Baba for payers & plans

Baba is human-led, AI-enabled. We add an engagement layer between a health plan and its members. Advocates call, find the provider, arrange the ride, and stay on the task until it is closed.

Members with point solution fatigue don’t engage with their plan — A Baba advocate removes point solutions

A member has one conversation with their Baba advocate instead of calls from many vendors.

Noelle from Baba

A trained expert that builds member trust and closes quality gaps

  • Behavioral health
  • Medication adherence
  • NEMT
  • Housing support
  • SDoH support
  • Medicaid (re)enrollment
  • Hospital follow-up
  • Primary care coordination

Member saves a single contact in their phone or downloads our app

Members reach out to us
~3 times a week for support

This level of trust lets us intervene early and close gaps (especially gaps that require engagement over time).

More accurate data sent back:

  • ICD-10 diagnoses
  • Z-codes (SDOH)
  • HCPCS (CHI / PIN)

We support your complex and hard-to-reach members

5%  of members account for
50%  health spending

Advocates work on the practical problems that sit between a care plan and a completed visit.

We close gaps at every opportunity

  1. After the hospital

    The advocate gets the follow-up on the calendar, sends the discharge summary to the PCP, and checks the medication list while there is still time to prevent a return trip.

    • TRC
    • MRP
    • FMC
    • PCR
  2. Between refills

    Ninety-day fills, pharmacy sync, mail order, and the prior-authorization call that still needs to be made. Adherence is logistics before it is behavior.

    • PDC-DR
    • PDC-RASA
    • PDC-STA
    • SUPD
  3. Before the emergency room

    When transport falls through or a benefit is unclear, an advocate fixes the immediate problem before the emergency room becomes the fallback.

    • ED utilization
    • CAHPS

What the research has found

From studies with Baba-style community health workers, chronic care management programs, transition coaching, and patient navigation.

returned per $1 invested in community health worker support, among high-need patients
$2.47

returned per $1 invested in community health worker support, among high-need patients

Health Affairs, 2020
lower Medicare spending per member per month in CMS’s evaluation of chronic care management
$74

lower Medicare spending per member per month in CMS’s evaluation of chronic care management

CMS evaluation, 2017
fewer 30-day readmissions among older adults who received transition coaching
30%

fewer 30-day readmissions among older adults who received transition coaching

Archives of Internal Medicine, 2006
breast and colorectal screening completion with patient navigation, across 30+ trials
1.5×

breast and colorectal screening completion with patient navigation, across 30+ trials

J. General Internal Medicine, 2020

Coverage doesn't lapse
on Baba's watch

Medicaid enrollment (and recertification) and Medicare Advantage HRAs are confusing processes with important deadlines. An advocate tracks dates, gathers documents, and files before things lapse.

Deadline tracking

Recert deadlines, tracked automatically

The system flags the window before it closes, so nothing slips past a deadline.

Application filling

The advocate does the filing

Documents gathered, forms completed, application submitted — not a task for the member.

Eligibility check

Already knows if they qualify

No cold screening. The advocate already has what's needed to check eligibility.

Members with this kind of support had nearly twice the odds of rating their plan highly.

CAHPS is double-weighted. Members answer “getting needed care” from lived experience: whether someone helped them get the appointment, refill, or ride.

JAMA Internal Medicine, 2018

Talk with our health plan team

Tell us what you are evaluating. We will follow up to schedule a conversation.