Customer story

How eternalHealth engages Medicare Advantage members

eternalHealth, a Medicare Advantage plan serving members in Massachusetts and Arizona, has used Zynix outreach and care management workflows since January 1, 2026.

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Segment

Medicare Advantage plan

Markets

Massachusetts, Arizona

Using Zynix since

January 1, 2026

Announced

June 2, 2026

Read the announcement →

The challenge

Reach the right members at the right time

eternalHealth focuses on preventive and chronic care management for older adults. Its care managers wanted to reach more members, and the right members at the right time, for preventive care, chronic condition management and timely follow-up, and to know whom to contact first when resources are constrained.

Source: joint announcement by eternalHealth, Zynix AI and nirvanaHealth, June 2, 2026.

Workflows

What eternalHealth runs on Zynix

Zynix outreach and care management workflows run alongside nirvanaHealth, which keeps member and operational information centralized.

Prioritized worklists

Zynix

Ranks members by open care needs, so care managers know whom to contact first.

Care managers

Care managers decide the plan for each member and own every clinical conversation.

Analytics →

Member outreach

Agent

Reaches members to close preventive and chronic care gaps, and follows up on time.

Care managers

Escalations go to eternalHealth’s care managers.

AI agents →

Connected operations

Zynix

Connects outreach to the next action, with member information kept central through nirvanaHealth.

Care managers

The organizations share governance and reporting, with phased implementation and performance monitoring.

Integrations →

Care management Demo Sample data

Member outreach queue

Today · ranked by care need

Mbr 3108 · Colorectal screening due

Preventive care

Outreach agent

Queued

Mbr 2215 · Discharged two days ago

Follow-up call

Outreach agent

Reached

Mbr 1904 · Asked to speak with a nurse

Routed from outreach

Care manager, RN

Escalated

Mbr 2750 · Diabetes follow-up due

Chronic care

Outreach agent

Booked

Care managers see whom to contact first; questions route back to them.

Illustration of the workflow with sample data. Not eternalHealth patient data.

Goals

What the partnership is built to do

What the partnership is built to do at eternalHealth

Focus area

The goal

How Zynix supports it

Member engagement

Reach more members, and the right members at the right time.

Outreach agents contact members for preventive care, chronic condition follow-up and reminders.

Care manager capacity

Know whom to contact first when resources are constrained.

Worklists ranked by care need, with escalations routed to care managers.

Quality and experience

Support quality initiatives tied to Star Ratings and member satisfaction.

Timely follow-up on the measures and members the plan targets.

On the record

From the June 2, 2026 announcement

“eternalHealth is committed to meeting members where they are with proactive support that improves outcomes and experience. Partnering with Zynix AI strengthens our ability to engage members consistently and efficiently, support our care management teams, and advance our quality goals in Massachusetts and Arizona. Combined with nirvanaHealth’s centralized infrastructure, this partnership helps us deliver high-touch care with smart, modern, and cost-sensitive tools.”

Pooja Ika Founder and CEO, eternalHealth Read the announcement →

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Built for

Health plans Stars, HEDIS gaps and member outreach →

Products

All AI agents How agents work with your care team →

Care plans TCM, AWV and CCM workflows →

Talk to us about a program like this

We’ll show the workflows eternalHealth uses, on sample data, and what it would take to run them in your organization.

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