Meet the Companies
Get to know our semifinalists in the Prime Health MPAI Challenge! These innovative solutions and the companies and founders behind them are working to reduce coverage loss for Medicaid Members.
argyle
Argyle is a consent-based verification (CBV) platform that helps agencies verify income, employment and assets more accurately, efficiently, and at scale. With an applicant’s permission, Argyle securely pulls verified income data directly from payroll providers and financial institutions using direct-source connections. When connections aren’t available, Argyle supports document uploads, processing submitted payroll documents with IDP to accurately classify income and create a standardized verification report delivered securely to the agency. By modernizing verification workflows, Argyle helps states reduce improper payments and error rates, streamline renewals and redeterminations, and lower verification costs by up to 90%. Argyle can be deployed as a standalone solution within state eligibility and renewal workflows or accessed through a secure verification link. The platform also powers additional consent-based verification tools, including DiCIT, SteadyIQ, DPW, and CMS' EMMY. Argyle supports government benefits programs and has the largest gig economy coverage.
CHC: Creating Healthier Communities
CHC: Creating Healthier Communities (CHC) is a national nonprofit (est. 1957) that operates at the intersection of community health, charitable giving, and healthcare policy. CHC's No Wrong Door (NWD) initiative is a purpose-built platform that helps Medicaid expansion adults document, track, and verify volunteer and community service hours to meet H.R. 1's community engagement requirements, preventing inappropriate coverage loss before it occurs. CHC brings 65 years of nonprofit infrastructure, a partner organization network spanning all 50 states, and active relationships with Colorado Combine Campaign and various other Campaigns throughout the state.
CleanCut Health
CleanCut Health provides the infrastructure Medicaid plans, RAES, and safety net providers need to engage members at the zip code level, through trusted community organizations and compensate those organizations for driving verified actions.
Medicaid members often rely on affordable housing communities, food pantries, faith institutions, schools, and other local organizations for help navigating health and social needs. These organizations have the trust and access to reach members, but typically lack the infrastructure, funding, and contracts to drive health engagement at scale. For
HR1 CleanCut turns these organizations into trained Coverage Champions. Through our platform, they educate members, screen for potential exemptions, help members document qualifying activities, connect them to approved volunteer and job training opportunities, and verify participation at the point of service.
In 2025, CleanCut onboarded more than 200 community partners, supported more than 2,000 verified health actions, and completed paid deployments with national healthcare and life sciences organizations.
Clinic Chat is a digital health company providing AI-driven, HIPAA-compliant chatbot solutions designed to expand patient access, relieve overburdened clinical staff, and proven to improve illness self-management. Unlike generative AI that risks hallucinating medical advice, Clinic Chat utilizes "deterministic" AI: large language models interpret user questions, but all responses are drawn from a carefully curated, human-written library validated by medical professionals.
We offer multiple products: A Digital Safety Net Agent, helping Medicaid beneficiaries document eligibility and monthly work requirements; the Clinical Decision Support Tool (CDST) Agent, automating patient assessments like the PHQ-9 and PRAPARE; and Patient Self-Management Agents, linking to remote monitoring devices and delivering tailored, SMS-based educational campaigns encouraging effective chronic illness management.
With systems designed to integrate or operate independently of Electronic Health Records (EHRs) based on partner preference, we can help healthcare and public health organizations reduce administrative costs, minimize staff burnout, and improve patient outcomes.
Clinic Chat
Cyquent
Cyquent, Inc. submits this application as the prime of Team Cyquent, teamed with Experian Information Solutions. Cyquent is a Rockville, Maryland-based government technology firm founded in 2001, certified at CMMI Level 3 and ISO 9001, ISO 20000-1, and ISO 27001, and holding Minority Business Enterprise certification in Maryland and Delaware and SWaM certification in Virginia. For more than two decades, Cyquent has delivered digital transformation and Medicaid modernization for state agencies, including Maryland's THINK platform and its Medicaid Enterprise Systems Modular Transformation. Cyquent's proprietary AI platform, EligentAI, combines optical character recognition, natural language processing, and retrieval-augmented generation to automate document processing for government eligibility workflows, cutting processing time 55 percent while sustaining accuracy above 90 percent in a prior federal engagement. Through Experian, Team Cyquent pairs this engine with Experian Verify employment and income data for Colorado's community engagement need.
Golden is a mobile-first, closed-loop, offline-capable, user-centered, AI-ready volunteer management software ecosystem founded in 2015 and deployed across 50,000+ organizations, including AARP, United Way, and the International Rescue Committee. The platform provides end-to-end volunteer lifecycle management — recruitment, credentialing, scheduling, real-time hour verification, and compliance reporting — replacing informal, self-reported documentation with timestamped, organization-verified records. Golden maintains SOC 2 Type II certification, HIPAA-aligned security safeguards, and adherence to GDPR, CCPA, and COPPA standards. Technology partnerships with Salesforce, Microsoft Dynamics, Blackbaud, and AWS enable interoperability with systems counties and state agencies already operate. Golden currently operates a statewide volunteer-verification deployment for the State of Utah and the State of California, and is the top-rated volunteering application on both iOS and Android.
Volunteer-based Community Engagement hours represent one of the most operationally difficult verification categories under H.R. 1, and Golden already executes that verification workflow at production scale.
