Koda Health

Koda Health is a Houston, Texas digital health company that builds a care planning platform for advance care planning (ACP) and serious illness decision-making. The platform guides patients through scenario-based education and a digital navigator to produce completed advance directives that the company states are legally valid in all 50 states, with state-specific requirements handled automatically. Completed plans are integrated directly into electronic medical records, including Epic, Athena and Cerner, so preferences surface at the point of care. Engagement is delivered across web, phone and in-person workflows and in multiple languages, including English and Spanish.

The company markets three solution lines: advance care planning; kidney action planning, aimed at reaching chronic kidney disease patients before treatment decisions become urgent in order to reduce unplanned treatments and total kidney care cost; and KodaCares, an add-on service pairing high-risk members with trained human advocates experienced in advance care planning, palliative care and serious-illness conversations. The KodaCares workflow spans identification of members from care management or claims data, guided planning and education, documentation and alignment with medical decision-makers, longitudinal follow-up as conditions change, and transition to hospice or palliative care. Supporting features include automated identification and outreach to high-risk patients and dashboards giving population-level visibility into planning progress.

A consumer-facing site (koda.health) walks individuals through enrollment, plan completion, sharing the plan with a medical decision maker, and finalizing legally binding documents without a notary or law office visit. The company states it is HIPAA and SOC 2 compliant.

Founding story

Tatiana Fofanova, Desh Mohan and Katelin Cherry met through the 2020 Texas Medical Center Biodesign Fellowship, which tasked participants with identifying solutions to problems in the health system. Working on gaps in advance care planning that frustrated patients, families, care teams and insurers paying for unwanted care, they founded Koda Health in 2020 and spun it out of the program as an independent company.

Business model

Koda sells its care planning platform and services to health systems, provider organizations and health plans/payers, which deploy it across their patient or member populations; patients reached through a covered organization access the planning tools through an account created for them.

Enterprise sales to health plans, health systems and provider groups; the company has also described its offering as generating revenue for health systems while reducing unwanted expenditure. Specific pricing is not disclosed.

Traction

The company reports supporting more than one million patients nationwide and 3x-4x revenue growth over the year preceding October 2025. It cites 80-85% plan completion rates across diverse populations, an 87 NPS, and approximately 40% reduction in end-of-life costs. A peer-reviewed study with Houston Methodist ACO reported a 79% reduction in terminal hospitalizations, a 20% decrease in inpatient length of stay, a 51% increase in hospice use among decedents, and nearly $9,000 in average savings per patient, described as a 42% reduction in median total cost of care. Named partners and customers include Cigna, Privia, Memorial Hermann, Houston Methodist, Guidehealth and Morton Plant Mease Health Care.

Latest developments

In October 2025 Koda announced a $7 million Series A led by Evidenced with Mudita Venture Partners, Techstars and Texas Medical Center participating, to be used for national scaling, hiring across engineering, clinical strategy and customer success, and the release of two additional products before year-end. Earlier in 2025 it completed integrations with Guidehealth (April) and Epic Systems (July), and reported surpassing one million patients supported.