Pearl attracts people drawn to healthcare's hardest problems. Employees work close to real care delivery, build technology with measurable patient impact, and share a culture built on transparency and collaboration. In 2025, Pearl cut hospital admissions by 10% and readmissions by 12%.
April 2026
Drawing inspiration from MLB's pitch-challenge system, we envision a smarter approach to Medicare fraud: give ACOs a limited number of annual "challenges" to flag suspicious claims for expedited review, with financial stakes for both sides — making healthcare organizations active fraud detectors rather than passive bystanders.
April 2026
The LEAD RFA resolves many structural unknowns from CMS's new ACO model, introducing novel mechanisms — a static baseline, three-way trend blending, AI-inferred risk adjustment, and specialty episode arrangements. But the complexity of interacting components means credible underwriting requires new actuarial tools, not adjustments to existing REACH or MSSP models.
April 2026
Independent primary care practices are collapsing due to declining reimbursements and consolidation. Fee-for-service economics favor large health systems, not solo PCPs. By 2030, independent practice will be near extinction — unless doctors shift to value-based care models that reward the longitudinal relationships they already excel at.
March 2026
Pearl-supported providers consistently outperformed national Medicare benchmarks across admissions, ED visits, readmissions, and total cost of care — with gains that widened over time, suggesting that execution, not the value-based care model itself, is what separates improvement from stagnation.
March 2026
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This post explores how healthcare is shifting from EMR-centered truth to patient-generated signals, where patient-authored narratives become the primary source of insight—validated by clinical and claims data—to enable more timely, human, and actionable care built on trust and consent.
March 2026
Pearl Health shares five key lessons from managing care for 600,000 Medicare beneficiaries across 43 states: value-based care success requires localized execution, network-wide alignment beyond primary care, data-driven prioritization, and AI-powered automation to scale personalized interventions nationwide.
March 2026
Pearl Health's forecasting model improves on the industry standard by applying conditional mean reversion at the practice level — accounting for panel size and starting MLR — reducing forecast error by 63 basis points over naive trend-forward approaches.
February 2026
Pearl Health's engineering team evolved from experimenting with multiple AI tools to standardizing on Claude Code, achieving a 96% code suggestion acceptance rate. They use AI across coding, architecture, and documentation, with plans to expand into parallel agents and non-engineer-submitted PRs.
February 2026
Healthcare fraud is rapidly escalating, costing billions and harming patients. Pearl Health and other ACOs have detected major schemes—like catheter and wound care fraud—early through data analytics, advocating for faster CMS action and systemic reforms to protect Medicare and providers.
February 2026
Health systems face shrinking Medicare-driven margins and operating models built for volume, not chronic care. The article argues AI can enable scalable, prevention-focused value-based care by improving risk identification, prioritizing interventions, expanding clinical capacity, and integrating workflows to align financial sustainability with better outcomes.
February 2026
By 2030, AI will guide 20–30% of U.S. healthcare spending—not as a major cost itself, but as the decision-making layer behind administration, clinical pathways, utilization management, and pharmacy optimization. This shift will be especially critical for Medicare sustainability.
February 2026
The post argues that outdated, fragmented POLST systems prevent timely access to patients’ end-of-life wishes, leading to unwanted care and costs, and makes the case for a secure, national, cloud-based registry to honor patient autonomy across state lines.
February 2026
Pearl Health’s webinar argues specialists must be integrated into value-based care, since they drive most costs. Episode-based models, attribution challenges, and post-acute savings fall short; progress requires timely data, better benefit design, incentives, and voluntary specialist engagement.
February 2026
A practical reflection on three years as Chief of Staff: build trust through proximity, transparency, and reliability; think like your CEO; stay organized, adaptable, high-energy, people-first, and embrace the role’s ambiguity, privilege, and impact.
January 2026
Early projections for LEAD may look precise, but critical structural details remain unresolved. Until those mechanics are clear, confident underwriting forecasts should be treated with healthy skepticism.
January 2026
Pearl’s AI predicts post-discharge risk beyond delayed ADT alerts by learning from historical patient patterns. Clients using the platform reduced readmissions 17%, identifying high-risk patients up to four times more effectively without added false positives.
January 2026
CMS’s new LEAD Model will replace ACO REACH in 2027, offering a 10-year value-based care framework with stable benchmarks, new risk tracks, targeted populations, and innovations, while key technical details await the 2026 RFA.
