AI for Care Managers

Ambient AI that listens to care management conversations and automatically populates care management systems while triggering next-best care actions.

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From Conversation to Structured Action. Automatically.

NexCM listens, understands, and converts care management calls to audit-ready clinical record with human oversight at every step. Your care managers can now do more of what they really want to do — help people.

Care Manager
Call

Member conversation takes place as normal

01
Ambient AI
Listens

Rapid transcription and understanding

02
Structured Data
Extracted

Barriers, risks, referrals identified automatically

03
System
Populated

Care management fields filled without manual entry

04
Tasks
Auto-Created

Follow-ups and next actions triggered automatically

05
Care Manager
Call

Member conversation takes place as normal

01
Ambient AI
Listens

Rapid transcription and understanding

02
Structured Data
Extracted

Barriers, risks, referrals identified automatically

03
System
Populated

Care management fields filled without manual entry

04
Tasks
Auto-Created

Follow-ups and next actions triggered automatically

05

Why it Matters

Care Managers are Buried in Documentation

Nurse care managers spend 30–50% of their time on documentation and data entry. Time that could be spent on patients.

Critical Barriers Get Buried

Medications, transportation, food insecurity, and other SDOH barriers are frequently logged in free-text notes, so important information may be missed resulting in a lack of actionable structured data.

Key Elements May be Missed

Follow-ups missed, care plans incomplete, referrals fall through the cracks.

Systems Stay Empty

Care management systems are only as useful as what's captured in them, and the journey from call to system is often inefficient and incomplete.

Clinicians Are Burning Out

Documentation burden is a primary driver of care manager turnover.

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Why Sagara

Abstract visualization representing AI-powered healthcare, connected data, and digital innovation
70+ Years of Managed Care

Our founding team has operated health plans and their care management at scale. We know which fields matter and what your customers require.

Purpose-Built, Not Bolted On

Built for care management from day one, NexCM is designed around the workflows, systems, and core capabilities that care managers rely on to deliver better outcomes.

Proven Impact, Measurable ROI

Sagara drives faster case turnaround, higher program accuracy, and lower administrative costs—improving outcomes for payers and members.

How We Compare

Everyone builds for physicians; most don’t understand the complexity of care management.

Payer Care Management
Others
No
Sagara
Yes
CM-System Auto-Population
Others
Limited
Sagara
Yes
Barrier/SDOH Extraction
Others
Partial
Sagara
Yes
Auto-created Referrals/Tasks
Others
Moderate
Sagara
Yes
Payer Compliance
Others
No
Sagara
Yes
Feature
Others
Sagara
Payer Care Management
No
Yes
CM-System Auto-Population
Limited
Yes
Barrier/SDOH Extraction
Partial
Yes
Auto-created Referrals/Tasks
Moderate
Yes
Payer Compliance
No
Yes
Compassionate caregivers providing personalized in-home care and support for older adults

Convert Documentation Burden into Scalable Workforce Capacity

In each documentation-time-savings scenario, hours saved convert directly into hard-dollar labor savings and FTE capacity that can be redeployed.

$975K

Annual labor cost savings from 50% documentation time savings

21-29%

Increase in Care Manager capacity

$1.4M

Annual labor cost savings from 70% documentation time savings

34K-56K

More members touched

Hours saved per year
50% Scenario
21,667 hrs
70% Scenario
30,334 hrs
FTE equivalent freed (hrs ÷ 2,080)
50% Scenario
10.4 FTEs
70% Scenario
14.6 FTEs
Metric
50% Scenario
70% Scenario
Hours saved per year
21,667 hrs
30,334 hrs
FTE equivalent freed (hrs ÷ 2,080)
10.4 FTEs
14.6 FTEs

*Assuming 125k-member plan and 50 care managers at $90k fully loaded, making 8 calls/day

Our Commitment to Community

Company Commitment

Sagara Health is a proud member of the Pledge 1% movement, committing 1% of net revenue to community impact.

Built Into the Business

Built into our corporate charter and scaling with our growth.

Scholarship Funding

Commitment funds scholarships for care management training.

Supporting Healthcare Professionals

Supporting RNs, social workers, and nursing students.

Community Impact

Focused on underserved communities pursuing care management certification.

Built by Experienced Professionals

70+ years of combined managed care operations experience including payer care management, utilization management, and care coordination.

Bill Baker
Chief Executive Officer
Bill Baker, Chief Executive Officer, Sagara Health
Bill Baker
Chief Executive Officer

35+ years in Medicaid & Medicare Advantage; scaled Superior HealthPlan from $250M to $1B+ revenue

Founding operator at Amerigroup (Elevance); launched CountyCare reaching 100K members and $800M+ revenue within 10 months

CEO turnaround of MoreCare MA plan: 50% reduction in disenrollment and achieved CMS 4-star rating

Chief Strategy Officer, Healthcare at Kizen AI (2025)

Bill Baker, Chief Executive Officer, Sagara Health
Jim Pospychala
Chief Solution Officer
Jim Pospychala, Chief Solution Officer, Sagara Health
Jim Pospychala
Chief Solution Officer

40+ years of leadership in IT, product development, managed care, and healthcare operations

Drove operational growth and automation across Centene, Evolent Health, and MoreCare MA, including CMS 4-Star plan performance

COO of a full-risk ACO REACH organization, advancing value-based care and population health outcomes

VP, Healthcare Implementation at Kizen AI (2025)

Jim Pospychala, Chief Solution Officer, Sagara Health
Kathi Saunders, MHA
Chief Operating Officer
Kathi Saunders, Chief Operating Officer, Sagara Health
Kathi Saunders, MHA
Chief Operating Officer

25+ years in Medicaid & Medicare Advantage operations, network development, and health plan growth

SVP, AllyAlign Health; built provider networks spanning 20,000+ providers across 15 CMS-compliant health plans

Founder, VP & COO at Amerigroup (Elevance); scaled a 125,000-member plan with $300M+ revenue

VP, Healthcare Implementation at Kizen AI (2025)

Kathi Saunders, Chief Operating Officer, Sagara Health