Clinical Voice AI · For Value-Based Care

Clinical voice AI agents that close care gaps at scale.

MAKAI helps healthcare organizations proactively reach patients, identify open care gaps, collect clinical updates, and drive timely interventions — especially across chronic disease populations.

EHR Integration-Ready Clinician Supervised Audit Logged End-to-End Encryption
Care Operations · Live
Outreach Today
847
▲ 12% vs avg
Gaps Closed
214
▲ 8 last hour
Escalations
9
3 urgent
RM
Robert M., 67 · CHF
Outreach · 02:14 elapsed
In call
LC
Linda C., 72 · Diabetes
HbA1c overdue · 4 mo
Escalate
JT
James T., 58 · HTN
BP follow-up scheduled
Closed
AP
Anita P., 64 · COPD
Adherence barrier flagged
Open gap
The Problem

Care gaps are expensive, dangerous, and hard to track manually.

Healthcare organizations are responsible for thousands of patients with chronic conditions — but care teams rarely have the bandwidth to consistently follow up, monitor symptoms, and ensure guideline-based care.

Avoidable spend
$200B+

Annual U.S. cost of poorly managed chronic disease and avoidable utilization.

Population
6 in 10

U.S. adults live with at least one chronic condition requiring ongoing follow-up.

Open gaps
~30%

Of recommended preventive and chronic care services routinely go uncompleted.

Staff burden
12+ hrs

Per week the average care manager spends on outbound calls — most unanswered.

i.

Patients miss screenings, labs, visits, and medication adjustments.

ii.

Chronic disease deterioration is detected too late — often in the ER.

iii.

Staff spend hours on repetitive outreach — most calls never connect.

iv.

Care teams lack real-time visibility into patient symptoms and risk.

v.

Quality scores, reimbursement, and outcomes suffer under the gaps.

vi.

SDOH barriers — transportation, cost, access — go unidentified for months.

The Solution

MAKAI automates clinical outreach with voice AI agents.

MAKAI's clinical voice AI agents call patients, conduct structured clinical conversations, detect gaps in care, and escalate high-risk cases to the right team — at a scale no staffing model can match.

/01

Patient outreach automation

Tireless, on-demand outbound calls across thousands of patients in your roster.

/02

Chronic disease check-ins

Structured conversations tailored to diabetes, CHF, HTN, COPD, CKD, and more.

/03

Care gap identification

Detects missed labs, screenings, follow-ups, and medication issues in real time.

/04

Clinical triage & escalation

Routes high-risk responses to clinicians with prioritized, actionable summaries.

/05

SDOH barrier screening

Surfaces transportation, cost, and access issues clinicians rarely hear about.

/06

Multilingual conversations

Native fluency across major languages — no scripts, no translation gaps.

/07

Structured documentation

Clean, auditable summaries — symptoms, vitals, adherence, plan — every call.

/08

EHR/CRM integration

Plugs into existing workflows — Epic, Athena, Salesforce Health Cloud, more.

/09

Analytics dashboard

Live visibility into outreach, closures, escalations, and population risk trends.

How It Works

From patient list to closed gap — automatically.

A single workflow that replaces fragmented outreach, manual triage, and clinical documentation across your chronic care program.

Identify patients

Upload or integrate your patient roster, risk lists, or open care gap reports.

AI agent calls patients

MAKAI conducts natural, clinically structured conversations — at scale, in any time zone.

Detect gaps & risks

Identifies missing care, worsening symptoms, medication issues, and access barriers.

Escalate & document

Generates structured summaries and sends actionable alerts to the right team member.

Track outcomes

Monitor outreach completion, closed gaps, escalations, and population risk trends.

Use Cases

Built for high-risk, high-need patient populations.

MAKAI supports care gap closure and longitudinal monitoring across the chronic disease cohorts that drive most of your clinical and financial risk.

Patient populations
Diabetes (Type 1 & 2) Hypertension Congestive heart failure COPD Chronic kidney disease Post-discharge Medicare Advantage ACO / value-based care Medicaid Underserved populations
Care gaps closed
Missed HbA1c testing BP follow-up Medication adherence Annual wellness visit Retinal exams CHF symptom check COPD exacerbation risk Post-discharge follow-up Transportation barriers Cost & access barriers
Example Workflow

A diabetes care gap closure, in real time.

MAKAI receives a list of diabetic patients overdue for HbA1c testing. Here's what one call looks like — and what your care team receives.

Patient · Linda C., 72 Recorded · 04:18
MAKAI

Hi Ms. Carter, this is Sage calling from Dr. Patel's office. Is now an okay time for a quick check-in about your diabetes care?

