LISA · From Laguna Health, an Elligint Health company
The AI Agent for Care Management Outreach
LISA calls members, completes standardized screenings and transfers them to a care manager with a short briefing, so your care team can spend its time on the members who need a person.
Transfersmembers to a care manager, with a short briefing
About LISA
What Is LISA?
LISA is Laguna Health’s AI agent for care management outreach. It runs outreach campaigns for health plan care teams: it calls members, completes standardized screenings and transfers members to a care manager with a short briefing.
LISA takes on routine outreach so care managers can spend more time with the members who need a person. LISA escalates to staff based on your protocols, and people make every clinical decision.
LISA is part of Laguna Health, an Elligint Health company. Laguna Insight scores LISA’s calls against the same quality standards as your care managers’ calls.
Connects to
TelephonyYour member calls
Member dataSent by your plan
IdentitySingle sign-on
On every outreach call
ReachCalls members
ScreenStandardized screenings
TransferBriefing for a care manager
LISA stands on Laguna Reef. Laguna Current keeps every output correct.
From the First Call to a Care Manager
LISA handles routine outreach and brings in your team when a member needs a person.
1
Reach
Outreach campaigns
LISA calls members as part of the outreach campaigns your plan runs.
2
Screen
On the call
LISA completes standardized screenings with the member during the call.
3
Transfer
When it matters
LISA transfers the member to a care manager with a short briefing, and escalates to staff based on your protocols.
Outreach
Outreach Your Team Can See
LISA runs your outreach campaigns, and your team can see each member’s call status, including who was transferred to a care manager.
Calls members as part of your outreach campaigns
Completes standardized screenings on the call
Transfers members to a care manager with a short briefing
Escalates to staff based on your protocols
LISA
Built for the Teams That Run Member Outreach
Care Management Leaders
Expand outreach capacity without adding headcount at the same rate.
Care Managers
Spend more time with the members who need a person, and start each transfer with a short briefing.
Quality and Accreditation Teams
Hold LISA’s calls to the same standards as your team’s, scored by Laguna Insight.
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.
Laguna Insight and Laguna Current
Held to the Same Standards as Your Team
Laguna Insight scores LISA’s calls against the same quality standards as your care managers’ calls. Laguna Current, the correctness system under every Laguna product, keeps LISA’s outputs correct.
LISA’s calls scored against your plan’s own quality forms
Each version tested before go-live
Watched by an AI judge during business hours, with clinical experts reviewing the flags
People make every clinical decision
Laguna Insight
Even Better With Laguna Companion and Insight
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.
Helios Runs the Work. Laguna Makes Every Conversation Count.
Helios CM and Helios UM run your care and utilization management workflows. LISA brings AI agents to the routine member outreach around them.
Helios® by Elligint Health
Runs the work
Care plans, tasks and workflows
Authorizations, reviews and appeals
Analytics across populations and programs
LISA
Makes every conversation count
Outreach calls to members
Standardized screenings
Transfers with a short briefing
Integration with Helios is planned in phases, starting with Laguna Companion. You don’t need Helios to use LISA, and Helios clients can add it at any time.
LISA is an AI agent for care management outreach from Laguna Health, an Elligint Health company. It calls members, completes standardized screenings and transfers members to a care manager with a short briefing.
Does LISA replace care managers?
No. LISA takes on routine outreach so care managers can spend more time with members. People make every clinical decision, and LISA escalates to staff based on your protocols.
What happens when a member needs a person?
LISA escalates to staff based on your protocols and transfers the member to a care manager with a short briefing, so the care manager starts the conversation with context.
How is the quality of LISA’s calls measured?
Laguna Insight scores LISA’s calls against the same quality standards as your care managers’ calls, and Laguna Current keeps LISA’s outputs correct.
How does LISA work with our systems?
LISA stands on Laguna Reef, one connection to your telephony, member data and identity (single sign-on). It works inside the systems your team already uses, so there’s nothing to replace.
How does Laguna protect member data?
Data is stored and processed in secure, U.S.-based data centers, and is encrypted in transit and at rest with 256-bit encryption. Laguna supports single sign-on and governance controls that you can fit to your organization.
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.
Does LISA work with Helios?
Integration with Helios is planned in phases, starting with Laguna Companion, and LISA works without Helios today. It runs alongside the care management platform you already use, and Helios clients can add it at any time.
Ask an expert
Ask an Expert About LISA
See how LISA would fit your plan’s outreach programs. 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 can’t believe we get so much 1:1 time with you still. Most vendors just sign and then are gone.
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
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
It’s just phenomenal that we have 99% accuracy. As a nurse, you have to trust the results, because it’s your name, your license.
Director of Case ManagementMulti-State 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!
