Voice AI Meets Medicare: careCycle’s Mission to Save Agencies Thousands of Hours

Medicare agencies are quietly facing one of the most devastating and under-addressed challenges in the healthcare ecosystem: member churn. Every year, approximately 50% of Medicare Advantage beneficiaries switch or drop their plans, primarily due to poor post-enrollment engagement. Agencies, overwhelmed by compliance, outbound prospecting, and operational inefficiencies, struggle to keep in touch with the very members they worked hard to enroll.

This churn crisis is not just a missed opportunity—it’s a financial sinkhole. Agencies spend large sums on lead generation, only to lose customers before seeing long-term value. Many FMOs (Field Marketing Organizations) actually report net losses during the most important sales season of the year, even after enrolling thousands of new members. Seniors, meanwhile, are left with unanswered questions, no proactive guidance, and a sense of abandonment.

This is the broken cycle careCycle aims to fix, with AI.

How Does careCycle’s Voice AI Team Actually Work?

careCycle’s innovation isn’t a single AI assistant—it’s a coordinated team of AI voice agents trained to manage every phase of the Medicare member journey. Each agent plays a specific role, handing off tasks with the same precision as a human call center—but faster, cheaper, and more compliant.

Here’s how it plays out in real-time:

After-hours lead intake: A lead comes in at 8:15 PM. One AI agent answers, warmly greets the caller by name, and schedules a callback at a preferred time.
Follow-up call: A second AI agent calls at the exact moment requested, confirms eligibility, and captures relevant data.
Qualification: A third agent ensures the caller meets all the policy requirements, filtering out unqualified leads.
Transfer: A fourth AI team member warm-transfers the eligible and interested prospect to a licensed human agent.

This orchestration not only improves conversion rates but also saves agent hours that would otherwise be wasted on dead-end calls. In one AEP (Annual Enrollment Period), careCycle helped an FMO write over $2 million in renewals, with 20% less talk time per sale.

What Makes careCycle Different from Generic Voice AI Platforms?

Most voice AI companies today offer horizontal solutions—chatbots and virtual agents that can be plugged into any workflow. But in highly regulated industries like Medicare, this approach falls flat.

careCycle has built its AI platform from the ground up for Medicare compliance. The system is:

HIPAA and CMS compliant
Fully integrated with agency CRMs and policy platforms
Equipped with real-time data structuring and human-in-the-loop systems for sensitive interactions

This compliance-first foundation gives agencies confidence to automate processes without risking fines or member dissatisfaction. It’s the difference between a helpful chatbot and a legally bulletproof AI care team.

What Impact Has careCycle Already Had?

Though still young, founded in 2024 and backed by Y Combinator’s W25 batch, careCycle is already delivering measurable, impressive results. In just one enrollment season, the company has:

Spoken with 50,000+ Medicare beneficiaries
Saved over 4,000 licensed agent hours
Delivered a 5x boost in after-hours conversion rates
Improved 90-day retention by 37%

These are not just stats—they’re signals of a changing tide. careCycle is helping agencies break free from the cycle of reactive sales and start building proactive, long-term relationships with members.

Why is This the Right Time for careCycle?

The U.S. Medicare Advantage market is exploding, with over $360 billion in annual premiums and growth exceeding 10% year-over-year. At the same time, senior consumers are becoming more digitally connected and more comfortable interacting with AI-powered tools, especially if they sound human and respond intelligently.

Meanwhile, healthcare regulations are becoming stricter, making it harder for agencies to scale without significant investment in compliance infrastructure.

Founder Alex Doonanco, who previously led go-to-market efforts at AI Rudder (a global voice AI platform), saw these dynamics converge. He understood that horizontal AI wouldn't cut it in healthcare. So he teamed up with Evan Roubekas to build a purpose-built, vertically integrated AI workforce for Medicare.

As agencies face rising costs, thinning margins, and increasing member expectations, careCycle offers not just efficiency but a completely reimagined member experience.

How Does careCycle Address Both Pre and Post-Enrollment Needs?

Most Medicare solutions focus solely on enrollment. But careCycle realized early that the real battle is fought after the sale.

In the pre-enrollment phase, careCycle helps agencies manage the overwhelming volume of inbound calls, especially during open enrollment. The system automatically handles:

Call screening
Eligibility checks
Appointment scheduling
Warm transfers to human agents

This allows licensed agents to focus only on high-quality, pre-qualified leads—a massive time and energy saver.

In the post-enrollment phase, careCycle’s AI agents ensure members feel acknowledged and informed. They:

Proactively update members on policy status
Answer FAQs using verified human-backed data
Provide check-ins and reminders through HIPAA-compliant voice messages
Create new engagement touchpoints that agencies didn’t have capacity for

This continuous outreach builds trust and reduces the odds of churn dramatically. As the founders put it, “Our AI teams don’t just talk—they listen. And they remember.”

What is careCycle’s Long-Term Vision?

careCycle isn’t just building a product—it’s pioneering a new category: autonomous AI member care.

Their long-term vision is to become the default operating system for Medicare engagement, not replacing humans, but empowering them. By automating 80% of repetitive, rules-based tasks, careCycle frees up licensed agents to do what they do best: advise, sell, and support.

With millions of seniors entering Medicare every year and increasing regulatory complexity, agencies are under pressure to scale with fewer resources. careCycle offers an infrastructure-light solution that provides enterprise-grade performance without requiring enterprise-level budgets.

Ultimately, careCycle’s mission is simple but bold:
To ensure that every Medicare beneficiary feels heard, cared for, and remembered.

What’s Next for careCycle?

With its initial success stories already in the books, careCycle is gearing up for rapid expansion. Key upcoming goals include:

Expanding integration partners to include more CRM and policy management systems
Training its AI agents on more multilingual and regional voice models
Scaling partnerships with national FMOs and large call centers
Launching real-time analytics tools for agency performance insights

As word spreads and agencies see tangible ROI, careCycle is poised to become one of the most critical infrastructure companies in the Medicare ecosystem.