Care Options Now Extend to Patients with Medicare, Medicaid, and Major Commercial Insurers Making Pluto’s Personalized AI-enabled Care Solutions More Accessible

Today, Pluto Health, a leader in AI-enabled care delivery, announced that its personalized care model now extends to patients with a wide range of insurance coverage, including Medicare, Medicaid, and major commercial plans such as UnitedHealthcare, Aetna, Blue Cross Blue Shield, Ambetter, and Cigna in select states. By expanding access through these coverage types, Pluto is furthering its mission to make equitable, affordable, and high-quality care available nationwide.

Nearly half of adults agree that it’s difficult to afford healthcare, leaving many patients concerned about out-of-pocket expenses or unforeseen medical bills. Because of this, over one-third of people postpone receiving care, exposing those patients to worsening health outcomes and more severe conditions such as comorbidities. By extending care options to patients covered by these insurers, Pluto is helping patients mitigate the costs associated with proper care and is providing increased access to preventive care options.

Even when services are covered, awareness and convenience often remain barriers. Many patients are unaware that insurers cover preventive services such as screenings, vaccines, and wellness visits at no cost. Recognizing this, and by flagging needed services, Pluto helps connect patients to critical services they may not know are already covered under their health plan or are available at low-cost. Insurers then reap the benefits of more efficient operations through automation of care alerts, scalable patient outreach via AI-integrated clinical workflows, and data-driven tracking of gap closures and outcomes. Together, Pluto and these payors are delivering preventive and chronic care support to their shared members, helping provide quality metrics and lower the total cost of care.

“There is rampant misuse, overuse, and underuse of health resources due to lack of visibility. For those with unmet health needs, especially those with chronic conditions or limited access to consistent care, tools like Pluto are imperative to delivering accessible options for people,” says Joy Bhosai, MD, MPH, founder and CEO of Pluto Health. “We’re not just giving patients high-level insights – we’re providing them with personalized action plans, not only empowering them to make the best decisions for their health, but also closing the loop on care by providing convenient ways that make closing gaps accessible. Expanding our relationships with these payors helps us reach even more patients with the care they need – without the financial barriers that often stand in the way.”

Pluto Health unifies fragmented health data—including medical, pharmacy, and social factors—to identify care gaps. From there, its AI-models facilitate personalized action plans and evaluates if patients are meeting guideline-based care, which may include assessing for overdue cancer screenings, at-home labs, referrals to speciality care, chatting with a clinician in real-time, or medication reconciliation.

By launching with some of the largest payors, Pluto Health is now offering the same excellent services at little to no cost to the patient, and ensuring that more services are wholly or partially covered for the populations they serve. Patients also gain efficiencies that prevent duplicative testing and improve care coordination across providers.

These partnerships come on the heels of Pluto’s latest launch, the announcement of its C.A.R.E. On Deck offering earlier last month. To learn more about Pluto Health, visit https://trypluto.com/index.

About Pluto Health:

Pluto Health, a Duke University spin-out, bridges AI and care delivery by unifying fragmented health data and closing the loop on integrated health services. The team is on a mission to make care options for patients transparent and accessible. The platform integrates medical records, labs, and diagnostics to identify health needs, care gaps, and pre-screen for clinical research in minutes. Through its integrated AI and care services, Pluto makes available actionable and convenient options—whether preventive screenings, at-home testing, or connections to clinical research. By providing turn-key solutions or embedding into enterprise workflows, Pluto reduces administrative burden to enable the delivery of smarter, faster, and more connected care. Pluto has launched with a number of Fortune 100 companies and the platform has reviewed over 15M health encounters to date.

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