For Payers
Close care gaps across your population.Without scaling outreach teams.
Mila helps more members get reached, heard, and connected to the care they need, without adding more outreach burden to your team.
- Live in weeks
- No rip-and-replace
- Configurable programs
Member Engagement Programs
Care gap outreach · Member M.K. · preventive screening due
Prefers SMS · No prior response · SMS-first rule
Mila
Your health plan shows you may be due for a preventive screening. I can help you review options or connect you with someone who can help.Member
Can someone call me tomorrow?Needs human follow-up
Reason: member requested support. Context attached, routed to care team.
The real cost isn’t outreach. It’s every unreached member and every missed care gap.
Members miss calls, abandon portals, wait on hold, or go quiet after enrollment. When outreach cannot adapt, care gaps stay open and the needs behind them surface too late.
The Mila Difference
Move the metrics without multiplying manual work.
Mila combines omnichannel outreach, Health Risk Assessment dialogue, live care gap closure, configurable escalation, and continuous navigation, so payer programs can move more members from outreach to completed action.
24/7 omnichannel outreach
Inbound and outbound across voice, text, and chat, with zero-wait handling, after-hours coverage, and HIPAA verification.
Converse & uncover member needs
Open HRA dialogue surfaces medication non-adherence, SDOH, and unmanaged symptoms.
Live care gap closure
Members complete actions in the same conversation, from screenings and AWV scheduling to Rx benefit enrollment.
Intelligent member routing
Routine tasks handled automatically; higher-risk needs warm-transferred to care managers, following your configurable escalation rules.
Continuous care navigation
Context retained across the member journey, so follow-up continues across post-discharge, adherence, and care-program actions tied to Stars, HEDIS, and CAHPS.
Lower overhead.
Higher response.
Clearer attribution.
Mila helps payer teams reduce outreach spend and see which engagement turns into completed member action.
Start with one program. Expand across many.
Mila supports payer workflows across quality, risk, member services, and population health. Whether the goal is plan onboarding, HRA completion, care gap closure, or post-discharge follow-up, Mila adapts to the program rules, member journey, and escalation paths behind each workflow.
Plan welcome and onboarding
New-member onboarding at scale
HRA completion
Health Risk Assessment outreach and follow-up
Preventive screenings
Mammogram, colonoscopy, A1C, and more
AWV scheduling
Annual Wellness Visit scheduling at population scale
Care gap closure
HEDIS, Stars, and quality outreach
Medication adherence
Refill reminders and member check-ins
Inbound response & callbacks
Member services support and routed follow-up
Program follow-up
Close the loop on every touch
Custom workflows
Configured to your programs, populations, and rules
Ready to launch your first program?
Book a DemoWatch Mila turn onboarding into action.
In this member onboarding video, Mila helps a new Medicare Advantage member understand their benefits, complete home delivery enrollment, and get routed to the right support when needed.
Your program rules define the path.
Mila takes the next step.
Mila listens for signals across your payer operations, from new member enrollment to unfinished assessments, open care gaps, missed follow-up, and requests that need review. Then it acts within your rules, completing routine steps or routing issues with context.
Pulled directly from claims, eligibility, and care management data. No new login needed.
- HRA started but not completed
- Last outreach: 3 days ago
- Member prefers SMS
Restart HRA follow-up after 3 days.
- Member contacted
- HRA dialogue resumed
- Medication barrier surfaced
- Transportation need identified
- Assessment completed
- HRA completed
- Needs surfaced
- Follow-up queued
- Member context retained
- Care management need routed with context
- Summary attached
- Program owner notified
EMBEDDED BY DESIGN
Mila starts from the workflow, not just the conversation.
With Mila’s unique API-first architecture, the platform can respond when something changes in your operation, not only when a member reaches out. It works through the systems, signals, program rules, member context, and escalation paths already running your payer business.
That means Mila can act when a member signs up, a care gap opens, an assessment stalls, a benefit question comes in, or a follow-up step is due, then return updates, summaries, and routed issues where your teams can act.
Open item
Member
Angela M.
Program
Quality outreach
Care gap
Diabetes A1C screening
Due
This month
Outcome
Activity
Program rules
Applied
Member context
Loaded
Preferred channel
Selected
Outreach
Started
Proof in Practice
One payer team, in their own words.
Our team can only make so many calls in a day. Mila extended our reach across voice, text, and chat without adding headcount, and we launched new programs far faster than our campaign process ever allowed.
Population health leader
Medicare Advantage plan
Why Mila
Embedded.
Governed.
Configurable.
Three things make Mila durable beyond the first program, and the reason payer teams keep expanding after the first campaign goes live.
Embedded
Works inside payer operations.
Mila connects to the systems and workflows already running your business, including care management, CRM, member services, eligibility, benefits, and provider data. Engagement can start from operational signals and return updates where teams work.
No new silo. No disconnected outreach layer.
Governed
Operates reliably within your rules.
Mila follows program rules, approved content, HIPAA verification, compliance requirements, and escalation paths across HEDIS, Stars, CAHPS, quality, risk, and care management programs.
Predictable behavior. Clear escalation.
Configurable
Adapts by program, population, and workflow.
Mila can be configured by plan, population, benefit, language, channel, timing, care gap, and escalation logic, from HEDIS outreach to Plan Welcome.
One platform. Many payer programs.
No rip-and-replace. No new silo. Just connected member engagement where it did not exist before.
See Mila in your programs
Find the payer workflows Mila can move first.
Walk through your highest-impact program: quality, risk, member services, or Plan Welcome. See where Mila can move metrics inside the systems you already run.
