Top 50 Value-Based Care Thinkers Report

Applied Mean Reversion Effects on Historic Performance

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.

The Watchdogs of Medicare: How We Are Leading the Fight Against Fraud, Waste, and Abuse

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.

The Coming AI Share of Medicare Spend

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.

The Road to 2027: Breaking Down the New CMS LEAD Model

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.

HHS Seeks Input on Systemic Approach to Healthcare AI Regulation

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.

ACCESS: A New Era for Outcomes-Based Chronic Care in Medicare

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.

Transforming Palliative Care in Medicare: Enabling Timely, Patient-Centric Interventions

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.

ACO REACH 2026: The Next Phase of Medicare Risk

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.

Advanced Primary Care Management (APCM): Understanding CMS’ Newest Developments in Care Management

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.

A Call for Reform: Fraud, Waste & Abuse in Medicare Requires Sweeping Action

Medicare must modernize fraud detection using advanced analytics, streamline resolution processes, and align oversight with value-based care goals to ensure sustainability.

From Proliferation to Prioritization: Understanding CMMI’s Recent Model Changes

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.

A $40 Billion Opportunity: How Medicare Can Reduce Costs by Reducing Waste in Skilled Nursing Facility Stays

Skilled Nursing Facilities are vital for recovery, but misaligned Medicare incentives can lead to unnecessary stays, higher costs, and worse patient outcomes.

Evolving CMS’ Definition of Sepsis

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.

What will the next Trump administration mean for value-based care?

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.

Prevention of Fraud in Medicare: Three Levers for Swift Action

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).

How Can PCPs Escape Declining Medicare Payments?

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.

Navigating Uncharted Waters in Medicare Advantage

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.

The Transformative Power of Value-Based Care

Michael Kopko, CEO of Pearl Health, highlights the role of value-based care in improving patient outcomes through proactive, data-driven strategies, stressing the importance of collaboration and partnerships for success.

How ACOs are Accelerating the Future of Healthcare

Accountable Care Organizations are transforming healthcare by shifting from fee-for-service to value-based care. Through accurate benchmarking, data-driven insights, reduced fragmentation, predictive analytics, and investment in prevention and social determinants of health, ACOs like Pearl improve outcomes, lower costs, and enhance patient and provider experiences.

Improving Primary Care Providers’ Prospects

Pearl Health addresses primary care physicians' skepticism about value-based care partnerships by offering financial support through capitation payments, asymmetric risk arrangements, and revenue enhancements up to 50%, making the transition from fee-for-service easier and more certain.

ACO REACH: How to Set Your Practice Up for Success in PY2024

Providers joining ACO REACH for 2024 should act before key deadlines: complete Annual Wellness Visits by June 30, launch new care initiatives before September 30, and build infrastructure like ADT data feeds to succeed in value-based care.

ACO REACH: Exploring the 'Performance Year Discount' in Global and Professional Tracks

Discover the impact of the Performance Year Discount in ACO REACH, the differences between Global and Professional tracks, and how Pearl can guide you towards informed decisions for improved patient care.

Top 50 Value-Based Care Thinkers of 2023

The US healthcare system has long struggled to identify a fair and efficient reimbursement scheme that aligns the incentives of patients, providers, and payers. In this article, Pearl Health recognizes the Top 50 Value-Based Care Thinkers of 2023 and discusses the biggest themes, news, and trends driving evolution and innovation in value-based care, including physician enablement and data interoperability.

Maximizing Your Longevity | Part 2

At Pearl, we focus on empowering our physicians and our community to extend the quality and length of human life through preventative, patient-focused care.

Healthcare Data as Public Good

The Covid-19 pandemic highlighted healthcare data as a public good essential for health equity. Data gaps worsened outcomes for marginalized patients, while improved data flow and interoperability can advance equitable care and reduce provider burdens in underserved communities.

Maximizing Your Longevity By Removing Certain Risk Factors

By removing a combination of certain risk factors in your life, you can statistically extend it by approximately 9 years.

