payer's file format · gap files ingested directly
Start where the points are. Attach the rest.
Each program runs on the same record, the same queue, and the same verification discipline — a gap closed once is credited everywhere.
Medication Adherence
The three triple-weighted Part D measures, worked where they’re won: the refill window. Day-21 flags, calls to pharmacy, prescriber, and member — and real barrier resolution, from copay programs to 90-day switches.
Transitions of Care
The discharge event starts both clocks: contact in 2 business days, visit in 7 or 14 per CMS TCM rules. Ethon makes the contact, books in-window, tracks med rec — and the TCM claim funds the program.
Screening & chronic gaps
Breast cancer screening, kidney health, blood pressure, colorectal — driven by your payer’s gap lists, booked in-call, and bundled so a member gets one coordinated call instead of five.
Built for the person who owns the number.
If your margin moves with quality outcomes, your team is the buyer — across IPAs and MSOs, ACOs, FQHCs, and risk-bearing medical groups.
You’re points from the cut on a triple-weighted measure. We show you the members who can still move it — and work them in their language.
PDC is won in the 21-to-45-day window. We flag day 21, call the pharmacy and the prescriber, and clear the member’s actual barrier.
The discharge lands, both TCM clocks start, we make the contact and book the visit — and the claim pays for the program.
Maps to the quality-bonus line you already track. You pay per verified close, and the downside scenario is on page one of our proposal.
Your panel's languages aren't an edge case. They're where your open gaps live.
The members hardest to reach in English are usually the ones holding your measure below the cut. Ethon routes every member by language preference first — 8+ languages today, expanding with your roster.
You pay when the payer confirms.
No per-seat license for software your team still has to work. If we can't verify it, you don't pay for it.
We'd rather show you the audit trail.
Every claim on this page is one we can evidence. Available on request: architecture statement, BAA template, and our TCPA compliance dossier.
The questions your compliance team will ask.
See it on a sample panel that looks like yours.
30 minutes. We'll run the outreach loop live on a synthetic book of business shaped like your portfolio — measures, languages, payers. No PHI required.