Health plans
Next-best-action guidance for care managers, digital channels, and provider teams.
- Reduce medical loss ratio
- Increase Stars / HEDIS
- Improve member satisfaction
Solutions
Predictive navigation built for modern payors and employers
Each client receives a configured signal catalog, outreach playbooks, and success metrics that plug into existing operations.
Employers & coalitions
Insights that triage members to virtual-first, onsite, or partner networks.
- Control trend increases
- Boost workforce productivity
- Deliver concierge experience
Government systems
Localized risk detection and multilingual outreach flows for Medicaid and Medicare populations.
- Scale preventive care
- Bolster rural access
- Improve quality bonus pools
Operating system
A single loop from signal to proof
Ruya Health eliminates disjointed tooling with one orchestrated layer across AI, care navigation, and ROI attribution.
Predictive Signals
Transformer-based risk prediction across claims, pharmacy, and lab data to forecast next events.
Care Navigation
Care plans translate risk into outreach sequencing, eligibility checks, and concierge workflows.
Impact Proof
Closed-loop analytics quantify savings, quality lifts, and experience metrics across populations.
Workflow primitives
Signal ingestion
Secure pipelines from claims, PBM, lab, device, and SDOH data with automated quality checks.
Risk stratification
Transformer ensembles predict likely diagnoses, medication lapses, and cost surges within 90 days.
Care orchestration
Workflow API pushes recommended sequences into CRMs, EHRs, member apps, and contact centers.
Impact telemetry
Savings, quality incentives, and engagement analytics available in real time.