Elora is software that helps care teams keep Medicaid patients covered, before coverage lapses and after every visit. It brings together fragmented systems and resources, improving clinic financial sustainability and patient support. It expands a health center’s capacity to handle high H.R. 1 renewal volume.
Trusted by Federally Qualified Community Health Centers, Health Networks, and Care Teams
Catch Coverage Lapses
No matter what life throws at them, Elora keeps Medicaid patients covered and coming back.
Before the Visit
Elora checks coverage.
Clearinghouse and state systems identify who is at risk of coverage lapse before the visit, and immediately for new patient walk-ins.
During the Visit
Elora identifies patient needs in the background while the patient talks.
Listens and ingests screening data, pre-fills documentation and identifies gaps.
After the Visit
Elora tracks follow-up and automates coverage and enrollment for each patient.
Reaches the patient in their own language on the channel they’ll answer, gathers the missing information and documents, and completes form submissions.
Impact
$150,000
a year in revenue from walk-ins who arrive with coverage
If your team enrolls just 10 uninsured walk-ins a month, that’s 120 patients a year who arrive with coverage. At about $1,270 a year each, that’s $150,000 a year in revenue for care that could otherwise be uncompensated care financial loss.
Average national Medicaid revenue per patient, 2023: $20.1B / 15.8M Medicaid patients = $1,270.
Finally, supervisors can see every open renewal, so your team stays ahead of H.R.1’s deadlines as a part of their normal workflow without adding headcount.
Between visits, Elora keeps the whole patient panel covered with automated coverage checks, alerting staff before renewals come due and helps your team act on who’s at risk.
Impact
$890,000
a year in Medicaid revenue at risk
If a health center with 5,000 expansion adults loses 7% of them at each six-month renewal, that’s roughly 700 patients a year, putting up to $890,000 a year in Medicaid revenue at risk, or $350,000 a year in visit revenue alone.
Care teams lose hours a day to notes, spot checks, and reports. Elora auto-fills the documentation, and keeps the case together for every patient, working from smart-templates your team approved. Reduce the calls, checkboxes, and sign-offs to keep patients covered and in care.
CAPACITY Impact
70% less time
on paperwork, so care teams can serve up to 4x more patients
In just a few months, care teams piloting Elora cut its paperwork time from 7 hours to 20 minutes, giving staff the capacity to serve up to 4x more patients.
Cost of delay
$167,000
in visit revenue at risk before you go live
If 1,000 patients lose coverage on January 1 and a new vendor takes 4 months to approve, that’s about $167,000 in visit revenue at risk before you go live.
1,000 patients × $500 a year ÷ 12 months × 4-month BAA timeline = $166,667.
Start with one care team member and a list of 100 patients.
Elora works alongside your EHR and is live in 6 hours. Setup takes 4 hours of one navigator’s time, and 30 minutes with IT.
By the end of week one, Elora completes 70 to 80% of the workflow and flags the rest for your staff to review. By week two, only 5 to 10% need staff review. Over two months, you see renewals completed and coverage kept from adopting Elora against your current renewal rate, so you see real results before a rollout.
At the end, you decide on next steps with your own numbers in hand.
Economic value
$63,500
a year in Medicaid revenue for every 1% more patients kept covered
On a panel of 5,000 expansion adults, keeping just 1% more patients covered could protect $63,500 a year in Medicaid revenue. A pilot measures your own save rate, so you know what a full rollout is worth before you adopt.
5,000 × 1% = 50 patients, × $1,270 Medicaid revenue per year per patient (KFF, 2023 health center data) = $63,500.
Request a Pilot
Book a 30-minute discussion with Elora leadership to discuss a pilot for your FQHC.
Elora is a SOC 2 certified software that works alongside your existing EHR, using human and AI interaction to support patient workflows before, during and after the encounter, in the clinic and in the field.
"I wake up and I can finally see across agencies, counties… That level of visibility wasn't possible before."
Jess D.
Supervisor, Regional Health Hub
"It's tracking the solution to multiple social determinants of health — really improving overall health and reducing system costs. With the data to prove it."
Katie W.
Programs & Compliance Administrator, Hub
"This is freeing up all our time."
Rosie K.
Care Worker, Human Services Department
"I feel like with this system we're able to focus more on the participant than on all the outside notes and documentation."
Ashley S.
Community Based Worker, Destination Hope + Recovery
