Make advance care planning part of your member experience strategy.

By helping members make informed care decisions, Koda improves satisfaction, reduces avoidable utilization, and drives measurable gains in CAHPS, Star Ratings, and retention.

Our partners

Your members are navigating their most complex care decisions alone. They don’t have to.

25% of Medicare dollars are spent in the last year of life—much of it driven by the absence of a plan. Koda replaces static documents with an intelligent, interactive process, personalized to each patient and integrated across every care setting.

Reduce MLR, and increase member satisfaction

with Koda Compass: The ACP Operating System

6+ years

of proprietary ACP data informs every outreach decision

Predictive risk models based on patient and claims data

real-time clinical feeds build predictive risk models

AI + human routing

to the optimal next step at every touchpoint

01

Identification

Koda identifies the right member

Predictive risk models based on member and claims data

Real-time clinical signals flag when a member needs an ACP conversation.

02

Tailored Outreach

A personalized ongoing journey

4 channels – 2+ languages

Multi-channel outreach — SMS, voice AI, email, and human follow-up — meets members where they are.

03

Family Alignment

Families prepared before crisis

18+ touchpoints per patient

KodaCares advocates align families and caregivers – not in the ICU, but well before it. Plans are updated continuously.

04

Care Management

Member goals reach every care team

Care management workflows

Preferences and MDM surface in UM and care coordination workflows, visible across every provider the member sees.

~85%

care plan completion rate

~40%

reduction in end-of-life costs

87

NPS patients feels guided, not processed

Leverage digital care planning infrastructure, built for scale

Track Performance and Impact
A slide showing Track performance and impact as a focal training topic with supporting content in a calm professional environment

Track performance and impact

Real-time dashboards provide visibility into completion rates, utilization trends, and program ROI.

What You Track:

  • Member satisfaction (NPS)
  • Star Ratings correlation
  • Completion rates by population
  • Utilization impact (ICU days, ED visits)
  • Cost savings (PMPM trends)

No waiting for quarterly reports. See the full picture in real-time.

Engage Members Directly
A slide showing Engage members directly as a focal training topic with supporting content in a calm professional environment

Engage members directly

Koda’s AI-optimized Digital Navigator guides members through care planning with clear prompts and education. Complex cases are flagged for Koda Cares support, without adding workload to your teams.

Multi-Channel:

Email, SMS, mailers with QR codes

Multi-Lingual:

English, Spanish, more in development

White-Labeled:

Members see this as YOUR benefit

Capture Meaningful Preferences
A slide showing Capture meaningful preferences as a focal training topic with supporting content in a calm professional environment

Capture meaningful preferences

Koda’s Digital Navigator guides members through scenario-based video education, and not just forms. Complex cases get support from Koda Cares, trained clinical advocates who provide family alignment and culturally competent guidance.

What Makes This Different:

Members explore nuanced scenarios and document values-based preferences far beyond simple DNR checkboxes.

Support for Caregivers
A slide showing Support for members and the family caregivers who support them. as a focal training topic with supporting content in a calm professional environment

Support for members and the family caregivers who support them.

Koda helps both members and caregivers stay on track with goals-of care conversations, reducing caregiver burnout and helping prevent avoidable ED visits, readmissions, and premature long-term care.

  • Track Performance and Impact
  • Engage Members Directly
  • Capture Meaningful Preferences
  • Support for Caregivers
A slide showing Track performance and impact as a focal training topic with supporting content in a calm professional environment

Track performance and impact

Real-time dashboards provide visibility into completion rates, utilization trends, and program ROI.

What You Track:

  • Member satisfaction (NPS)
  • Star Ratings correlation
  • Completion rates by population
  • Utilization impact (ICU days, ED visits)
  • Cost savings (PMPM trends)

No waiting for quarterly reports. See the full picture in real-time.

A slide showing Engage members directly as a focal training topic with supporting content in a calm professional environment

Engage members directly

Koda’s AI-optimized Digital Navigator guides members through care planning with clear prompts and education. Complex cases are flagged for Koda Cares support, without adding workload to your teams.

Multi-Channel:

Email, SMS, mailers with QR codes

Multi-Lingual:

English, Spanish, more in development

White-Labeled:

Members see this as YOUR benefit

A slide showing Capture meaningful preferences as a focal training topic with supporting content in a calm professional environment

Capture meaningful preferences

Koda’s Digital Navigator guides members through scenario-based video education, and not just forms. Complex cases get support from Koda Cares, trained clinical advocates who provide family alignment and culturally competent guidance.

What Makes This Different:

Members explore nuanced scenarios and document values-based preferences far beyond simple DNR checkboxes.

A slide showing Support for members and the family caregivers who support them. as a focal training topic with supporting content in a calm professional environment

Support for members and the family caregivers who support them.

Koda helps both members and caregivers stay on track with goals-of care conversations, reducing caregiver burnout and helping prevent avoidable ED visits, readmissions, and premature long-term care.

member testimonials

What members have to say

“I couldn’t believe this was free through my health plan. What impressed me most was getting to speak with a real person, someone who could actually walk me through it and answer my questions. For the first time, I feel calm about the future and confident in my choices.”

Implementation

Designed for enterprise deployment.

patient testimonials

“You made it comfortable for me. You clarified things. You help put my feelings into context. You didn’t rush me and were patient.”

“I am glad I won’t feel like a burden to my family, and that my wishes are known. It provided an opportunity to open that conversation and discuss plans for now and the future.”

“It allowed me to realize things can be easily done. I always felt like this would be a bigger undertaking, and through Koda, it really was quite simple and fast.”

“It has given me a lot to think about. How I want to live my life moving forward. How important it is to bring your family into this space for these conversations. I feel confident my final days will be carried out exactly as I wish them to be.”

“I love that you encouraged me to ask my sister, my medical decision maker, to be a part of the conversation. We were able to talk through some scenarios together on what I would or would not want. I likely would not have done that without your encouragement.”

“I was anxious at first. I have never talked about this before. You made it seem normal, and made me feel more calm as we went through the guide. It was nice to be listened to and have my questions answered.”

“I would have never completed this without your help. I am not very tech savvy and you were so patient as I navigated online. I really liked the videos, they helped explain some of these interventions in a visual way”. 

87%

NPS – Member Satisfaction

85%

ACP Completion Rates

+23%

Increased Member Retention

+13%

Longer Member Enrollment in Plan

Ready to reduce the cost of unplanned care?