Improving Liquidity in Healthcare Risk

Pearl Health argues that shifting healthcare risk from centralized insurers to distributed primary care networks — enabled by models like ACO REACH — will improve affordability, clinical outcomes, and provider financial alignment, creating a flywheel of broader value-based care adoption.

Pearl Health raises $18M led by a16z to create an efficient marketplace for healthcare risk

Pearl Health announces an $18M Series A led by Andreessen Horowitz to build a marketplace empowering individual physicians to manage Medicare risk. The platform provides data, technology, and per-member-per-month payments to align physician incentives with patient outcomes over fee-for-service models.

Landscape of Primary Care Providers across the United States

The U.S. faces a growing primary care crisis: physician shortages, EHR burnout, lower pay versus specialists, and accelerating consolidation are pushing doctors away from the specialty — threatening patient access and making operational reform urgently necessary.

History of Value-Based Care

Value-based care, coined in 2006, aims to reward providers for patient outcomes over volume. Despite decades of CMS programs and mixed results, Pearl Health sees ACO REACH as a promising evolution — and works to make VBC accessible for primary care physicians.

The Waste In Healthcare

The U.S. healthcare system is expensive due to high unit cost, system complexities, and more! However, there are opportunities for savings.

The 43-State View: What National Scale in Primary Care Enablement Actually Teaches You

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.

End-of-Life Wishes: Outfaxing the Cloud

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.

Reimagining the Specialist’s Role in Value-Based Care

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.

Transforming Palliative Care in Medicare: Enabling Timely, Patient-Centric Interventions

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.

ACO REACH 2026: The Next Phase of Medicare Risk

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.

Advanced Primary Care Management (APCM): Understanding CMS’ Newest Developments in Care Management

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.

Primary Care in 2025: Taking the Pulse

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.

Reflections from the Massachusetts Academy of Family Physicians Conference: How Emerging Trends in Family Medicine Reinforce the Shift to Value-Based Care

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.

Finding the Right Value-Based Care Partner: A Guide for Physician-Led Organizations

Learn how physician-led organizations can evaluate value-based care partners—and how Pearl empowers primary care to thrive in a changing healthcare landscape.

Q&A With Conduce Health: Building Bridges Between PCPs & Specialists in Value-Based Care

Over two decades, VBC evolves with PCPs as quarterbacks; specialists become crucial, necessitating innovative solutions like Conduce Health.

The Evolution of Value-Based Care: MSSP, ACO REACH, and Beyond

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.

Empowering Patients with Value-Based Care: A New Approach to Musculoskeletal Health

In the realm of MSK health, patients often face agonizing journeys. Surgical interventions, despite repeated attempts, leave them in discomfort, burdened with astronomical bills. We advocate for responsible, evidence-based care, prioritizing patient involvement and noninvasive approaches, shifting the paradigm towards holistic healing and shared decision-making.

What is Voluntary Alignment in ACO REACH?

The newest value-based care model from the Center for Medicare and Medicaid Innovation (CMMI), ACO REACH, aims to improve clinical outcomes and reduce Total Cost of Care (TCOC). Providers are incentivized to deliver the best care to their Traditional Medicare patients, while achieving economic efficiencies that are critical to an overburdened Medicare trust fund. One feature of this program — Voluntary Alignment — can empower patients to play a larger role in their own health, while enhancing physicians’ ability to manage their panels and grow their practices.

Quality Measurement in the Medicare Shared Savings Program (MSSP)

CMS' ACO REACH model simplifies quality measurement for providers participating in the Medicare Shared Savings Program (MSSP). Reporting burden is reduced, freeing providers to focus on patient care.

Enabling Comprehensive Dementia Care with GUIDE

With the right partners, Medicare’s upcoming Guiding an Improved Dementia Experience (GUIDE) model has the potential to transform dementia care for patients and caregivers.

Pearl Health Releases Annual Report and Survey Findings on the State of Primary Care

Pearl Health's 2023 Primary Care Pulse Report, drawing on 200+ physician surveys, highlights key challenges facing primary care doctors — including inadequate compensation and systemic barriers — while pointing to value-based care and ACO participation as promising paths forward.

