One-Size-Fits-One Agentic Program Expands New Standard for Wellbeing Engagement and Proactive Health Management with Full Clinical Care Integration

Pager Health, a connected health platform company serving more than 26 million members in the United States and Latin America, announced the launch of the AI Wellness Agent. It is Pager Health’s newest virtual agent on the ReallyWell platform, designed to remove friction that holds members back from fully gaining benefit from well-being programs.

The AI Wellness Agent serves as a conversational, intelligent companion, eliminating clicks through multiple pages or tedious searches for information. It proactively routes members to personalized, high-value actions including health challenges, coaching enrollment, or health assessment completion, often in a single step.

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“As our recent Consumer Experience Survey revealed, 76 percent of those surveyed said the quality of their member experience has a significant impact on the level of trust they have in their health plan,” said Rita Sharma, Chief Product Officer, Pager Health. “ReallyWell and the AI Wellness Agent leverage optimization algorithms built on more than 15 years of data to achieve a level of personalization proven to increase engagement, improve outcomes and bend the cost and experience curve. That same personalized approach has already driven results. One of Pager Health’s core services, which also leverages this model, recently earned a 91 NPS, highlighting the power of one-size-fits-one experiences in action.”

Built on Google Cloud AI and advanced natural language processing, the agent interprets intent across a wide range of phrasing styles and continuously improves its accuracy through machine learning. The result is faster time-to-task, better program utilization, and a lower volume of members requiring service calls. The agent is already being used within Pager’s ReallyWell platform, combining clinical support, wellness services and contextual navigation to other solutions included in the member’s benefits.

ReallyWell leverages generative AI to conduct deep-dive analyses of health assessments, device eligibility and biometric data, creating an unprecedented, one-size-fits-one personalized engagement experience for healthcare, with upcoming expansion across additional solutions.

Unlike legacy chatbots or static menus, the agent understands natural, open-ended member requests and guides users through personalized wellness journeys. It can detect when someone needs help, whether that’s a health program or an emergency intervention, and routes them accordingly.

Importantly, it’s designed with trust and compliance in mind. The agent includes emergency intent detection across 19 clinically validated scenarios, directing members to 911 or 988 when needed. These protocols are built using thousands of real member interactions and reviewed by clinical teams to ensure safe, responsible AI deployment. Pager Health has also implemented robust data rights protections, including client-specific data silos and full compliance with HIPAA and privacy standards.

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The AI Wellness Agent

  • Proactively routes users to complete high-impact actions like connecting fitness devices, finishing health assessments, or redeeming wellness rewards
  • Answers complex FAQs around rewards, benefits, and offline programs, reducing friction and call center traffic
  • Personalizes engagement based on known activity (e.g., unfinished tasks or previous chats)
  • Is deployed across web and mobile portals with a roadmap to expand to SMS, WhatsApp, and more
  • Includes an onboarding experience that establishes trust through clear terms, privacy disclosures, and opt-in experiences

The AI Wellness Agent is part of a portfolio of AI-powered virtual agents within Pager’s broader AI strategy. Pager’s virtual agents and AI Skills span across member intake, clinical triage, provider navigation, benefits support, and care coordination, each designed to simplify complex healthcare journeys and improve operational efficiency.

Pager’s AI Directory includes:

  • Wellness-focused agents (like the Wellness Agent)
  • Navigation agents that guide members to the right providers and help them understand their benefits
  • AI agents that enhance care quality through conversation summarization, sentiment detection, and real-time issue escalation
  • A growing library of AI Skills like emergency detection and chat summarization

Together, these agents form an integrated ecosystem that supports members and care teams in real time.

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Source – businesswire