Linda

Yes, I have a few minutes.

MAKAI

Wonderful. Our records show your last HbA1c was four months ago. Have you had any blood work since then, maybe at another lab?

Linda

No, I haven't been able to get there. My daughter usually drives me but she's been working extra shifts.

SDOH · Transportation
MAKAI

That's helpful to know. How have you been feeling overall — any changes in thirst, urination, or fatigue?

Linda

I have been more tired lately. And honestly I ran out of metformin two weeks ago and haven't refilled it.

Adherence · Medication lapse
MAKAI

I appreciate you sharing that. I'm going to flag this for Dr. Patel's team today — we'll get your prescription sorted and arrange transportation for the lab. Someone will call you back within the hour.

Care Team Summary

Linda Carter · Patient #4471

Generated 2 min ago · MRN routed to Epic

Priority Escalation
Medication lapse (metformin, 14 days) + symptomatic fatigue. Recommend same-day clinician outreach.
Open Care Gap
HbA1c overdue (4 months) — not completed elsewhere
Adherence
Metformin lapse confirmed by patient · 14 days
SDOH Barrier
Transportation — primary caregiver unavailable
Symptoms Reported
Increased fatigue · No polyuria · No acute distress
Recommended Actions
Refill authorization · Mobile phlebotomy · Transport coordination · MD callback
Outcomes

More outreach. Earlier intervention. Better outcomes.

MAKAI is built to move the metrics that determine quality scores, reimbursement, and patient survival in chronic disease care.

For Care Teams

Reduce repetitive calls.

Free your clinicians and care managers to focus on the patients who actually need human attention.

For Patients

Proactive support, before it gets worse.

Patients receive timely check-ins, barrier resolution, and clinical guidance — not after-the-fact intervention.

For Organizations

Scale chronic care without scaling headcount.

Improve quality measures, reduce avoidable utilization, and grow value-based programs sustainably.

Care Gap Closure

Higher closure rates.

Across HbA1c, BP, AWV, retinal exams, post-discharge follow-up, and medication adherence.

Utilization

Fewer avoidable ER & readmits.

Earlier escalation of CHF and COPD deterioration prevents costly downstream events.

Operations

Hours back to your team.

Replace high-volume, low-yield outbound calling with structured, documented clinical conversations.

Compliance & Safety

Built secure. Built clinically supervised.

Protected health information stays protected. Every conversation is auditable, every escalation is reviewable, and every workflow is configured to your organization's clinical protocols.

HIPAA

Fully HIPAA Compliant

End-to-end PHI encryption · Role-based access controls · Audit logging and incident response aligned with healthcare data protection standards.

Designed with clinical safety at every layer.

Compliance isn't a checkbox at the end — it's a constraint baked into how MAKAI is architected, deployed, and monitored. Every conversation is encrypted, every escalation is reviewable, and every clinical action sits behind a documented protocol approved by your team.

  • End-to-end PHI encryption in transit and at rest, with role-based access controls.
  • Clinician-supervised workflows with configurable escalation rules for high-risk responses.
  • Audit-ready documentation — every call transcribed, summarized, and timestamped.
  • Human-in-the-loop review of clinical summaries and high-acuity escalations.
  • Configurable clinical protocols — your scripts, pathways, and risk thresholds, by condition.
  • Organization-specific scripts co-developed with your clinical leadership and refined continuously.
Differentiation

Not just voice automation. Clinical action.

Most "AI calling" tools are appointment reminders dressed up. MAKAI is purpose-built to operate inside the clinical workflows of a value-based care organization.

i.

Clinical conversations, not robocalls

Patients have real, fluent dialogue — not menu trees or scripted check-the-box prompts.

ii.

Purpose-built for chronic disease

Disease-specific protocols and risk logic for diabetes, CHF, HTN, COPD, CKD, and post-discharge.

iii.

Escalation-ready workflows

Routes the right alert to the right clinician — with the structured context they need to act.

iv.

Configurable by condition

Your clinical leadership owns the protocol — we provide the clinical substrate, you set the bar.

v.

Designed for value-based care

Aligned to HEDIS, Stars, ACO, and MA quality measures — not call-center vanity metrics.

vi.

Engagement + triage + documentation

One workflow replaces three: outbound calling, clinical triage, and structured charting.

ACOs
Medicare Advantage
Primary Care Groups
FQHCs
Health Systems
Get Started

Ready to close more care gaps without burning out your team?

See how MAKAI's clinical voice AI agents help your organization scale patient outreach and chronic disease follow-up — without compromising clinical safety or compliance.