Predicting and Preventing Future ED Visits

Pearl Health launched a predictive algorithm to identify patients at risk of preventable emergency department visits. By combining data science with its Signal-Action Framework, Pearl empowers primary care providers to proactively intervene, improve chronic disease management, reduce fragmented care, and lower avoidable healthcare costs.

Revolutionizing Post-Discharge Care With Transitional Care Management

Transitional Care Management (TCM) reduces post-discharge costs and complications, generating $3,000–$4,000 in 90-day savings per discharge, yet remains underused. Pearl’s analysis highlights major savings from reduced SNF and inpatient spend and outlines technology-driven solutions to boost TCM awareness, prioritization, and adoption.

Five Principles for Product & Service Partnerships

Pearl Health uses five principles to guide product and service partnerships — strategic alignment, assessing existing solutions before building, acknowledging resource constraints, setting measurable objectives, and piloting before scaling — viewing partnerships as value centers rather than cost centers.

Building a Specialty Risk Marketplace

A Patient-Centric Model for Building an Effective Primary Care Brand

Building a strong primary care brand means aligning your practice's strategy, operations, and culture around the patient experience. Through consistent habits, efficient systems, and values-driven behaviors, practices like Healthcare for Life create loyal patients and lasting reputations.

The Value-Based Care Playbook: the Basics | Part 2: How to Maximize Value

Understanding the 'Value' in the context of healthcare, we build on those concepts by highlighting the main drivers of cost and ways they can be addressed.

All-Payer Models & the Path to Sustainability: Key Takeaways from Health System Leaders

All-payer and total cost of care models simplify incentives across payers, but success requires strong care coordination, local adaptability, cultural change, and data-driven, tech-enabled team collaboration.

How Pearl Uses AI to Accelerate Engineering

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.

How AI Is Changing the Economics of Value-Based Care for Health Systems

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.

How Pearl Health Delivers Automation

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.

From Insight to Impact: Smarter Actions for Complex Care Coordination

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.

The Partner-Powered Flywheel: Turning Practice Insights into VBC Success

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.

Pearl’s Product Principles: 2025 Edition

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.

Provider-Focused Healthcare AI Models

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.

Computer Use Agents (CUAs) and PHI

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.

Beyond the Hype: Why This Healthcare Veteran is Betting on AI

AI is poised to solve healthcare’s toughest challenges—interoperability, burnout, access—accelerating real change. With Pearl, we’re making it happen.

Proactive Care in Action: How Pearl’s Predictive Insights Helped Prevent Repeat Emergency Department Visits

See how Pearl Health’s predictive technology empowers PCPs to proactively manage high-risk patients, preventing costly unplanned hospital admissions.

Proactive Care in Action: How Pearl’s Predictive Insights Helped Prevent an Unplanned Hospital Admission

See how Pearl Health’s predictive technology empowers PCPs to proactively manage high-risk patients, preventing costly unplanned hospital admissions.

Unlocking Patient-Centric Care: The Next Evolution of Healthcare Technology

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.

Hackathon Roundtable: Expanding Provider Access to Pearl Insights at the Point of Care

Pearl and Vim partnered to integrate Pearl Platform insights into EHR workflows. Their hackathon created a new Vim feature in 72 hours.

With Vim as a Strategic Technology Partner, Pearl Health Launches Enhanced EHR Experience

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.

How Pearl Complements the EHR with Integrated Patient Insights

As we work with primary care providers to help them transition to value-based care, they often ask us how Pearl fits in with their Electronic Health Record (EHR) system. It’s a great question! Let’s dive into how EHRs and the Pearl Platform fit into a practice’s workflow, and how we’re working on integrating information from the EHR to strengthen the insights we bring PCPs through Pearl.

