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Maternal Health
Pregnant and postpartum members missing time-sensitive care windows.
Quality and incentives.
Executive Brief
Lost Members. Lost Revenue. Found in 4 Weeks.
Calls. Robocalls. AI agents. Text blasts.
Banging harder doesn't work. Sending more calls, more one-way texts, or more AI agents at members who already ignore outreach only creates more noise.
If simply sending outreach solved the problem, lost members wouldn't exist.
And that’s where Florence is different.
Florence doesn't just send messages. She holds ongoing, goal-oriented conversations that listen, uncover barriers, answer questions, build trust, and bring members back into care—all through simple SMS. No app. No download. No login.
Florence extends your care team through clinically validated, goal-oriented conversations.
Clinical protocols guide proactive outreach. AI interprets inbound responses, prioritizes needs, and surfaces actionable insights, so care teams focus on the members who need them most.
Florence is a clinically validated automated care management platform that helps plans engage and support more members without adding proportional staffing.
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When more members stay engaged, quality improves, avoidable costs decline, and revenue is protected.
Florence helps health plans recover members before they churn, close care gaps sooner, and scale care management without scaling headcount.
Which lost members are the biggest 2026 P&L risk?
Every Medicaid plan has members who are enrolled, attributed, and capitated, but invisible to care teams. The pressure point differs by plan: quality incentive risk, redetermination churn, auto-assignment pressure, state outreach exposure, or avoidable utilization. Which is yours? Here are the cohorts where Florence has proven results.
Rx
Medication Active, Visit Absent
Members filling chronic medications but missing follow-up visits.
Still in the system, not in care.●
Well Child / EPSDT
Households overdue for pediatric preventive care, screenings, immunizations, or EPSDT outreach.
Preventive care gaps.↻
Redetermination Risk
Members at risk of avoidable churn because the plan can’t reliably reach them.
Retention risk.ED
High Utilizers
Members with frequent ED visits or admissions who may benefit from earlier intervention.
Avoidable utilization.PCP
PCP Connection
Members who need help reconnecting with primary care or benefits.
Access and attribution.Closing AWV, WCV, or cancer screening gaps is only the first step.
Florence supports ongoing chronic disease management, preventive care, and transitions of care through continuous, clinically validated conversations. Every inbound response—whether it’s a scheduling question, an SDOH barrier, a symptom concern, or a benefits question—is interpreted by AI and converted into a prioritized action for your care team.
The result
Members get answered in real time, in English or Spanish, and your care team gets a filtered worklist instead of a raw call list.
Proven at Scale in English and Spanish.
Proven Outcomes
56%
improvement toward target A1C, English and Spanish population
28%
reduction in all-cause readmissions
Proven at Scale in English and Spanish.
Medicaid: AZ/TX/LA
Lost Member Outreach
- ~30,000 members targeted
- ~7% engaged
- ~2,000 conversations/questions answered with Florence Knowledge Base
- ~3x engagement compared with traditional digital outreach tools
Medicaid CO
Maternity + PCP Engage
- 40,000-member initial outreach
- 325% increase in prenatal visits
- 100% increase in Healthy Rewards participation
- Now expanded to over 300,000 members, including hypertension, diabetes and TCM
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Empathetic Two-Way Conversations
Florence engages members continuously and over time, not through one-off blasts.
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English + Spanish Support
Members can ask questions and receive appropriate support in the language they use.
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Organized Escalations
AI interprets replies, organizes alerts, and escalates only what needs human follow-up.