Golden
Grapefruit Health
Grapefruit Health exists to bridge healthcare care gaps by mobilizing the clinicians of tomorrow. By integrating trained clinical students—"Patient Champions"—into client workflows, we close gaps swiftly and efficiently so no patient is left behind, including preventing inappropriate Medicaid coverage loss caused by administrative barriers rather than actual ineligibility. Combining human-driven outreach with a proprietary tech platform, Patient Champions provide telephonic support for Community Engagement reporting, appointment scheduling, medication adherence, and documentation, reaching members by phone, in their language, without requiring any app or client-side technology.
Midato Health was launched as an independent business entity in 2022 after several years of product ideation and incubation under the umbrella of a nationally recognized health transformation consulting firm, CedarBridge Group. Midato Health’s ShareApprove technology platform provides a scalable consent management service (in production), and also can offer other types of digital document services, as described in this submission. The same technology that Midato Health has developed for collecting, tracking, validating, and auditing patient consent documents across distributed networks of care, can be used for other types of patient/consumer-reported information that is necessary for coordinating care or maintaining Medicaid coverage. This includes, but is not limited to, documentation required to verify participation in qualifying educational programs and in qualifying volunteer activities, both offered as options for meeting the H.R.1 requirements for maintaining Medicaid eligibility by certain populations, in Colorado and 39 other states (plus D.C.).
Midato Health
Mirza is a digital front door to the safety net. We help families find the benefits they qualify for, enroll, and keep their coverage. From a phone, in their own language, a member can identify relevant public benefits and apply across programs in fifteen minutes or less. Mirza uses data from uploaded documents and connected payroll or gig-platform accounts to pre-fill applications, reducing the workload for individuals. Our system tracks deadlines and sends reminders, keeping communication clear and helping protect coverage. To ease H.R. 1 navigation, we give families easy access to required work verification and identify medically frail members who qualify for work requirements exclusion. By keeping members enrolled, we help prevent costly uncompensated care. Mirza partners with managed care organizations, community partners, and government agencies across several states.
Mirza
ThriveLink
ThriveLink builds AI agents, monitored 24/7 by a human support team, that talk to families over the phone and sign them up for food, housing, transportation, and more — without the need for a smartphone, internet, or the ability to read. ThriveLink is one of the first AI companies to pass the State of Colorado's Phase 1 AI assessment, and we are working to contract with Rocky Mountain Health Plans, Colorado Access, and Colorado Community Health Alliance. Operating across 17 states as a technology partner to health systems, governments, and health plans, ThriveLink extends the frontline workforce rather than replacing it — every AI interaction is backed by a human. Our model meets members on the phone, digitally, or in person, so no eligible person loses coverage for lack of support. Recognized as the American Nurses Association National Innovator of the Year and an MIT Solve AI for Humanity awardee.
TipCo Automated Systems (TipCo) is a women-owned technology company founded to improve access to vital support for individuals and families in need. We recognized that many people were struggling to navigate the complex, often overwhelming eligibility determination process, and we wanted to create a solution that would make it easier for them to access the support they need. Our Health and Human Services (HHS) roots have enabled us to leverage technology to help agencies maximize their workforce through automation, delivering innovative solutions that drive transformative outcomes and make a lasting impact on the industry. Since our founding, we’ve grown our solution to assist in all aspects of government services. Our solutions enable organizations to deliver services more efficiently, streamline operations, maintain compliance, and support workforce productivity.
WeaveIn, built by Trust, is the operating service system for social care. We connect health plans, community-based organizations, counties, and regional coordinating entities so that community work — outreach, enrollment, referrals, service delivery — is captured once at the point of service, verified, and paid for. The platform reaches 2 million community members through 2,600+ outreach programs run by trusted local organizations — food banks, faith communities, job programs — communicating in 81+ languages, primarily by simple text message. Our core capability is exactly what community engagement verification requires: a local organization confirms a member's participation where it happens, the platform time-stamps and verifies it, and the record flows automatically to everyone who needs it, with the organization compensated for that work. Members never need an app, a password, or to re-enter their information. WeaveIn is revenue-generating and HIPAA-compliant, with verification-and-reimbursement workflows live under Medicaid programs today.
Trust
Ushur, Inc. is a privately held Customer Experience Automation (CXA) company headquartered in Santa Clara, California, founded in 2014 and owned by its founders together with VC investors. Ushur is an AI-powered platform purpose-built for regulated industries, enabling business users to design, deploy, and manage multichannel member communication agents without engineering involvement. Its core offerings include the Ushur Platform (multi-step AI agents across Chat, SMS, and Voice with built-in HIPAA/TCPA guardrails), a no-code campaign builder, and the HIPAA-Secure Invisible App, a two-way mobile web experience requiring no download. With more than 12 years serving health plans across Medicaid, CHIP, Marketplace, and Employer Group lines of business, Ushur currently supports 23 health plan organizations nationally, including seven California Local Health Plans. The company reports no bankruptcy, litigation, or organizational issues that would impede project delivery, and its financials are independently audited annually.
Ushur
Whole Insight is a consumer-first healthcare activation platform designed to help people discover, access, and participate in healthcare and community services. Using AI-driven personalization both through web and app based platforms as well as low-bandwidth communication channels such as SMS and voice, Whole Insight reduces barriers to engagement and supports individuals from awareness and enrollment through sustained participation. Our platform helps organizations improve outcomes by turning eligibility into action and action into ongoing engagement. We focus particularly on rural and underserved populations where administrative complexity and fragmented systems often create barriers to care and benefits utilization.
Whole Insight