Ellipsis Health Acquires Kouper Health

The San Francisco AI voice-agent company is buying the New York care navigation platform to combine patient data tools.

Updated on Nov. 5, 2026 in Healthcare

Modern glass-and-concrete medical office building exterior under soft daylight, with a glowing blue sculptural panel beside the entrance. — Ellipsis Health, a San Francisco AI voice-agent company, agreed to acquire New York-based Kouper Health to combine patient outreach tools with care navigation software. AI Illustration. Upload story photo >

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Ellipsis Health, a San Francisco company using AI voice agents, has acquired Kouper Health, a New York firm offering an AI care navigation platform for health systems and provider groups. The deal will bring Ellipsis's Sage AI agent into Kouper's EHR integrations and longitudinal patient intelligence maps.

Why it matters

The acquisition combines voice-based patient outreach with care coordination software that works across emergency, inpatient, and urgent care settings. It reflects a broader push to embed AI agents directly into health system workflows.

Ellipsis raised $45 million in Series A funding last year, compared with $26 million in its 2021 Series A round. The purchase price and post-deal headcount for Kouper Health were not disclosed.

The players

Ellipsis Health

A San Francisco company that builds AI voice agents, including Sage, for mental health screening and patient follow-up.

Kouper Health

A New York company offering an AI care navigation platform that coordinates patient care for health systems and provider groups.

Cigna International

The international arm of the health services company Cigna, which partnered with Ellipsis Health in 2021 on the Cigna StressWaves Test.

The details

Sage uses vocal biomarkers to identify conditions such as anxiety and depression and supports medication adherence, clinical assessments, enrollment, and post-discharge follow-up by phone and text. Kouper Health coordinates patient care for health systems and integrated networks, and the combined offering will embed Sage into Kouper's EHR integrations.

2021: Ellipsis raised $26 million in Series A funding and partnered with Cigna International on the Cigna StressWaves Test.
Last year: Ellipsis raised $45 million in Series A funding.
March 2026: Ellipsis announced a partnership with patient engagement platform PromptWell.
November 5, 2026: Ellipsis announced the acquisition of Kouper Health.

Market Landscape

Ellipsis's 2021 partnership with Cigna International on the Cigna StressWaves Test showed early demand for voice-based mental health screening. The Kouper deal moves that technology from standalone screening into the health-system software where care is coordinated.

Patients whose health systems adopt Sage could receive automated phone and text check-ins for medication adherence and post-discharge follow-up. Screening for anxiety and depression through voice interactions may become a routine part of some care pathways.

The takeaway

Health systems evaluating AI patient-engagement tools should ask how any vendor's agents connect to existing EHR data and how patient privacy is handled in voice-based screening. Consolidation like this one suggests these capabilities will increasingly be bundled into single platforms.