DUOS Acquires Linkwell Health to Strengthen Its Performance Infrastructure for Health Plan Outcomes

The acquisition deepens DUOS’ AI-powered activation layer, creating a unified platform that serves one in five U.S. adults from enrollment to care completion to health outcomes.

MINNEAPOLIS--(BUSINESS WIRE)--DUOS, the performance infrastructure for health plans, today announced its acquisition of Linkwell Health, strengthening the end-to-end system DUOS has built to turn health plan investments into realized member outcomes. Following the acquisition, DUOS expands its footprint to more than 20 health plans nationwide and extends its reach to one in five U.S. adults.

Health plans invest heavily in benefits, quality programs, care coordination, and risk strategies, but too often the return falls short because of a persistent follow-through gap, the distance between what a plan designs for members and the actions members take. DUOS closes that gap through an integrated performance infrastructure bringing together member activation, government program enrollment, care coordination, and medication safety into a single system designed to improve plan performance.

With the acquisition of Linkwell Health, DUOS deepens its AI-powered activation layer with predictive content intelligence, omnichannel delivery, and personalized engagement journeys that turn outreach into action.

“Health plans have spent years adding benefits and buying point solutions. The hard part was never access. It was follow-through,” said Karl Ulfers, CEO and Co-Founder of DUOS. “The return gets lost in the gap between what’s designed and what members actually do. That is the follow-through gap, and it is one of the most expensive inefficiencies in healthcare. Competitors converge data. DUOS connects with the member and closes the loop. With this acquisition, we are widening that moat and strengthening the infrastructure layer health plans use to drive performance.”

The impact is measurable. Across its platform, DUOS has delivered 85% Annual Wellness Visit completion rates, 60% HEDIS gap closure, and up to +1.5 Stars improvement for health plan partners. The company also drives meaningful financial outcomes, including more than $35 million in qualified RxHCC opportunity per 100,000 members and $25+ PMPM in additional revenue through government program enrollment. During periods of network disruption, DUOS-activated members have demonstrated 2.5x higher retention, reinforcing the value of persistent member relationships.

"Linkwell has long focused on helping members engage, and we built a strong business doing it," said Nathan Adams, Chief Business Officer at DUOS and former CEO of Linkwell Health. "Joining DUOS extends that strength across everything that happens next in the member journey. DUOS owns that follow-through: the enrollment, the visit, the closed gap. For existing Linkwell clients, this is a natural evolution, a direct path from the member activation they already rely on to the measurable outcomes that improve plan performance."

This acquisition follows continued momentum for DUOS, including a $130 million growth investment led by FTV Capital in October 2025, and further solidifies the company’s leadership in health plan performance infrastructure. As plans face increasing pressure on Star Ratings, risk adjustment, retention, and government program economics, DUOS continues to widen the gap between insight and action, turning fragmented programs into measurable outcomes at scale.

Linkwell will operate under the DUOS brand as part of the combined organization. The companies are already working to integrate their platforms and operations.

About DUOS

DUOS is the performance infrastructure for health plans. DUOS closes the follow-through gap, the distance between what a plan designs for members and how those members take action. The platform combines AI-powered, digital-first member engagement (DUOS Activate), government program enrollment (DUOS Enroll), and care coordination and medication safety (DUOS Optimize) to drive Stars improvement, risk score accuracy, member retention, and revenue recovery from one member relationship. Founded in 2020 and based in Minneapolis, DUOS partners with health plans nationwide across Medicare Advantage, Medicaid, ACA, and Prescription Drug Plans. Learn more at getduos.com.