January 2026
Healthcare isn’t temporarily changing—it permanently operates in change. “Change fatigue” stems from unclear priorities and execution, not volume. Organizations that absorb uncertainty, translate strategy into action, and design for adaptation can sustain teams amid constant Medicare evolution.
January 2026
Healthcare costs are highly concentrated among a small group of patients, yet high-cost trajectories are often predictable. Precision AI plus accountable care can identify risk early, enabling proactive, lower-cost interventions that prevent costly crises and improve outcomes.
January 2026
As we enter a new year, Pearl reflects on the steady, layered work behind real progress—deepening our platform, expanding our network, and building the people and systems needed to scale proactive, value-based care.
January 2026
Following a new Executive Order, HHS has issued a sweeping RFI on healthcare AI—inviting stakeholders to shape future regulation, reimbursement, and governance at a critical, formative moment for clinical AI adoption.
December 2025
Alana Levy, Director of Product Management at Pearl Health, shares how her marathon mindset shapes her approach to building tools for primary care providers. From platform evolution to patient-centered AI, she reflects on how progress—not perfection—drives lasting impact in healthcare.
December 2025
ACCESS is a new Medicare model emphasizing outcomes-based, tech-enabled chronic care. It ties payments to patient-level improvement, supports proactive digital engagement, and offers providers a low-risk pathway to modern value-based care.
December 2025
Pearl Health redefines automation in healthcare—freeing clinicians from repetitive tasks through intelligent systems that enhance efficiency, accuracy, and proactive care. By combining automation with AI, Pearl empowers providers to deliver smarter, more human-centered healthcare.
November 2025
The future of value-based care is physician-led, tech-enabled, and AI-accelerated, empowering care teams across the continuum to deliver proactive, collaborative, patient-centered care that strengthens communities and transforms healthcare sustainability.
October 2025
Healthcare is entering a new era of data transparency. With stronger enforcement against information blocking, interoperability and AI-driven insights are unlocking efficiency, innovation, and better patient outcomes across the healthcare ecosystem.
October 2025
Pearl’s updated Dynamic Actions streamline care coordination by offering tailored, intuitive response options, “In Progress” tracking, and patient-centered workflows, empowering teams to deliver timely, effective, and coordinated care.
September 2025
Pearl’s Insight Partner Program fosters co-creation with healthcare providers, transforming messy data into actionable value-based care. Through continuous feedback, collaboration, and iteration, Pearl builds patient-centric, simplified, and effective technology that reduces administrative burden and empowers better patient outcomes.
September 2025
Quality metrics like HEDIS often incentivize overscreening and checkbox care, driving up costs and harming patients. Pearl Health’s Signal-Action Framework refocuses care on urgency and outcomes, improving quality while reducing waste and restoring physician autonomy.
September 2025
Matt Solnit, Chief Technology Officer at Pearl Health, shares how his team is building scalable, AI-powered technology that enables providers to deliver better care — from predictive analytics and real-time signals to a culture of collaboration and continuous innovation.
August 2025
Pearl’s updated Product Principles emphasize patient-centric care, actionable insights, and simplifying complexity to guide product decisions, enhance user experience, and support scalable, equitable value-based care amid rapid innovation.
August 2025
Pearl Health and MNS partnered to help skilled nursing facilities thrive in value-based care by combining technology, virtual oversight, and aligned reimbursement to improve outcomes and reduce hospitalizations.
August 2025
Agentic AI in healthcare challenges legal frameworks, blurring lines between products and agents. Current law favors treating AI as tools with human oversight, ensuring liability rests with deployers and developers, not autonomous systems.
July 2025
David Junius, Chief Financial Officer at Pearl Health, shares insights on what drew him to Pearl’s mission, how finance supports innovation in healthcare, and why clear communication and aligned incentives are key to delivering better outcomes for patients and providers.
July 2025
Medicare’s late-stage palliative care leads to preventable suffering and high costs. Early, inclusive, predictive care improves quality, equity, and outcomes—requiring urgent systemic, technological, and cultural transformation.
July 2025
Jon Goldin, Chief Legal Officer at Pearl Health, shares his perspective on building trust across teams, navigating a complex regulatory environment, and why doing good is core to Pearl’s business model.
June 2025
Pearl Health today released its fourth annual Top 50 Value-Based Care Thinkers report, which recognizes healthcare providers, policy makers, academics, and thinkers across disciplines who are leading the healthcare system’s transition to value-based care.
