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Member Engagement

That Drives Action

Most AI answers questions. Otomo's AI gets things done.

Most AI answers questions.
Otomo's AI gets things done.

Otomo's AI gets things done.

AI voice and SMS that reaches every member in their language and moves them to complete the visit, the referral, and the care gap, while lowering your cost.

Closes care gaps and improves quality measures
Books appointments and coordinates referrals
24/7 voice and SMS in any language

Learn More

Yeah, I'd love to book my annual exam.

Skye

AI Outbound Agent

Outbound Call

Who we serve

Otomo serves any organization that pays for care and needs members to act on it.

Orchestrates precise patients engagements with high security standard, EMR integrations, and real time quality monitoring

Commercial Health Plans

Lift member engagement and care-gap closure to strengthen quality scores, while cutting contact-center cost.

Medicare & Medicaid MCOs

Reach members for wellness visits, screenings, and redetermination deadlines to protect access and improve performance.

Self-Insured Employers

Turn the benefits you already fund into care employees actually use, with native bilingual support for expat and multilingual staff.

Where

traditional member engagement

traditional engagement

falls short.

Stalled Action
Members get answers but never complete the visit, the referral, or the screening. Engagement without action leaves quality scores and utilization untouched.
Rising Service Costs
Traditional answering services can be expensive to maintain, especially when clinics pay high monthly fees without meaningful workflow improvement.
Care Gaps and Leakage
Missed preventive visits, dropped referrals, and skipped follow-ups become open gaps, referral leakage, and higher total cost of care.
Stalled Action
Members get answers but never complete the visit, the referral, or the screening. Engagement without action leaves quality scores and utilization untouched.
Rising Service Costs
Traditional answering services can be expensive to maintain, especially when clinics pay high monthly fees without meaningful workflow improvement.
Care Gaps and Leakage
Missed preventive visits, dropped referrals, and skipped follow-ups become open gaps, referral leakage, and higher total cost of care.
Stalled Action
Members get answers but never complete the visit, the referral, or the screening. Engagement without action leaves quality scores and utilization untouched.
Rising Service Costs
Traditional answering services can be expensive to maintain, especially when clinics pay high monthly fees without meaningful workflow improvement.
Care Gaps and Leakage
Missed preventive visits, dropped referrals, and skipped follow-ups become open gaps, referral leakage, and higher total cost of care.
Stalled Action
Members get answers but never complete the visit, the referral, or the screening. Engagement without action leaves quality scores and utilization untouched.
Rising Service Costs
Traditional answering services can be expensive to maintain, especially when clinics pay high monthly fees without meaningful workflow improvement.
Care Gaps and Leakage
Missed preventive visits, dropped referrals, and skipped follow-ups become open gaps, referral leakage, and higher total cost of care.

Stalled Action
Members get answers but never complete the visit, the referral, or the screening. Engagement without action leaves quality scores and utilization untouched.
Rising Service Costs
Traditional answering services can be expensive to maintain, especially when clinics pay high monthly fees without meaningful workflow improvement.
Care Gaps and Leakage
Missed preventive visits, dropped referrals, and skipped follow-ups become open gaps, referral leakage, and higher total cost of care.
Stalled Action
Members get answers but never complete the visit, the referral, or the screening. Engagement without action leaves quality scores and utilization untouched.
Rising Service Costs
Traditional answering services can be expensive to maintain, especially when clinics pay high monthly fees without meaningful workflow improvement.
Care Gaps and Leakage
Missed preventive visits, dropped referrals, and skipped follow-ups become open gaps, referral leakage, and higher total cost of care.
Stalled Action
Members get answers but never complete the visit, the referral, or the screening. Engagement without action leaves quality scores and utilization untouched.
Rising Service Costs
Traditional answering services can be expensive to maintain, especially when clinics pay high monthly fees without meaningful workflow improvement.
Care Gaps and Leakage
Missed preventive visits, dropped referrals, and skipped follow-ups become open gaps, referral leakage, and higher total cost of care.
Stalled Action
Members get answers but never complete the visit, the referral, or the screening. Engagement without action leaves quality scores and utilization untouched.
Rising Service Costs
Traditional answering services can be expensive to maintain, especially when clinics pay high monthly fees without meaningful workflow improvement.
Care Gaps and Leakage
Missed preventive visits, dropped referrals, and skipped follow-ups become open gaps, referral leakage, and higher total cost of care.

Stalled Action
Members get answers but never complete the visit, the referral, or the screening. Engagement without action leaves quality scores and utilization untouched.
Rising Service Costs
Traditional answering services can be expensive to maintain, especially when clinics pay high monthly fees without meaningful workflow improvement.
Care Gaps and Leakage
Missed preventive visits, dropped referrals, and skipped follow-ups become open gaps, referral leakage, and higher total cost of care.
Stalled Action
Members get answers but never complete the visit, the referral, or the screening. Engagement without action leaves quality scores and utilization untouched.
Rising Service Costs
Traditional answering services can be expensive to maintain, especially when clinics pay high monthly fees without meaningful workflow improvement.
Care Gaps and Leakage
Missed preventive visits, dropped referrals, and skipped follow-ups become open gaps, referral leakage, and higher total cost of care.
Stalled Action
Members get answers but never complete the visit, the referral, or the screening. Engagement without action leaves quality scores and utilization untouched.
Rising Service Costs
Traditional answering services can be expensive to maintain, especially when clinics pay high monthly fees without meaningful workflow improvement.
Care Gaps and Leakage
Missed preventive visits, dropped referrals, and skipped follow-ups become open gaps, referral leakage, and higher total cost of care.
Stalled Action
Members get answers but never complete the visit, the referral, or the screening. Engagement without action leaves quality scores and utilization untouched.
Rising Service Costs
Traditional answering services can be expensive to maintain, especially when clinics pay high monthly fees without meaningful workflow improvement.
Care Gaps and Leakage
Missed preventive visits, dropped referrals, and skipped follow-ups become open gaps, referral leakage, and higher total cost of care.

