Azara Healthcare announced the acquisition of Advocatia, a digital-first public benefits enrollment platform, in a move designed to help safety-net providers and health plans address Medicaid coverage retention challenges during a period of significant policy and eligibility changes.
The acquisition combines Azara’s population health and value-based care platform with Advocatia’s digital enrollment capabilities, creating an end-to-end solution that helps organizations identify individuals at risk of losing Medicaid coverage, engage them through outreach campaigns, and guide them through enrollment and renewal processes.
The combined platform enables organizations to:
- Identify and prioritize patients at risk of losing coverage through Azara DRVS registries and risk stratification tools.
- Engage patients through automated, multi-channel outreach programs.
- Support enrollment and renewal processes in 75 languages through Advocatia’s self-service platform.
- Collect documentation and income verification needed for Medicaid redeterminations and work requirement reporting.
- Give staff and patient navigators real-time visibility into application progress and completion rates, allowing intervention when additional assistance is needed.
The acquisition comes as healthcare providers prepare for major Medicaid enrollment changes. According to projections cited by the company, more than 7.6 million Americans could lose Medicaid coverage by 2034 under provisions of the One Big Beautiful Bill Act (H.R. 1), while monthly work requirements are expected to take effect in January 2027. Safety-net providers also face increasing financial pressures from uncompensated care, with hospitals providing more than $36 billion in uncompensated care annually over the past three years. The National Association of Community Health Centers estimates that H.R. 1 could reduce community health center revenue by $7 billion annually, potentially leading to approximately 1,800 site closures and 34,000 job losses nationwide.
Azara’s technology platform currently serves more than 1,000 safety-net provider organizations, including community health centers, rural hospitals, critical access hospitals, primary care associations, clinically integrated networks, and health plans across all 50 states. The company said Advocatia adds a critical enrollment and benefits management layer that supports Medicaid, SNAP, and more than 1,000 additional public benefit programs.
Founded in 2016, Advocatia has worked with hospitals, providers, and health plans across all 50 states and Washington, D.C. The company reports that more than 5 million patients have used its platform. According to Advocatia, users who begin the application process achieve a 93% application submission rate, an 86% approval rate on submitted applications, and a 33% reduction in application completion time.
The combined Azara and Advocatia platform is available immediately to Azara clients, with additional capabilities planned through 2026 and 2027.
Terms of the transaction were not disclosed.
KEY QUOTES:
“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. 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.”
Jeff Brandes, President and CEO, Azara Healthcare
“Advocatia was built on the simple belief that no one should lose coverage because the process is too hard to navigate. 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.”
Ryan Brebner, Co-Founder and CEO, Advocatia