June 2025
Ciara Walsh, Chief of Staff at Pearl Health, shares how she supports company-wide alignment, fosters cross-functional collaboration, and finds joy in problem-solving—from strategic planning to her well-stocked chocolate stash.
June 2025
With the August 1 CMS ACO enrollment deadline approaching, primary care and ACO leaders must make critical decisions about risk optimization, performance enablement, and operational readiness. Learn how top organizations are improving Medicare shared savings through data-driven strategies, program selection, and effective partnerships.
June 2025
Zane Wruble, Senior Manager of Customer Success at Pearl Health, shares how she helps make order out of chaos, what makes Pearl’s culture refreshingly collaborative—and a little nerdy—and why having trust, ownership, and momentum makes all the difference.
May 2025
Discover what CMS’s 2026 updates to the ACO REACH model mean for health systems and providers. Explore changes to benchmarks, risk adjustment, quality incentives, and why REACH may now offer a more stable path to value-based care.
May 2025
At a recent Lunch & Learn at Pearl, Sid Sankaran shared insights on risk, resilience, and reinvention, urging teams to foster transparency, prioritize focus, align incentives, and embrace antifragility.
May 2025
We explore the new Advanced Primary Care Management (APCM) codes, which expand care management beyond chronic conditions, ease documentation, and support value-based care through broader eligibility, flexible coding, and tech-enabled scalability.
May 2025
Catherine Naughton, Director of People & Recruiting at Pearl Health, shares her journey from education to tech, what drew her to Pearl, and how she’s helping shape a values-driven company culture rooted in impact.
May 2025
The 2025 NAACOS Spring Conference emphasized the urgency of evolving value-based care through localized models, operational simplicity, AI integration, actuarial strategy, and holistic behavioral and specialty care inclusion.
April 2025
Pearl Health’s last Primary Care Pulse report revealed high burnout and low compensation, but value-based care showed promise—adding your voice in 2025 can help shape a stronger future for primary care.
April 2025
As we approach our five-year anniversary at Pearl Health, we’ve refreshed our core values to ensure we grow with purpose, build trust, and nurture a culture of collaboration, empathy, and meaningful impact.
April 2025
In this Employee Spotlight, Ben Csukor of Pearl Health’s Performance Operations team shares how his work helps fill critical gaps between technology and care delivery — supporting providers, improving patient outcomes, and finding meaning in the details behind the scenes.
April 2025
We explore evolving federal regulations on healthcare AI, emphasizing the shift from predictive vs. evidence-based distinctions to a provider-focused framework that prioritizes enablement over displacement in clinical decision-making.
April 2025
Medicare must modernize fraud detection using advanced analytics, streamline resolution processes, and align oversight with value-based care goals to ensure sustainability.
April 2025
CMMI’s recent model changes reflect a strategic shift toward scalable, full-risk payment models—reinforcing value-based care, fiscal discipline, provider accountability, and a more integrated, sustainable healthcare delivery system.
April 2025
Computer Use Agents (CUAs) enable AI to interact with desktop applications, offering potential benefits for tasks like EHR integration, but require strict safeguards for HIPAA compliance and patient data security.
April 2025
Massachusetts family physicians explored advancements in patient care, AI integration, chronic disease management, and healthcare equity at the 2025 Massachusetts Academy of Family Physicians Conference.
April 2025
In this Employee Spotlight, Madison Klein, Head of Marketing at Pearl Health, reflects on how the company has evolved, the power of storytelling in healthcare, and why Pearl remains a safe harbor for curious, mission-driven thinkers.
April 2025
Skilled Nursing Facilities are vital for recovery, but misaligned Medicare incentives can lead to unnecessary stays, higher costs, and worse patient outcomes.
April 2025
Learn how physician-led organizations can evaluate value-based care partners—and how Pearl empowers primary care to thrive in a changing healthcare landscape.
April 2025
Get to know Sophie Bennett, a key member of Pearl Health’s Growth Solutions team. In this employee spotlight, Sophie shares how she helps bridge strategy and relationships to craft thoughtful, data-driven proposals — and how curiosity, collaboration, and a little behind-the-scenes magic shape her work.
March 2025
Pearl Health achieves HITRUST r2 Certification, demonstrating its commitment to the highest standards of data security, compliance, and risk management.
March 2025
AI is poised to solve healthcare’s toughest challenges—interoperability, burnout, access—accelerating real change. With Pearl, we’re making it happen.
