Layer 1
Predictive Signals
Transformer-based risk prediction across claims, pharmacy, and lab data to forecast next events.
- Medication adherence risk detection
- Next-event probability & severity
- Explainability surfaces actionable factors
Prevention-first AI
Predict health events. Navigate care. Prove value.
Ruya Health ingests medical, pharmacy, and behavioral signals to anticipate costly events and guide members to the right intervention before conditions escalate.
$47T
Projected global healthcare spend by 2030
30%
Estimated reduction opportunity in chronic care costs
<48h
Intervention speed
From signal detection to guided outreach
For every $1 spent on chronic conditions, nearly 30¢ is preventable through early detection, timely intervention, and better medication adherence.
Platform Runway
Signal → Action → Impact
Sequence intelligence
Transformer models trained on longitudinal claims, pharmacy, and SDOH data.
Care orchestration
Guided outreach, eligibility, and concierge workflows that adapt per member.
Impact ledger
Closed-loop telemetry quantifies savings, experience, and quality measures.
Solutions
Two operating layers connect prediction to guided navigation
Ruya Health unifies AI risk signals, care orchestration, and measurable ROI so payors and employers can act on risk before costs accelerate.
Layer 2
Care Navigation
Care plans translate risk into outreach sequencing, eligibility checks, and concierge workflows.
- Outreach orchestration
- Embedded clinical playbooks
- Member preference routing
Layer 3
Impact Proof
Closed-loop analytics quantify savings, quality lifts, and experience metrics across populations.
- Financial & quality dashboards
- Scenario modeling
- Value-based contract reporting
Technology
Purpose-built healthcare AI
An event-sequence AI stack pairs risk detection with orchestrated interventions, enabling prevention-first operating models.
Sequence models tuned for claims
Transformer encoders process longitudinal events, weighting time gaps, care settings, and medication patterns.
Explainable AI
Factor-level insights highlight the drivers influencing risk and recommended actions for clinician review.
Edge-ready delivery
Serverless APIs and EHR integrations deliver guidance inside workflows, contact centers, and member-facing experiences.
Privacy by design
Zero data persistence optionality, field-level encryption, and rigorous access controls exceed HIPAA and SOC 2 baselines.
Impact
Proof points that move executive dashboards
Health Plans
15-30% lower PMPM cost trend via proactive risk steering.
Employer Coalitions
Real-time visibility into spend and high-touch navigation for members.
Government Programs
Scalable preventive interventions across Medicaid, Medicare, and public systems.
Ready to partner
Bring prevention-first care to your population
Schedule a working session to see how Ruya Health stitches AI insights into your existing care navigation stack.