Clarify Health (“Clarify”), a tech-enabled outcomes company delivering referral intelligence, quality measurement, and network performance solutions for health systems, today announced it has completed the acquisition of Loyal Health Holdings, Inc. (“Loyal”), a healthcare-specific patient activation platform. The combination creates the industry’s first closed-loop network intelligence engine, a single platform that identifies where patients need to go for care, activates them into the right provider, and measures whether it worked.
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Clarify Health’s CEO and Co-Founder Todd Gottula will lead the combined companies, Clarify and Loyal Health. Loyal operates as a wholly owned subsidiary of Clarify Health.
Loyal’s Care Activation Platform manages more than 80,000 provider and location profiles. It powers millions of patient searches and real-time scheduling transactions annually across a nationwide base of health system customers. Paired with Clarify’s Meridian® intelligence platform, the combined company provides health systems with end-to-end visibility and control over patient access, referral performance, and network growth. Existing customers of both companies will continue to receive the same products, services, and support they rely on today.
“Health systems know that better referral management drives better outcomes,” said Todd Gottula, CEO and Co-Founder of Clarify. “What they haven’t had is a single platform that connects the intelligence, where should this patient go, with the activation that gets them there. Clarify provides the intelligence. Loyal provides the activation. Together, we’re giving health systems the ability to run the full loop from referral to measured outcome.”
The Referral Gap
Health systems manage thousands of referral decisions daily. Industry research estimates that 30 to 50 percent of referrals never result in a completed visit, costing health systems 10 to 30 percent of potential revenue. With median hospital operating margins hovering near 1%, even modest referral leakage can be the difference between a sustainable operation and one that cannot invest in its mission. But the referral gap is not only a financial problem. It is also a quality problem, an access problem, and a strategic problem, and many health systems are solving each in isolation. The root cause is structural: the intelligence about where patients need to go for care lives in one system, while the tools to move patients into that care live in another.
What the Combination Delivers
Referral intelligence to patient activation. Meridian identifies high-value referral corridors, quantifies leakage, and surfaces growth opportunities. Loyal activates patients into those pathways through targeted outreach, digital engagement, and real-time scheduling.
Closed-loop outcomes measurement. The combined platform measures the full chain from referral identification through patient conversion and downstream utilization in a single view.
Healthcare-native, AI at every layer. Loyal’s platform was built from the ground up for health systems, with clinically validated taxonomies and native EHR integrations. Clarify’s machine learning models for quality, cost, and network performance combine with Loyal’s AI-powered scheduling, chat, and predictive propensity engines to deliver decision-grade intelligence and automated activation across the full referral lifecycle.
“Loyal has built a platform that close to 500 hospitals rely on to connect patients with the care they need,” said Nanette Oddo, former CEO of Loyal Health. “This combination ensures that work continues with the resources, data, and scale to make it even more impactful for our customers and the communities they serve.”
“Clarify is becoming the system in which health systems manage referral performance and network integrity,” said Will Reed, General Partner at Spark Capital and Clarify board member. “The industry is shifting toward AI-enabled outcomes delivery and Clarify, especially now with Loyal’s activation capabilities, will be the platform to power it.”
Leadership and Organization
Todd Gottula, CEO and Co-Founder of Clarify, leads the combined company. Loyal operates as a wholly owned subsidiary of Clarify Health. Terms of the transaction were not disclosed. Orrick, Herrington & Sutcliffe LLP served as legal counsel to Clarify. Goodwin Procter LLP served as legal counsel to Loyal. OM Partners served as financial advisor to Loyal.
About Clarify Health
Clarify Health is a tech-enabled outcomes company that helps health systems see and act on what matters most: where patients need care, how networks are performing, and where value is being created or lost. With the acquisition of Loyal Health, Clarify now combines the Meridian® intelligence platform with Loyal’s Care Activation Platform to deliver the industry’s first closed-loop system from insight to activation to outcomes. Headquartered in San Francisco. For more information, visit clarifyhealth.com.
About Loyal Health
Loyal Health is a healthcare-specific patient activation platform that empowers health systems to acquire, engage, and retain patients through provider data management, intelligent care search, real-time scheduling, reputation management, AI-powered chat, and CRM. Founded in 2015, Loyal was among the first companies to bring AI to digital patient engagement. Loyal is now a wholly owned subsidiary of Clarify Health. For more information, visit loyalhealth.com.
To learn more about the combined platform, visit clarifyhealth.com or contact your account team directly.
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