March 2025
Pearl Health is enhancing sepsis prevention by helping primary care physicians adopt Sepsis-3 criteria, reducing overdiagnosis from Sepsis-2, improving patient outcomes, and lowering unnecessary Medicare costs through predictive analytics and proactive interventions.
March 2025
Pearl Health fosters a thriving workplace through engagement, inclusivity, work-life balance, and professional growth—empowering teams to deliver proactive, patient-centered care.
March 2025
Latest DeepScribe partnership brings AI documentation and point-of-care intelligence to primary care clinicians participating in ACO REACH and other risk-bearing models
January 2025
Virginia Care Partners and Pearl Health partner to expand value-based care in Richmond, providing technology, insights, and financial tools for primary care providers.
January 2025
We’re proud of our progress on this mission over the past year and excited to continue accelerating healthcare’s transition from volume to value. Read some of our highlights from 2024 as we head into the new year. Cheers!
January 2025
See how Pearl Health’s predictive technology empowers PCPs to proactively manage high-risk patients, preventing costly unplanned hospital admissions.
December 2024
See how Pearl Health’s predictive technology empowers PCPs to proactively manage high-risk patients, preventing costly unplanned hospital admissions.
December 2024
Pearl Health appoints Dennis Weaver, MD, MBA, as Chief Clinical Officer to advance value-based care, clinical leadership, and healthcare innovation partnerships.
December 2024
America's Physicians Group Fall Conference 2024 spotlighted capitation, proactive adaptation, and team-based care as key drivers of healthcare's value-based future.
December 2024
Holzer Health System and Pearl Health have partnered to enhance patient-centered care for Medicare patients through advanced data insights, financial tools, and provider enablement technology.
November 2024
David Junius joins Pearl Health as CFO, enhancing risk management expertise to advance value-based care.
November 2024
Pearl Health helps primary care physicians navigate value-based care models. This article explores future changes under a second Trump administration, and their impact on healthcare costs, patient outcomes, and Medicare sustainability.
November 2024
Gabe Drapos chats with Rubicon Founders’ Abe Sutton and explores Medicare Advantage payments, health status impacts, and reforms for a fairer system.
November 2024
At the Innovations in Value-Based Care Conference 2024, Pearl Health leaders discussed the enduring commitment to value-based care, enhancing patient outcomes, and the need for unified efforts across healthcare stakeholders.
October 2024
Medicare fraud costs billions annually, impacting beneficiaries and providers. Pearl Health suggests three levers for swift action: streamlined reporting, faster resolution, and reinsurance reform to combat fraud, waste, and abuse (FWA).
September 2024
Pearl Health partners with PraxisCare and Adaugeo Healthcare Solutions to enhance value-based care for Medicare ACOs, leveraging cutting-edge technology to improve patient outcomes.
August 2024
Synapticure and Pearl Health partner to enhance dementia care through the CMS GUIDE program, offering specialized neurologists, behavioral health support, and comprehensive caregiver services nationwide.
August 2024
Pearl Health partners with MDX Hawaiʻi to enhance primary care in Hawaii, providing data insights, financial tools, and value-based services for better patient outcomes and lower costs.
July 2024
Pearl Health CEO Mike Kopko chats with Faisel and Friends and highlights value-based care's role in reducing costs, improving outcomes, and easing physician workload through patient-centered strategies and digital innovation.
July 2024
Our healthcare system is undergoing a revolution towards patient-centric care, shifting from volume to value-based care models, emphasizing holistic patient engagement and proactive health management.
July 2024
Isaac Health and Pearl Health announce a strategic partnership to deliver the CMS GUIDE Model, enhancing care for dementia patients and supporting unpaid caregivers, improving quality of life.
July 2024
Our healthcare system is undergoing a revolution towards patient-centric care, shifting from volume to value-based care models, emphasizing holistic patient engagement and proactive health management.
July 2024
As the deadline to participate in ACO REACH in 2024 approaches, Pearl has made this free informational webinar available on demand. Discover how REACH differs from previous value-based care models, the key features of the model, and the role of technology in achieving success. Get insights on primary care services, capitation payments, risk-based arrangements, quality measures, and the support provided by Pearl Health.
July 2024
Pearl and Vim partnered to integrate Pearl Platform insights into EHR workflows. Their hackathon created a new Vim feature in 72 hours.
