There’s a gap in healthcare nobody wants to admit exists, the “final mile.” The place where a member knows what they should do but doesn’t actually do it. It’s not about access or awareness anymore; it’s about activation. That’s the world Duos decided to fix, and now they’ve got $130M more fuel to prove it.
Led by FTV Capital with a returning boost from Forerunner Ventures, Duos just locked in a strategic growth round that takes their total raise to roughly $161M. Co-founder & CEO Karl Ulfers built this platform out of something deeply personal, watching loved ones get lost in the maze of benefits and care systems that were supposed to help them. What started as empathy turned into execution. What started as frustration turned into infrastructure.
Duos built an AI-powered digital health platform that doesn’t just nudge, it activates. Through text, email, and even old-school mail, the system reaches members, identifies what actions matter most, and guides them across the finish line. Medicare Advantage, Medicaid, ACA, you name it. They’re turning incomplete to complete and leaving no benefit behind.
This round isn’t about raising capital; it’s about raising completion rates. Because when members take action, schedule that Annual Wellness visit, re-enroll in a program, claim that benefit, plans win too. Retention goes up, risk adjustment sharpens, Star Ratings rise. It’s not magic, it’s machine learning with manners.
With President of Market Operations Jenn Kerfoot driving scale and strategy, Duos is expanding nationwide, building AI that learns behavior, automates enrollment, and integrates human support when the algorithms hit their limit. That balance, AI that knows when to hand the mic to a human, is exactly what separates Duos from every digital health pretender that came before.
FTV Capital Partner Alex Mason and VP Justin Levine now join the board, bringing investor muscle that understands healthcare’s next frontier isn’t new coverage, it’s new completion. And with Forerunner Ventures staying in the mix, the signal is clear: this isn’t hype capital, it’s conviction capital.
The healthcare market’s massive, half of U.S. beneficiaries now sit in Medicare Advantage, and yet the biggest inefficiency left is human behavior. Duos isn’t just closing loops; they’re closing gaps that cost the system billions. It’s AI with empathy, automation with accountability, and a roadmap that feels less like a startup trajectory and more like a systems overhaul.

