PIaaS: Prevention Intelligence as a Service

Sovereign Infrastructure for Health AI Agents

How PIaaS Works

Data Sources
(Your data stays here)
GKV Insurer
Claims, prevention data
Occupational Health
Workplace records
Hospital / Research
Clinical records
Pflege / Long-Term Care
Staffing, patient acuity
What Happens Inside Your Walls
(Your secure environment — we never access your raw data)
Trust Centre
Your institution's secure processing environment
AI trains on your data locally
Identifies what actually changes outcomes
Privacy-preserving computation
Runs health AI agents on your behalf
Only encrypted model updates leave Improved model returns
Loretta PIaaS Platform
No raw patient data ever reaches this layer
Core Infrastructure
Combines learnings from all institutions
Determines which interventions work
Fairness & Equity Monitoring
Institutional Access Gateway
Agentic Health AI Layer
Autonomous AI specialists that work inside your institution
Prevention AgentIdentifies who needs intervention
Workforce AgentPredicts staffing needs
Medication Safety AgentFlags drug interaction risks
Equity AgentAudits all others for bias
+ any future agent your institution needs
What You Get Back
 
Risk Intelligence
Who needs prevention now?
Intervention Design
What programme will actually work?
Equity Audit
Is this fair for everyone?
Workforce Intelligence
Staffing optimisation, burnout prediction
ROI Evidence
Did it work? Prove it.

Built for European regulation, not retrofitted

Regulatory Compliance: EU AI Act · EHDS · GDNG · MDR · DSGVO · ISO 27001

Sovereign Infrastructure for Health AI Agents

Loretta's PIaaS platform doesn't just run analytics. It hosts autonomous health AI agents that operate inside your institution, under your governance, with full EU AI Act auditability.

Each agent is a specialist: one orchestrates prevention programmes, another optimises workforce allocation, another monitors polypharmacy risks, another audits all the others for fairness. They share a common property: they execute inside your Trust Centre. Your data stays with you. The agent comes to the data.

These are the agents we are building today. But the infrastructure is open: your institution can deploy additional agents for your own use cases, from clinical decision support to operational optimisation, on the same sovereign, federated platform.

The three verticals below are our first go-to-market applications. The agentic layer is the long-term platform.

Prevention Orchestration Agent

Identifies at-risk cohorts, recommends interventions, tracks programme effectiveness.

Workforce Optimisation Agent

Predicts staffing demand, monitors burnout risk, optimises training allocation.

Polypharmacy Safety Agent

Detects multi-drug interaction risks across federated prescription data.

Fairness Monitoring Agent

Audits all other agents for equity across age, gender, SES, migration background.

+ Any future sovereign health agent deployed by institutional partners or third-party developers.

Our Agentic Health AI Infrastructure

Workplace Prevention Intelligence

The employee sees an app. The manager sees a dashboard. What we deliver is the federated prevention intelligence layer underneath both.

Employee App Mobile
  • Personal chronic disease risk profile
  • Actionable prevention recommendations
  • Progress tracking
  • Betriebsarzt check-up integration

Data stays on-device; employer never sees individual data.

Manager Dashboard Web
  • Aggregated workforce health profile
  • Prevalence trends
  • Prevention programme effectiveness
  • Federated sector benchmarking

Manager sees cohort-level only; minimum group sizes enforced.

Sovereign Prevention Analytics for Statutory Insurers

Turn mandated prevention spend into measurable health outcomes.

Loretta enables GKV funds to turn claims data into actionable prevention programmes: identifying which insured populations need intervention, which interventions will work, and how to allocate mandated prevention budgets (§20 SGB V) effectively. All computation happens inside the insurer's own data environment.

PflegeAssistent

Federated Workforce Intelligence for Long-Term Care

The Pflege sector needs infrastructure, not another dashboard.

For Care Facility Operators
  • Staffing optimisation (predict demand by shift, unit, acuity)
  • Burnout risk monitoring
  • Quality-of-care analytics (federated benchmarking across facilities)
  • Automated regulatory reporting for MDK audits
For Workforce Planners
  • Retention intelligence
  • Training allocation
  • Cross-facility federated learning

Patient and workforce data stay inside each facility. Only encrypted model updates are shared.

The Scope of Prevention Intelligence

Loretta's infrastructure is not limited to three verticals. Prevention intelligence applies wherever chronic disease can be anticipated and averted:

  • Cardiovascular risk stratification across insured populations
  • Diabetes programme targeting using causal inference on claims data
  • Mental health early-warning from workplace and social determinant signals
  • Cancer screening optimisation through federated population analysis
  • Respiratory disease prevention linked to environmental and occupational exposures
  • Ageing and frailty prediction for long-term care planning

Each of these is a future application that runs on the same sovereign infrastructure. The three verticals we are commercialising today were chosen because they have the clearest path to revenue. But the platform serves the full prevention landscape.

In the EU, 85% of deaths are caused by chronic diseases. Yet only 3% of national health budgets go to prevention. The gap between what institutions are mandated to spend and the infrastructure they need to spend it effectively: that is where PIaaS sits.

Built for European Regulation

EU AI Act

High-risk classification. Full algorithmic transparency and audit trails (Article 14).

EHDS

Federated architecture as implementing technology for secondary use provisions.

GDNG

Germany's health data use law. Secondary use under strict institutional governance.

MDR

Medical Device Regulation compliance pathway for clinical decision support.

DSGVO/GDPR

Privacy by design. No raw patient data ever leaves institutional custody.

Explore PIaaS for Your Organisation