New platform unites healthcare signals, AI-powered engagement led by Grace, and a proprietary network of curated, bundled-payment care partners to help employers, TPAs and healthcare innovators lower costs and close care gaps before they become claims.
DALLAS, Sept. 16, 2026 /PRNewswire/ — Lyric Health today announced the launch of its Healthcare Operating System, a platform built to help self-funded employers, third-party administrators (TPAs) and healthcare innovators turn fragmented healthcare data into coordinated member action.
Built on more than a decade of virtual care delivery and healthcare technology development, the operating system unites data integration, intelligent automation, AI-powered engagement, clinical services, an in-house and curated provider network, and care navigation within a single, connected platform — with one goal: identify meaningful healthcare opportunities earlier, engage members at the right moment, and guide them to the most appropriate, highest-value care.
A market with no shortage of data — and a coordination problem
Employers, TPAs and health plans are contending with a familiar set of pressures: healthcare premiums and out-of-pocket costs that continue to strain budgets, long wait times and provider shortages that delay care and frustrate employees, rising rates of stress, burnout and behavioral health need, a growing chronic disease burden, and persistent gaps in health equity and access. At the same time, the market has responded with a proliferation of disconnected point solutions — telehealth apps, navigation vendors, wellness programs and chronic-condition tools — each addressing a slice of the problem without ever being asked to work together.
“The healthcare industry does not have a shortage of point solutions. It has a coordination problem,” said Rey Colón, Founder and CEO of Lyric Health. “Our vision is to create the operating system that connects healthcare intelligence with action. When we identify a signal, the value is not simply knowing that the signal exists. The value is engaging the member, guiding them to the right care and helping ensure the next step actually happens.”
From fragmented data to coordinated action
Lyric’s operating system is designed to close that gap by connecting signals from sources such as eligibility, claims, pharmacy, labs, clinical interactions, connected devices and other available health data with intelligent workflows that can initiate engagement and navigation. The model runs on a continuous sequence — Data → Signals → Intelligence → Engagement → Navigation → Care → Outcomes — so that instead of requiring members to navigate a fragmented healthcare system on their own, Lyric proactively identifies opportunities and coordinates the next best action across virtual care, primary care, behavioral health, specialty programs, centers of excellence and trusted external partners.
Grace: an intelligent interface within the orchestration layer
Powering that coordination is Lyric’s orchestration layer — the intelligence and workflow engine that turns a signal into an action. Within it sits Grace, Lyric’s AI-powered healthcare companion, who gives members a conversational front door into their journey. Today, Grace can manage the whole member experience; help members understand their benefits, triage the members needs and steer them toward appropriate care at the right time, coordinate scheduling and next steps, and stay engaged with their care plan — all grounded in the data and workflows behind the broader platform, not as a standalone chatbot.
A proprietary, curated network built for value
For the highest-cost, highest-variability episodes of care — procedures such as joint replacement and other orthopedic and musculoskeletal (MSK) surgery, imaging, infusion therapy and specialty medications — Lyric has built a proprietary, curated network of trusted care partners under direct, bundled-payment contracts. Rather than routing members into the standard fee-for-service system, Lyric’s operating system identifies members who may need these services early and steers them to credentialed centers of excellence within its network, with pricing negotiated and guaranteed in advance.
In one example from Lyric’s bundled-payment network, a total joint replacement episode was priced at roughly 170% of the Medicare baseline through Lyric’s direct-contracted network, compared with roughly 210% of the Medicare baseline under standard major medical benefits — meaningful savings realized alongside a more coordinated surgical and recovery experience for the member.
Lyric’s operating system is also built to flex around a partner’s existing infrastructure. Lyric currently powers 130 white-label brands, with partners leveraging the platform’s tools to build custom virtual care initiatives tailored to their population. That flexibility extends to network design as well: partners can bring their own network and use Lyric’s as added capacity or wraparound coverage, and can structure engagement as utilization-based programs, subscription models or fee-for-service arrangements.
A measurable return on investment
Results from Lyric’s proactive care model point to a measurable return on investment for the organizations that adopt it. Across its member population, Lyric has been associated with the following outcomes:
- 4:1 ROI — Clients are realizing a 4-to-1 return on investment through Lyric’s virtual care platform steering members to the best care destination
- 73% reduction in unnecessary ED visits — When leveraging Lyric’s virtual consultations members avoided emergency department visits 73% of the time.
- 93% member satisfaction — Plan members rated their end-to-end virtual consult experience in the highest satisfaction tier
For plan sponsors, that combination of lower claims spend, reduced administrative burden and stronger member engagement translates into a defensible, measurable return on investment — not just the promise of one.
Lyric’s Healthcare Operating System is available now to self-funded employers, TPAs and health plans. Lyric will share more on Grace’s expanded capabilities, the orchestration layer and outcomes data in the weeks ahead.
About Lyric Health
Lyric Health is an award-winning healthcare technology company helping employers, TPAs and health plans lower healthcare costs and improve member outcomes through intelligent coordination. Lyric connects data, virtual care, clinical expertise, member engagement and a trusted healthcare ecosystem to identify healthcare signals and guide members toward the right care at the right time. To learn more please visit www.getlyric.com
Media Contact
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SOURCE Lyric Health