July 2024
We stopped in Orlando to meet Brent Davis of AdventHealth, who discussed with us transitioning to value-based care, crafting risk strategies, and the integral whole-person care ethos driving their system’s success.
July 2024
Ernst & Young LLP (EY US) today announced that Michael Kopko, CEO and co-Founder of Pearl Health, was named an Entrepreneur Of The Year® 2024 New York Award winner. Entrepreneur Of The Year is the preeminent competitive awards program for entrepreneurs and leaders of high-growth companies.
June 2024
As part of Pearl Health’s Drive for Better Care, we recently had a chance to sit down with Dr. Lee Fleisher, Principal and Founder at Rubrum Advising, Former Chief Medical Officer for the Centers for Medicare & Medicaid Services, and one of Pearl Health’s Top 50 Value-Based Care Thinkers of 2024.
June 2024
Over two decades, VBC evolves with PCPs as quarterbacks; specialists become crucial, necessitating innovative solutions like Conduce Health.
June 2024
Toward the end of our inaugural Drive for Better Care, we stopped in Atlanta to meet with Yubin Park, CEO of Mimi Labs and formally Chief Data and Analytics Officer at Astrana Health, a leading provider-centric, technology-powered healthcare company, and one of Pearl’s Top 50 Value-Based Care Thinkers of 2024.
June 2024
As part of Pearl Health’s Drive for Better Care, we recently had a chance to sit down with Dr. David B. Nash, Founding Dean Emeritus at Jefferson College of Population Health and one of Pearl Health’s Top 50 Value-Based Care Thinkers of 2024. A board-certified internist, Dr. Nash is internationally recognized for his work in public accountability for outcomes, physician leadership development, and quality-of-care improvement.
June 2024
Today begins Pearl's Drive for Better Care, a two-week journey to connect with primary care practices nationwide.
May 2024
As we made our way through Washington, D.C. on Pearl Health’s Drive for Better Care, we enjoyed the opportunity to meet with Mara McDermott, CEO and Founder of Accountable for Health, Board Member at the Health Care Cost Institute, and one of Pearl Health’s Top 50 Value-Based Care Thinkers of 2023.
May 2024
By 2030, CMS aims for all Traditional Medicare beneficiaries to be in accountable care relationships, with 50% already under Accountable Care Organizations. Primary care providers increasingly adopt value-based care models for better outcomes and rewards.
May 2024
Pearl Health today released its third annual Top 50 Value-Based Care Thinkers report, which recognizes healthcare providers, policy makers, academics, and thinkers across disciplines who are leading the healthcare system’s transition to value-based care.
May 2024
Vim, a leading middleware platform for clinical workflow integration, and Pearl Health, a leading technology company focused on physician enablement and risk bearing in value-based care, are thrilled to announce a strategic technology-focused partnership that enhances Pearl’s ability to empower providers to succeed in value-based care.
May 2024
As we guide primary care providers (PCPs) through the transition to value-based care, one question frequently arises: how exactly does Pearl's technology integrate with existing Electronic Health Record (EHR) systems? It's an important question worth exploring. In this article, we'll dive into how EHRs and the Pearl Platform fit into a practice's workflow, and our ongoing work to enhance Pearl insights for PCPs through seamless EHR integration.
May 2024
Jennifer Rabiner, Pearl Health’s CPO, shares insights with Pear VC on improving primary care workflows and upcoming partnerships.
May 2024
In May and June, the Pearl Health team is driving from New York to Miami, with detours to visit primary care practices in 10 other major cities. We’re committed to raising the voices of primary care providers across the country. We know the obstacles they are facing on the road to delivering better care. That’s why we’re hitting the road ourselves to meet them where they are.
May 2024
Are you a PCP? Share Your Experiences in the Primary Care Pulse! We’re always looking for ways to better understand the challenges and pressures that PCPs face in navigating the clinical, administrative, and financial realities of US healthcare.
April 2024
Pearl Health and Chamber have partnered to transform cardiology care for Traditional Medicare patients, enhancing both outcomes and quality of care. Combining Pearl Health's expertise in physician enablement technology and risk bearing in value-based care with Chamber's leading technology and care model tailored for cardiologists, this collaboration provides comprehensive support to primary care physicians and cardiologists alike. By leveraging Pearl's ACO, Chamber's network cardiologists can seamlessly assume risk for patients, ensuring a streamlined transition to value-based care.
April 2024
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Powering the Future of Healthcare
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