Laguna Health · An Elligint Health company

Conversational AI for Health Plan Care Management

Laguna helps care teams prepare for, guide, document and review every member conversation, inside the systems they already use. Better quality on every call, and more time for the members who need it.

Two healthcare professionals reviewing information on a tablet
99%clinical content accuracy
66%less post-call documentation time*
+96enrollments per care manager, per year*
100%of calls reviewed, not a sample

*Reported in published Laguna Health customer studies.

About Laguna

What is Laguna Health?

Laguna Health builds conversational AI for payer care management. Its three products, Laguna Companion, Laguna Insight and LISA, work across the whole care conversation: reaching members, preparing care managers, guiding the live call, writing the documentation and reviewing every interaction for quality.

Laguna Health is an Elligint Health company. It keeps its name, products, website and team, and is available on its own or alongside Helios® by Elligint Health.

Connects to

TelephonyYour member calls
Member dataSent by your plan
IdentitySingle sign-on

Puts it to work

LISAFor members
CompanionFor care managers
InsightFor quality leaders

Laguna Reef connects once. Laguna Current keeps every output correct.

Three Products. One Intelligence Loop.

Each product stands on its own. Used together, they share what they learn, so every conversation improves the next one.

Laguna Companion

An AI co-pilot for every care conversation

Companion gives care managers a quick member view before the call, surfaces member needs during it and drafts the documentation after it.

Laguna Insight

Quality review on 100% of calls

Insight scores every interaction against your own standards and turns the results into coaching, dashboards and data for accreditation reviews.

TIME Best Inventions 2024
LISA

AI agents for routine outreach and support

LISA handles outbound calls and standardized screenings, then hands members to your team with a short briefing.

How Laguna Works Across the Care Conversation

From the first outreach to the coaching that follows, Laguna supports each step, and each step makes the next one better.

  1. 1

    Reach

    LISA

    LISA calls members, completes screenings and connects staff when a member is ready to talk.

  2. 2

    Prepare

    Companion

    Companion gives the care manager a glanceable member view before they dial.

  3. 3

    Guide

    Companion

    During the call, Companion surfaces member needs and real-time prompts.

  4. 4

    Document

    Companion

    After the call, Companion drafts a summary formatted for your system of record.

  5. 5

    Review

    Insight

    Insight evaluates every interaction, by people or by LISA, against your quality standards.

  6. 6

    Improve

    Laguna Current

    Findings and your team’s edits flow back through Laguna Current, so the next conversation is better.

Built for the Teams That Run Care Management

Care Management Leaders

Expand team capacity without adding headcount at the same rate, and hold quality steady as caseloads grow.

Quality and Accreditation Teams

Review every call instead of a small manual sample, with exportable data for NCQA and URAC reviews.

Care Managers

Spend less time on paperwork and more time with members, with feedback on every call.

IT, Security and AI Governance

Go live with very little integration, keep people in control of every clinical decision, and audit what the AI did.

Works Inside the Systems Your Team Already Uses

Laguna runs on top of your current care management platform, so there’s nothing to replace before you start. Laguna Companion installs on your care managers’ PCs in one click, and no EHR integration is needed to go live. With a telephony integration, it also runs as a web app.

Works alongside the care management platform you run today
No EHR integration required to go live
Post-call summaries formatted for your system of record
Configurable to your assessments, protocols and quality forms
LagunaCompanion · Insight · LISA
Your platformHelios, or the care management platform you run today
Your system of recordMember records stay where they are

Laguna Onboarding

Going Live With AI Shouldn’t Feel Like a Project

Onboard in one portal, across four workstreams that run side by side, with a dedicated Laguna team beside you at every step.

Tell Laguna’s AI agent how your team documents calls. The agent drafts each document, tests it on practice calls and refines it with you. Nothing goes live until Laguna reviews it.

Before3 months
Today6 weeks
As little as3 weeks

Typical time from kickoff to go-live for Laguna customer onboardings. Individual timelines vary.

Helios Runs the Work. Laguna Makes Every Conversation Count.

Helios CM and Helios UM run your care and utilization management workflows. Laguna adds conversational AI to the member conversations inside them.

Helios® by Elligint Health

Runs the work

  • Care plans, tasks and workflows
  • Authorizations, reviews and appeals
  • Analytics across populations and programs
Laguna Health

Makes every conversation count

  • Prep, live guidance and documentation
  • Quality review on every call
  • AI agents for routine outreach

Integration is planned in phases, starting with Laguna Companion. You don’t need Helios to use Laguna, and Helios clients can add Laguna at any time.

Explore Helios CM

Frequently Asked Questions

What is Laguna Health?

Laguna Health is a conversational AI company for payer care management and an Elligint Health company. Its products, Laguna Companion, Laguna Insight and LISA, help care teams prepare for, guide, document and review member conversations.

Is Laguna Health part of Elligint Health?

Yes. Laguna Health keeps its name, products, website and team, and is available on its own or alongside Helios.

Do we need Helios to use Laguna?

No. Laguna works inside the care management systems your teams already use. Integration with Helios is planned in phases, starting with Laguna Companion.

Does Laguna replace care managers?

No. Laguna takes on documentation and routine tasks so care managers can spend more time with members. People make every clinical decision, and LISA escalates to staff based on your protocols.

How long does it take to go live?

A typical go-live takes about six weeks from kickoff, and it can take as little as three. Your team tells Laguna’s AI agent how you document. It drafts your documents and tests them with you before go-live, and a Laguna team works beside you.

Can we start with one product?

Yes. Each product delivers value on its own. Used together, they share what they learn across the care conversation.

Ask an expert

Ask an Expert About Laguna

See how Laguna’s Product Suite would fit your care team’s workflow. An Elligint Health expert will follow up within one business day.

Already a Helios® client?Your account team can walk you through Laguna for your plan.

I’m not having to take notes. I’m not missing information. It takes a weight off my shoulders where I can actually sit and have meaningful conversations… it’s life-changing.
Intake / Care Coordination StaffCare Coordination Organization
Laguna has significantly improved my productivity. The time savings allow me to make an extra call each day without letting documentation pile up.
Care ManagerRegional Health Plan
It’s obvious when the case managers use the Companion. Their calls are always deeper and more thorough.
Care Management SupervisorRegional Health Plan
It’s so encouraging – I love that! It’s like, ‘You’re doing a really great job,’ and I love that. It’ll keep me going. That’ll help stave off the burnout!
Care ManagerRegional Health Plan
I can’t believe we get so much 1:1 time with you still. Most vendors just sign and then are gone.
Clinical Operations LeaderCare Delivery Organization