Ellipsis Health buys Kouper to connect AI patient calls with care scheduling

Ellipsis Health has acquired Kouper Health to connect its AI patient conversations with the systems that organize care. Announced November 5, 2026, the deal pairs Ellipsis’s Sage care assistant with technology intended to help it find appropriate providers and book appointments directly in electronic health records, rather than stop at a conversation.

Financial terms were not disclosed, Digital Health News reported. Kouper’s team is joining Ellipsis, while both businesses will keep serving existing customers under their current brands as they develop a combined product roadmap.

Connecting the conversation to the record

The two companies bring different pieces of that process. Sage communicates with patients by phone and text. Its existing care-management tasks include enrolling people in programs, conducting clinical assessments, supporting medication adherence and following up after hospital discharge. Kouper supplies connections to electronic health record systems, often called EHRs, and software that organizes information across a patient’s care over time.

Kouper calls those collections “longitudinal patient maps.” They bring information from different stages of care into a more unified view. Its AI agents operate within health-system workflows, helping coordinate patients’ journeys across emergency departments, hospitals, primary care, specialists and home health. Care teams can use the EHR connections to maintain visibility into those journeys.

Ellipsis says the integration will give Sage patient context to match people with suitable providers and schedule appointments inside the health-record system. That is a planned extension of Sage, not a separately announced, fully rolled-out combined product.

Sage’s conversational layer uses what Ellipsis calls its Empathy Engine. The company says it was trained on more than three million labeled clinical conversations and analyzes vocal cues in real time to assess emotional signals and adjust its responses.

Healthcare still feels fragmented to patients because most workflows are built around episodes of care, not the full journey.

Salman Ali, Kouper Health co-founder and CEO

A larger role between appointments

Ellipsis CEO Mainul Mondal framed the purchase around access and continuity, arguing that clinicians cannot solve those problems simply by doing more work. He described Kouper’s infrastructure as a way to extend care teams’ reach inside health systems. The companies’ stated aim is support that continues beyond an individual appointment or discharge.

The buyer already has a foothold with healthcare payers and providers. Ellipsis says seven of the 20 largest U.S. health plans use its technology, alongside academic medical centers and integrated delivery networks.

Ellipsis also reports six-times-faster care-management enrollment and task completion rates up to 66% higher than human agents across Sage deployments. Those are company-reported figures for Sage, not results from the planned Kouper integration.

Separate brands, a combined roadmap

Product development will proceed through the combined roadmap, and the companies expect new offerings for health systems in the coming months.