EnsureCare

Predict risk early.
Prevent missed care.
Protect revenue.

AI agents helping close the care gap

PREDICTIdentify risk early PREVENT Targeted interventions Personalized to each patient’s barriers Multi-lingual outreach PROTECT REVENUE Appointment attended? READ CONTEXT ↔ WRITE BACK UPDATESIn your existingEHR workflows
EnsureCare
FOUNDING TEAM

Healthcare experience. AI and engineering depth.

Suman Mishra

Suman Mishra

Founder & CEO

14 years at
Kaiser Permanente
HIMSS NorCal President-Elect
Rajesh Thallam

Rajesh Thallam

CTO & Co-founder

Google · AWS
Kaiser Permanente
MS Data Science · UC Berkeley
EnsureCare
OUR MISSION

No patient should miss essential care.

01

Predict risk early

Find care at risk
of being missed

02

Prevent missed care

Act on the barrier
with the patient

03

Protect revenue

Preserve scheduled care
and track completion

CARY / WHAT HAPPENSRisk identified before the visitEHR data, patient responses and social determinants of health inform risk
EnsureCare
THE PROBLEM / APPOINTMENTS

Scheduled care does not always happen.

Up to32%*

Across specialties

No-shows and same-day cancellations

49%
Rheumatology

Cancelled or missed appointments

ACROSS SPECIALTIES
32%No-shows + same-day cancellations

*Rural travel and transportation barriers can further limit attendance.

EnsureCare
WHY SCHEDULED CARE IS MISSED

Why do patients miss scheduled care?

REMINDERS ADDRESS FORGETTING

Traditional reminders can
help someone remember.

78%of reported reasons go
beyond forgetting.

Reminders alone do not resolve these barriers.

Reasons reported by patients at one FQHC women’s clinic

100 respondents · 2024 survey · Percentage of respondents

Forgot appointment
22%
Illness
18%
Scheduling conflicts
18%
Work
12%
Childcare
11%
Transportation
9%
Other
6%
Financial / insurance
4%
EnsureCare
THE PROBLEM / REFERRALS

A referral is only the beginning.

A dropped referral can lead to readmissions, ED visits and health deterioration.

46%

Without a recorded
completed visit

247,187 internal referrals
39 clinics · 2022

31Not recordedas scheduled15Scheduled; norecorded completedvisit100Referred69Scheduled54Completed

WHY PATIENTS DID NOT COMPLETE

Thought the problem resolved 48% · No time 37% · Disagreed with the need for referral 27%

EnsureCare
THE PROBLEM / PRIOR AUTHORIZATION
Physician and care staff

Prior authorizations take time from patient care.

Care can stall before it reaches the schedule.Care delays · Physician burnout

13 HOURS

Every week, per physician

Physician and staff time on prior authorizations

95%of physicians say prior authorization
delays access to necessary care
PRIOR AUTHORIZATION
Request→Review→Rework

Patient care waits

EnsureCare
THE HUMAN CONTEXT

Carlos has an appointment.

CLINICAL CONTEXT

Diabetes + CHF

COMMUNICATION

Spanish preferred

CAREGIVER

Daughter acts as proxy

Full-length portrait of Carlos

Carlos · 68 years old

Cardiology follow-up
scheduled

No ride arranged

Clinic visit at risk

Scheduling care does not ensure the patient can access it.

Illustrative patient scenario.
EnsureCare
CARY IN ACTION

Our agent, Cary , resolves barriers before patients miss care.

Cary NorthStar Clinic
EpicathenahealthOracle HealthMEDITECH

Find risk before care is missed.

Provisional patent filed

A unique blend of EHR and other signals identifies who needs support.

PATIENTAPPOINTMENTSTATUS
Carlos68 years · Spanish preferred
Cardiology follow-upThursday · 10:30 AM
82

Carlos · Needs outreach

Cardiology follow-up · Thursday, 10:30 AM

What contributes to Carlos’s risk?
Transportation access
Prior attendance pattern
Visit and scheduling context

Illustrative risk score and factor contributions.

CaryNorthStar ClinicSMS · Spanish
Cary

Hola Carlos, ¿podrá llegar a su cita de cardiología el jueves a las 10:30 a. m.?

Hi Carlos, can you make your cardiology appointment Thursday at 10:30 AM?
Carlos

No tengo cómo llegar.

I don’t have a way to get there.
Cary

Puedo coordinar un viaje a su cita cubierto por su plan de salud. ¿Le ayudaría?

I can arrange a ride covered by your health plan to get to your appointment. Would that help?
Carlos

Sí, por favor.

Yes, please.
Cary

Su viaje está confirmado. Le hemos enviado los detalles.

Your ride is confirmed. We’ve sent you the details.
☎VOICE CALL

NorthStar Clinic

Cary speaking with Carlos

Call in progressIn Carlos’s preferred language

The update reaches the care team.

EHR / CARE COORDINATION UPDATE

Carlos · Cardiology follow-up

BarrierTransportation
EligibilityTransportation benefit confirmed
ActionRide arranged with patient agreement
Patient informedCarlos informed in Spanish; daughter notified
Next verificationVisit completion pending

Your team sees the update in its existing EHR.

From a risk flag to a clear next step.

Risk identifiedCarlos reached

Support confirmed for his appointment.

PatientKnows the next step
Care teamHas the latest context
Health systemCan trace actions and follow-through

Predict risk early. Prevent missed care. Protect revenue.

Illustrative patient scenario.
EnsureCare
CAIR PLATFORM

Care Adherence Intelligence & Recovery (CAIR) Platform

Connected modules that help close care gaps, within your existing EHR workflows.

The 3P loopPredictPreventProtectHuman-led · Verifiable continuity
AI Agents

No-shows

Identify visits at risk and address patient barriers before care is missed.

Referrals

Find referrals that stall and coordinate the next step toward completed care.

Prior authorization
& denials

Identify authorization gaps, prepare submissions, and follow through on denials so care can move forward.

Medication
adherence

Find gaps between prescribing and filling, then address barriers to starting therapy.

Readmissions

Identify risks after discharge and coordinate follow-up to help prevent avoidable returns.

EHR ecosystemBidirectional connectivity · SMART on FHIR · Existing workflows
EpicathenahealthOracle HealthMEDITECHeClinicalWorks
EnsureCare
WHAT THIS MEANS FOR YOUR CARE TEAM
Physician with a patient

More time with patients.

Let EnsureCare handle routine, high-friction steps.

01

Identify, classify and act on barriers before they reach your team

02

Works within your EHR, ready out of the box

03

No new tools to learn or extra staff training required

04

Clear audit trails, traceable actions and revenue visibility

EnsureCare
CUSTOMERS

Built for your care setting. Designed for easy deployment.

WHO WE SERVE

FQHCs &
Community Hospitals

Health Systems
& Hospitals

Ambulatory
Surgery Centers

Rural Care

Specialty Centers

HOW DEPLOYMENT WORKS

Connect securely

→

Validate together

→

Go live

Your team keeps its existing workflows.

EnsureCare handles setup, testing, and monitoring.

We coordinate with your IT and compliance teams.

Live in days.Measure impact over 4–6 weeks.
EnsureCare
LET’S WORK TOGETHER

Bring us one care gap.

Let’s explore how EnsureCare can help your team close it.

EnsureCare
Predict risk early.Prevent missed care.Protect revenue.