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AI Architecture Studio

We design the autonomous AI systems that run your Medicare and ACA operations.

Renwick AI is an autonomous systems architecture studio. You bring the operation. We map the licensed workflow, identify every automatable decision inside it, and design a coordinated AI system to run it, with human approval built in exactly where compliance requires it.

First production system: RxCare AI, live in Medicare & ACA distribution
What We've Built

Operational systems re-architected.

01
Live in Production

Eliminating Manual Medicare Part D Review Operations

56.1M Americans enrolled
in Medicare Part D

Every year, licensed agents are required to manually review prescription drug plans for existing members: collecting medication lists, confirming dosages, running plan comparisons, documenting recommendations, and following up one by one. Self-service tools only reach about a third of clients. For the rest, it falls on agents and staff to do by hand, member by member, every season.

Renwick redesigned the workflow entirely. We designed a coordinated team of AI agents to handle intake, data collection, plan comparison, and savings analysis, routing every recommendation through licensed human approval before it reaches a client. Every step is logged. Nothing goes out unapproved.

That system ships as the AEP Agent API and runs inside RxCare AI today. This isn't incremental efficiency. It's the elimination of a workflow that previously required millions of hours of manual labor, every year, across the industry.

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02
Live in Production

Automating Prescription Cost Optimization Across Insurance & Cash Markets

3 in 10 American adults struggle
to afford medications

Finding a lower-cost path for a member means manually checking seven disconnected systems: manufacturer co-pay cards, patient assistance programs, pharmacy coupons, direct-to-consumer pharmacies, public assistance programs, international pharmacies, and real-time benefit checks, each with its own eligibility rules, checked by hand, member by member, every year.

Renwick designed a Savings Agent that runs that comparison automatically, checking insurance coverage, co-pay eligibility, patient assistance programs, subsidy status, and cash-pay alternatives, then returning the lowest true-cost option, ranked. The same engine extends to ACA plans, weighing subsidy-adjusted premiums alongside drug cost. It runs inside RxCare AI today.

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Methodology

The pattern is repeatable.

Every system follows the same process. The domain changes. The architecture doesn't.

01

Decompose

Map how the work is actually done today. Every decision point. Every handoff. Every exception.

02

Identify

Find the repetitive operational decisions inside the licensed workflow: the parts that don't require judgment, just execution.

03

Design

Architect specialist AI systems to execute those decisions, with each agent scoped, tested, and coordinated.

04

Gate

Insert human approval exactly where compliance requires it. Not more. Not less. The licensed professional stays in control of what matters.

05

Improve

Learn from real production feedback. Every cycle makes the system sharper, faster, and more accurate.

Products

More systems. Same pattern.

Three more systems across Medicare, ACA, and insurance distribution operations.

Marketing Agent

A coordinated team of agents handling branding, lead generation, and communications with existing members, autonomously, at scale.

Needs Assessment Agent

Automating client intake and plan-fit screening so licensed agents spend their time on relationships, not data collection.

Retention Agent

Automating post-enrollment follow-up and renewal protection through proactive outreach, tracked and logged, at the scale of an entire book of business.

How We Work

Architecture first.
Implementation flexible.

You don't need an AI strategy walking in. You don't need the vocabulary. You need one real conversation about what's actually slowing your operation down.

Every engagement starts with decomposition: we map how the work is actually done today, find the decision points, and define exactly where autonomy can safely replace manual execution and where a human has to stay in the loop.

We work with your existing systems. The architecture integrates into your operation, not around it.

Start the Conversation
01

One Conversation

Tell us what your team spends time on that they shouldn't have to. That's enough to start.

02

Workflow Decomposition

We map the licensed workflow end-to-end and identify every automatable decision point.

03

System Architecture

You receive a complete autonomous system blueprint: agent design, human gates, and compliance checkpoints.

04

Build & Deploy

Implementation runs through your team or ours. We stay close until it's live and performing.

Ready to design your AI workflow?

One conversation. No jargon required. Just tell us what your team spends time on that they shouldn't have to.