How it works

Step 1:

Reach Every Member

Otomo proactively contacts members by voice and SMS, in their language, on their schedule. No queue, no hold, no after-hours blackout.

Step 2:

Guide to Action

The agent doesn't stop at the answer. It books the visit, coordinates the referral, and drives the member toward the high-value action.

Step 3:

Close and Report

Every completion is logged and reportable: contact rates, bookings, and gap closure visible in real time.

Security

Where member engagement

meets

precision

and security.

Otomo meets HIPAA and SOC 2 requirements. Secure data handling, full conversation logging, audit trails, and real-time quality monitoring.

Orchestrates precise patients engagements with high security standard, EMR integrations, and real time quality monitoring

Trusted at scale

Proven in production,

across the

country.

Otomo's AI agents are live in real clinical operations in the US, handling thousands of interactions every day.

Orchestrates precise patients engagements with high security standard, EMR integrations, and real time quality monitoring

>100K

Engagements / Month

member & patient interactions handled every month

50+

Offices

Office locations running on Otomo's AI engagement

From spin-out to production

Your healthcare AI partner

Your AI partner

spun out of

MIT.

Otomo Health has been operational since summer 2025, went through delta v, MIT's largest startup accelerator, and was recognized by Poets&Quants as a 2025 Most Disruptive MBA Startup representing MIT Sloan.

Backed by leading investors

Value

Value in every dimension.

Financial

Lower contact-center cost, less referral leakage, stronger network utilization.

Clinical

Higher preventive-care participation and improved quality outcomes.

Experience

Faster service, simpler access, and availability around the clock.

FAQs

Frequently Asked

Questions

How do you improve benefit utilization?

The most effective way to lift utilization is proactive, personalized outreach that reaches each member directly and drives them to act, rather than waiting for them to find a portal. Members miss preventive visits and underuse wellness programs mainly because no one prompts them at the right time. Otomo's AI voice and SMS agents reach each member in their language, explain the benefit in plain terms, and book the appointment or complete the enrollment on the spot.

What is the difference between inbound and outbound AI voice agents?

Inbound agents answer member questions when the member calls in; outbound agents proactively reach members to drive an action like a screening or wellness visit. Most utilization and care-gap problems require outbound, because the hardest-to-reach members never call. Otomo runs both: inbound for benefits, eligibility, and coverage questions around the clock, and outbound for proactive care-gap and wellness outreach.

What is inbound and outbound?

How does AI help close care gaps and improve quality measures?

AI agents identify members with open care gaps and call or text them to schedule the screening, wellness visit, or follow-up that closes the gap, which directly supports HEDIS and Star ratings performance. Because every interaction is logged and reportable, organizations can document contact and completion for quality reporting. Otomo focuses on the touchpoints that move measures: annual wellness visits, preventive screenings, medication adherence, and post-discharge follow-up.

How does AI help close care gaps?

Can an AI voice agent actually book the appointment, not just remind members?

Yes. A capable agent books the visit on the member's behalf and confirms it, rather than leaving the member to call back. Otomo books directly, and because it is already live inside specialty practices, a booking can land in a real provider calendar instead of a voicemail or transfer, which reduces referral leakage.

Can an AI agent actually book the visit?

What member interactions can AI voice agents automate?

AI voice agents can automate benefits and eligibility inquiries, claims status and deductible questions, coverage explanations, care navigation, referral coordination, appointment scheduling, and proactive follow-up outreach. Otomo handles these across voice and SMS, and routes anything sensitive or complex to a human on your team with full context.

What interactions can AI agents automate?

Is AI voice engagement HIPAA compliant and secure?

Voice AI can be HIPAA compliant when it uses encryption, access controls, audit logs, secure data storage, and a signed Business Associate Agreement. Compliance depends on configuration, not the technology alone. Otomo meets HIPAA and SOC 2 requirements, provides a BAA for all partners, and includes full conversation logging, audit trails, real-time quality monitoring, and human oversight.

Is it HIPAA compliant and secure?

Does AI voice support multiple languages?

Yes. Modern voice AI can engage members in their preferred language, which improves access and reduces miscommunication for non-English speakers. Otomo provides native bilingual Japanese and English support, built specifically for expat and bilingual workforces, an area generic engagement vendors rarely serve well.

How does AI member engagement reduce administrative cost?

By automating routine, repetitive calls, AI lowers cost per interaction and frees staff to focus on complex cases. The savings come from containment of high-volume routine work. Otomo automates the repetitive benefits, eligibility, and scheduling calls that otherwise land on a small team over and over.

Does it reduce administrative cost?

How does Otomo integrate with our member and care-gap data?

Otomo securely connects to your member and care-gap data to identify who to reach and why, then configures agents around your priority measures and populations. Integration is built to fit your existing systems and administrator with no change to enrollment.

How does it integrate with our data?

How quickly can Otomo go live?

Most deployments go live in 4 weeks. Otomo connects to your data, configures agents around your priority measures, launches outreach, and stays close after go-live with steady improvements and transparent reporting.

Does Otomo work alongside our existing plan and administrator?

Yes. Otomo is a proactive engagement layer on top of your current plan, with no change to your plan design, your administrator, or your enrollment process. It complements existing coverage rather than replacing any part of it.

Does it work with our existing plan and administrator?

Member Engagement