BURLINGTON, Mass. — Azara Healthcare has acquired Advocatia, a digital-first public benefits enrollment platform, in a move aimed at helping safety-net providers and health plans identify patients at risk of losing Medicaid coverage and guide them through enrollment or renewal.
The Burlington-based population health and value-based care company said the acquisition combines Azara’s DRVS platform with Advocatia’s enrollment technology to create an end-to-end Medicaid coverage retention solution for community health centers, hospitals and other safety-net organizations.
Azara said its platform can identify and engage patients at risk of losing coverage, while Advocatia helps patients complete applications, submit documentation and renew or enroll in Medicaid and other public benefits programs.
The combined platform is designed to help clients prioritize patients at risk of losing coverage, conduct automated outreach, guide patients through enrollment and renewal in 75 languages, collect documentation and income verification, and give staff real-time visibility into patient progress.
The acquisition comes as safety-net providers prepare for major Medicaid coverage changes. Azara cited projections that more than 7.6 million Americans could lose Medicaid coverage by 2034 under the One Big Beautiful Bill Act, while 80-hour monthly work requirements are set to take effect in January 2027.
The company said hospitals have delivered more than $36 billion in uncompensated care to uninsured patients in each of the past three years. It also cited National Association of Community Health Centers projections that HR.1 could reduce community health center revenue by $7 billion annually because of increased uncompensated care, potentially leading to 1,800 site closures and 34,000 job losses nationwide.
“Our clients have been telling us the same thing for months: they need help ensuring that all patients still eligible for Medicaid coverage successfully re-enroll before deadlines and coverage loss,” said Jeff Brandes, president and CEO of Azara Healthcare. “Integrating Advocatia into the Azara platform closes that last mile by providing a single, connected workflow which moves a patient from identification, to outreach, to completed application, to coverage. That’s a meaningful step forward for the millions of patients who rely on safety net organizations for care.”
Azara said its products, including Azara DRVS, Azara Care Connect and Azara Patient Outreach, are used by more than 1,000 safety-net provider organizations across all 50 states. Its clients include community health centers, rural and critical access hospitals, primary care associations, clinically integrated networks and health plans.
Advocatia’s platform helps patients enroll in Medicaid, SNAP and more than 1,000 other public benefit programs. The company said more than 5 million patients have accessed the platform, which includes tools for document collection, application completion and follow-up.
Advocatia reports a 93% application submission rate among users who begin the process, an 86% approval rate on submitted applications and a 33% reduction in application completion time.
“Advocatia was built on the simple belief that no one should lose coverage because the process is too hard to navigate,” said Ryan Brebner, co-founder and CEO of Advocatia. “Joining Azara lets us deliver on that mission at a scale we couldn’t reach alone. Azara already has trusted relationships with the safety-net providers and health plans serving the communities we’re built to help, and together, we can make sure those individuals don’t just get identified but stay covered.”
The combined Azara and Advocatia solution is available to Azara clients immediately, with additional capabilities planned through 2026 and 2027.
