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Fold is the AI operating layer for health plans, provider networks and health systems.

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Trusted by organizations pioneering care delivery

  • Astrana Health
  • PartnerMD
  • BowTie Medical
  • Palmetto Proactive Healthcare
  • Avergent
  • Coachella Valley Direct Primary Care
  • Zócalo Health
  • Trailhead Clinics

Faxes, feeds, claims and lab results pile up in different places.Fold turns insight into action. It connects the systems you already run, so your team knows what to do next.

Lives on the platform
2M+
Automations Jan to Jun 2026
100M+
EHRs connected
20+

One integrated operating layer.

Fold finds what needs attention in the systems you already run. AI agents and your team act on it, and every step is recorded.

See the platform
Fold · the AI operating layerIngestion, context and workflow, in one layer
IngestionConnects your data

The systems you already run, connected, not replaced.

EHRsEpic, athena, 20+
ADT feedsAdmits, discharges
ClaimsMedical, pharmacy
LabsResults as posted
HIERegional exchanges
PharmacyFills, changes
Payer filesGaps, rosters
SDOH and formsHRAs, faxes
Matched to the right patient, as it arrives
Context and decisionsOne patient context

Everything about the person, and what to do next.

MEMargaret Ellison, 74Discharged Monday · heart failure
Lives alone2 medication changesDaughter Claire helpsHigh readmission riskTCM contact: 2 business days
Your rulesPrograms, measures and protocols
AI agentsPrepare the next best action within your rules
EvidenceEvery step recorded
Workflow surfacesWhere your team works

The same task, wherever your team works.

Fold appsWeb, iOS and Android, under your brandMargaret Ellison · TCM call
Inside your EHRA Fold panel beside the chartMargaret Ellison · TCM call
HeadlessAPIs and events into your own productMargaret Ellison · TCM call
Margaret Ellison · TCM callon all three
  1. 1Signals in
  3. 2One patient context
    3Next best action
  5. 4Owner signs off, result tracked

The same layer runs every workflow

Care ManagementCare Gap ClosureRisk AdjustmentUtilization ManagementPopulation IntelligencePatient EngagementRules-Based SchedulingAI Agents

Who it’s for

Fold helps plans, networks and health systems deliver better care for less.

See what Fold can do for you.

Health Plans

Health plans and their delegates

  1. Control Medical CostUtilization and care management in one place.
  2. Improve Stars and QualityCare gaps closed at scale, with the evidence attached.
  3. Risk Adjustment AccuracyRecapture and suspected diagnoses ready for clinician and coder review.
Solutions for Health Plans

Provider Networks

MSOs, ACOs, IPAs and medical groups

  1. Work Across PracticesOne worklist across your practices and their EHRs.
  2. Quality and Risk AdjustmentCare gaps and suspected diagnoses worked until closed.
  3. Shared SavingsRising-risk patients reached before costs climb.
Solutions for Provider Networks

Health Systems

Hospitals and their care management teams

  1. Reduce ReadmissionsEvery hospital or facility discharge gets an owner.
  2. Contain Episode CostEach patient tracked through the episode window.
  3. Scale Care TransitionsAI agents prepare each call. Nurses make it.
Solutions for Health Systems

Keep your EHRs. Fold connects to the systems you already run.

Deployment options

Case study

2.7x ROI in the first 90 days.

Results from one California MSO using Fold for its Medicare Advantage population.

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At this California MSO

25K+
Diagnosis gaps closed
82%
Eligible high-risk inpatient discharges (660 of 804) had automated outreach attempted in the first full quarter after go-live

Across all Fold customers

3x
More care gaps closed with evidence attached
40%
Of all outreach is now made by AI agents

Ready to streamline and scale?

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  1. 01

    Your programs

    Transitions, chronic care, wellness visits, Stars and risk adjustment: where work stalls today.

  2. 02

    Your systems

    The EHRs, feeds and teams Fold would connect, and what writes back.

  3. 03

    Your workflows on Fold

    How your AI agents and approvals would run, from the first signal to the evidence.