What We Solve

We improve quality holistically so members can and do go the last mile to get their care

We're more than a 'last mile' solution.

We are many rolled into one supercharged approach to shortcut a plan’s path to revenue with its most critical target populations.

Whether your priority is maintaining Stars, closing HEDIS gaps, or improving survey outcomes (HOS/CAHPS), we integrate human+tech activation members trust — then tie results directly to your investment so you can see what moved, when, and why. 

Quality Improvement

The problem

Fragmented incentives and point solutions rarely translate into Stars/HEDIS movement — especially on triple-weighted measures. 

Our solution

We capture gap-closure and survey outcomes and link them directly to your investment; programs align to HEDIS/HOS/CAHPS and attestation workflows.

What is different

We combine engagement, care coordination, and nutrition support into one program to deliver results otherwise out of reach with siloed tools.

Proof

64% higher completion of Health Risk Assessments (HRAs)

20% increase in postpartum visits for maternal health members 

Care Coordination & NMDOH

The problem

Non-medical Drivers of Health (NMDOH) are barriers to care; outreach alone does not move members to action.

Our solution

Empathetic coordinators deliver white-glove welcomes, plan and resource navigation, and real-time resolution of non-medical drivers — escalating only the most critical issues. 

What is different

Integrated with in-home food deliveries and our mobile app, so every touchpoint builds trust and accelerates gap closure and survey outcomes.

Proof

96% of member-reported barriers resolved in real time

Population Complexity Made Easy

When plans crack the code of member activation with Pyx Health’s holistic approach, addressing complicated population data – multiple care gaps, hard-to-reach members, and unknown, unlimited barriers to care – finally becomes achievable

Our team provides meaningful reporting and data to ensure that the work Pyx Health does is easily integrated into any health plan’s data ecosystem, improving population insights over time.

Chronic Conditions

Youth & Family

DSNP/Duals

Behavioral Health

Member Experience
& Satisfaction

The problem

If outreach feels transactional or late, experience and survey outcomes suffer.

Our solution

Start with tangible support that reduces stigma and builds trust; sustain with 1:1 support and the My Pyx app that enables navigation, assessments, gap closure, and attestation.

What is different

In-home delivery of nutritious food and other necessities is a positive expression of care; sharing food builds trust, which drives action and experience improvements.

Proof

95% overall member satisfaction.

78% of Pyx members report being “happy with help the food program provided.”

Revenue-Positive Nutritional Support

The problem

The populations we serve often have food need (1 in 3 Pyx members report food insecurity) but other solutions often decouple the needed health education and health literacy support needed to make meaningful sustained impact with members.

Our solution

We provide a fresh food solution that promotes desired health outcomes – like maternal or diabetic health – while simultaneously providing the needed support – to fundamentally improve quality outcomes where non-medical drivers of health persist.

What is different

Our food is fresh, often including produce straight from top tier suppliers. This ensures a positive member experience, but also reinforces nutrition and ultimately engages members differently in building skills needed for self efficacy–something a microwavable prepackaged meal simply can’t do. Ongoing support via trained staff and curated health literacy materials ensures our food boxes serve up more than a simple meal.

Proof

66% of Pyx members said the food program helped them stay healthy and avoid going to the ED or hospital.