RadiantGraph Adds Care Guidance Agents to Extend Personalized Chronic Condition Support; Approved for CMS ACCESS Model

• Approximately 50% of people don't adhere to their chronic treatment regimens, a gap that has historically been impossible for health plans to close at scale
  
  
• As part of RadiantGraph's core platform, these Agents will bring existing voice engagement into ongoing, condition-specific care management that operate within a non-diagnostic scope
  
  
• RadiantGraph was approved for CMS's ACCESS program, a Medicare initiative that compensates healthcare organizations for delivering technology-enabled chronic care, with payments tied to improvements in patient outcomes

SAN FRANCISCO, Sept. 16, 2026 /PRNewswire/ -- RadiantGraph, an AI-powered proactive care platform designed specifically for healthcare, today announced the expansion of its core offering to include Care Guidance Agents, a new capability that lets health plans and health systems deliver continuous, condition-aware support to patients and members managing chronic conditions. Delivered through the same RadiantGraph platform that connects pharmacy, benefits, and preventative care outreach, Care Guidance Agents extend support into the ongoing coaching, education, and adherence work that has traditionally required a human care manager.

Healthcare experts recognize that consistent, personalized, condition specific outreach improves outcomes for members with these conditions. But sustained, personalized support is difficult to deliver at scale due to the expensive and labor-intensive work needed to do so. Even when built internally, most plans can reach only a fraction of the members who could benefit. Care Guidance Agents are designed to close that gap in personalization by providing condition-specific coaching to every member that needs it.

CMS has also recognized the opportunity to improve care for people with chronic conditions, recently launching ACCESS, a 10-year Medicare program designed to accelerate the adoption of digital and AI-enabled care. Since RadiantGraph is participating in the program, providers can enroll their Medicare Part B patients to use RadiantGraph's MSK or Behavioral Health agents. Enrollment gives providers an opportunity to deliver improved, consistent patient care while also qualifying for new reimbursement streams.

Care Guidance Agents reach members via voice in four key treatment moments: post-diagnosis education that reduces early confusion and improves follow-through on care plans; daily management and lifestyle coaching tailored to members' real-life constraints; medication and care plan adherence support; and preventive care support that helps members complete required labs and screenings before unseen issues become costly events.

To support its expansion into Care Guidance Agents, RadiantGraph has added clinical experts, such as Dr. Robert Mandel, President, Clinical Excellence and Chief Medical Officer at Carelon Health (an Elevance company), who recently joined the company's Clinical Advisory Board.

"Health plans and providers understand that consistent, personalized outreach is the key to improving outcomes for members managing chronic conditions, but scaling that level of high-touch care has historically been unfeasible," said Dr. Geeta Nayyer, Chief Medical Officer at RadiantGraph. "RadiantGraph's Care Guidance Agents represent a breakthrough in how we support consumers. By delivering intelligent, condition-specific voice coaching that safely escalates to human care teams when needed, we can provide continuous, high-quality guidance to every member who needs it."

Care Guidance Agents are part of the complete RadiantGraph platform, integrated with personalization and data activation capabilities. Care Guidance agents leverage the clinical and engagement data that health plans and health systems already have to personalize each conversation. Agents operate within a defined, non-diagnostic scope, supporting members between clinical visits but do not make clinical treatment decisions. They are designed to redirect out-of-scope and high acuity situations to a human team member, when appropriate.

"Experts agree that consistent, personalized coaching and follow-up improves outcomes for people with chronic conditions, but for health plans and providers the challenge has been the cost and complexity of doing it for everyone who would benefit from it," said Anmol Madan, CEO and Founder of RadiantGraph. "With Care Guidance Agents, RadiantGraph now offers a scalable way to deliver the ongoing coaching, education, and adherence support that care management requires, while integrating with a human care management team for more complex situations."

Each condition-specific agent undergoes hundreds of hours of testing and validation by US-based healthcare providers and human expert auditing. The platform is built to HITRUST, HIPAA and Soc2 Type 2 regulatory standards.

Conditions Supported by Care Guidance
Care Guidance Agents are currently supporting behavioral health and MSK under the CMS ACCESS program, and can also support transition of care, post-discharge follow-up, and chronic condition management (diabetes and prediabetes, hyperlipidemia, obesity, hypertension, coronary artery disease, asthma, irritable bowel syndrome, hypothyroidism, and chronic insomnia).

About RadiantGraph
RadiantGraph is the AI engine powering proactive engagement and better outcomes in healthcare. RadiantGraph platform, including its Voice AI agents, supports a variety of use-cases in pharmacy operations, Medicare/IFP onboarding, preventative care outreach, and benefit utilization. The company has helped clients drive +70% team efficiency and have a positive brand impact that is 10x of human agents. Headquartered in San Francisco, RadiantGraph is HITRUST-certified, SOC 2 Type 2 compliant, and HIPAA-compliant. The company is led by Anmol Madan, an MIT PhD and author of the forthcoming book, The Machines Will See You Now (Johns Hopkins University Press). Learn more at radiantgraph.com.

SOURCE RadiantGraph, Inc