The last mile of care, on an ordinary phone
Alma is a voice assistant from almyhealth. She calls older adults at home to walk through medications, therapy and symptoms, then tells the care team what needs a human. No app to download. No device to ship.
In development. We are selecting pilot partners in Texas for 2026.
Demo. Scripted, performed by actors. Not a patient recording.
- Alma Good morning, Abby. It's Alma. I hope the sun is shining where you are.
- Alma I'm calling to get your morning started safely. Did you have a good night's rest?
- Abby Oh, hello, Alma. It was okay. I tossed and turned a bit.
- Alma I'm sorry to hear that rest was difficult. Let's make sure today goes smoother.
- Alma I see it's time for that important water pill, the Lasix.
- Alma Did you manage to take that with your breakfast already?
- Abby Yes, I took it right when I woke up. I didn't forget.
- Alma That is wonderful adherence, Abby. Keeping that fluid down is the best thing for your heart.
- Alma Speaking of fluid, I want to do a quick comfort check with you.
- Alma When you put on your slippers or shoes this morning, did they feel a little tighter than usual?
- Abby Actually, yes. My slippers were a bit snug getting them on.
- Alma Thank you for noticing that. Since you already took the Lasix, that's the perfect first step.
- Alma I'm going to make a note of this for your care team.
- Abby That's great. Thank you, Alma.
- Alma Perfect. You're doing a great job. I'll check back in at lunchtime to see if those slippers fit better.
The moment care goes quiet
A patient leaves the hospital with seven medications, a low-sodium diet and a daily weight check. Then everyone goes home, and the health system loses sight of them.
Nobody knows if the prescription was filled. Nobody knows if the therapy started. Nobody knows about the swollen ankles until the ambulance is called.
The numbers behind that silence are not small:
Day 0Discharge. Full visibility.Day 30Readmission. No warning.
Shown at its end state. Scrolling would play the same thirty days in sequence: contact fading day by day, and the readmission arriving with no warning.
- Nearly halfPrimary citation required before publication
Nearly half of patients do not take their medications as prescribed.
- one in tenPrimary citation required before publication
Non-adherence is implicated in roughly one in ten hospitalizations among older adults.
- $16,000Primary citation required before publication
A single 30-day readmission following post-acute discharge costs more than $16,000.
- 3%Primary citation required before publication
Under the Hospital Readmissions Reduction Program, CMS penalizes hospitals up to 3% of Medicare inpatient revenue for excess 30-day readmissions.
Care teams already know this. What they lack is a way to reach every patient, every day, without hiring a floor of nurses to make phone calls.
Meet Alma
Alma is the voice of almyhealth. She calls, she listens, and she keeps the care team informed.
She works over any telephone, landline or mobile. She can also reach patients by SMS or through the almyhealth app on iOS and Android, depending on what each person prefers. The patient does not learn a new interface. They answer the phone.
Alma is built for people like Abby, 78, a widow living alone in suburban Texas. Abby owns a smartphone but does not trust apps. She manages congestive heart failure and type 2 diabetes across seven medications, a restrictive diet and a daily weight check. Abby does not need another dashboard. She needs someone to call.
Alma is not a doctor, and she is not a therapist. She does not diagnose, prescribe or treat. She supports the plan your clinician already wrote, and she brings a human in when something looks wrong.
What Alma does
She calls at the right time, about the right medication
Alma places the call when the dose is due and confirms it by name. For a heart failure patient, that means asking directly about the diuretic, not sending a generic reminder to take your pills.
Example: Alma calls Abby to check whether she took her water pill, then asks whether her ankles feel swollen today.
She checks symptoms and writes them down
Alma asks the specific monitoring questions in the care plan, including weight, swelling and breathing, and records the answers accurately so the data exists when a clinician needs it.
Example: For a heart failure protocol, Alma runs a daily check for weight gain over two pounds in a day and for shortness of breath.
She stays on the line through therapy
Alma walks patients through physical therapy and rehabilitation exercises and guides them to finish the full set, rather than reminding them once and hanging up.
Example: For a post-surgical patient, Alma asks whether pain is what is stopping the exercises, which separates a patient who needs medication from one who needs encouragement.
She speaks the way the patient speaks
Alma is designed for bilingual and multicultural older adults, including patients who move between English and Spanish in the same sentence.
Example: Alma opens a call with Mateo, 68, in Spanglish, asks about his morning blood sugar, and asks how many tortillas he had with breakfast.
She escalates to a human
When Alma detects a symptom outlier, a cognitive lapse or a concerning emotional shift, she does not guess. She triggers the Safety Network Alert System, and the care team sees it on the almyhealth for Providers dashboard.
Example: Repeated missed doses of a heart failure medication generate an alert, and a nurse makes the follow-up call.
How it works
1. The care team sets the plan
A provider licenses almyhealth for their population and configures each patient's treatment plan in the almyhealth for Providers dashboard. Patients can also configure their own plan.
2. Alma makes the calls
Alma calls, texts or notifies according to each patient's preference. She follows the plan, adapts her tone to the person, and records what she hears.
3. The care team gets what matters
Adherence data flows to the dashboard. Alerts fire in real time when something needs attention. Clinicians spend their time on the patients who need them, not on routine check-in calls.
Built for a regulated industry
almyhealth handles protected health information as a Business Associate under HIPAA, and the platform is being built to that standard from the first line of code.
- Encryption at rest and in transit, role-based access, audit logging and multi-factor authentication on provider systems.
- Business Associate Agreements with every provider client and every vendor that touches patient data.
- Voice data governed by explicit, separate consent, with deletion built into the architecture rather than added later.
- Human oversight by design. Alma flags, a clinician decides.
Status, stated plainly: almyhealth is pre-launch. Our HIPAA program is designed and documented. It has not yet been independently audited, and we hold no third-party certification today. SOC 2 Type II is on the roadmap. We will say so here until the day it changes.
Talk to us
If you run a clinic, a physician group or a health plan, we will show you the dashboard, the call flow and the compliance documentation, and we will tell you exactly what is built and what is not.
If you are caring for a parent, ask their doctor whether they offer almyhealth.