Proactively Reducing Preventable Emergency Department Visits

Discover how Pearl Health’s predictive analytics and Signal-Action Framework help identify patients at risk for preventable ED visits, enabling primary care providers to take proactive steps and ensure care is delivered in the most appropriate setting

Managing Unplanned Admissions for Patients with Multiple Chronic Conditions

Explore how Pearl Health's new predictive algorithm identifies Medicare beneficiaries with multiple chronic conditions at risk for unplanned hospital admissions, enabling proactive, well-coordinated care for improved outcomes.

The High Seas of Feature Flags: A Tale of Blunder, Plunder, and Waffles

Navigate the high seas of feature development with Django Waffle's feature flags and learn how Pearl Health ensured smooth sailing in managing application features.

How We Doubled Amazon RDS Throughput to Support 10x Data Volume For Less Than $1/Day

After a 10x data growth in 2023, Pearl Health resolved severe database slowdowns by identifying AWS RDS disk I/O bottlenecks. Upgrading instance types and monitoring burst credits doubled throughput, improved ingestion and view refresh times by over 80%, and cost just $0.67 more per day.

2023: A Space Odyssey — How I broke the build (without touching a line of code)

During a security incident, a small human error — a stray space copied with an API key — silently propagated through Pearl Health's toolchain and broke the build in a way that took hours to diagnose.

Maximize Patient Care with Pre-Visit Planning

Pre-visit planning helps primary care practices proactively manage patient panels by streamlining chart reviews, tracking chronic conditions and HCC codes, and addressing social needs — reducing administrative burden while improving care quality and value-based care performance.

Machine Learning for a Short Term Spend Prediction Model

ADT Alerts: Preventing Hospital Readmissions & Improving Patient Outcomes

Patient View: Holistic, Longitudinal Insights into Patient Care

Pearl Health's Patient View gives primary care providers a holistic, longitudinal view of Medicare patient data across providers and facilities, supplementing EMR records to improve care quality and total cost management.

Path to HITRUST Certification Part 1: Security Compliance from the Ground Up

Pearl Health is pursuing HITRUST certification from the start, embedding compliance into its foundations rather than waiting. HITRUST builds on HIPAA with a prescriptive, certifiable framework, and early adoption helps avoid costly misalignment between systems, processes, and regulatory requirements.

Panel View: Using Data to Drive Proactive Care

Pearl's Panel View gives primary care providers a heatmap to visualize patient risk across their panel. The team iterates based on clinician feedback, with upcoming improvements including real-time ADT alerts, faster claims data, and EMR scheduling integration.

Pearl's Product Principles

Pearl Health's Product Principles outline their approach to building healthcare technology: empowering primary care providers, enabling proactive care, simplifying value-based care complexity, prioritizing patients over checklists, ensuring health equity, and reducing administrative burden — all grounded in data and designed for meaningful user experiences.

Lessons from Three Years as a Chief of Staff

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.

Why You (Probably) Shouldn't Trust Early Underwriting on LEAD

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.

Enhancing Post-Discharge Care: How Pearl's Advanced AI is Revolutionizing Patient Outcomes

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.

Teams That Thrive in Healthcare’s Constant Flux

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.

20% of Patients Drive 80% of Costs: How Precision AI Can Bend The Cost Curve

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.

Year in Review: 2025

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.

Running Toward Impact: Behind the Scenes with Alana Levy

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.

ACCESS: A New Era for Outcomes-Based Chronic Care in Medicare

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.

How Pearl Health Delivers Automation

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.

The Future of Value-Based Care: Physician-Led, System-Supported, and Technology-Enabled

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.

Let My Data Go: The Movement to End Information Blocking

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.

The Quality Metric Paradox: How HEDIS May Undermine Patient Care and How Pearl can Help

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.

Engineering for Impact: Behind the Scenes with Matt Solnit

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.

Pearl Health and MNS Partner to Equip Skilled Nursing Facilities for Success in Value-Based Care

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.

Principals and Principles: Agentic AI in Healthcare

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.

Making Sense of the Numbers: Behind the Scenes with David Junius

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.

Doing Good at Scale: Behind the Scenes with Jon Goldin

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.

Pearl Health Releases Top 50 Value-Based Care Thinkers of 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.

The Art of Alignment: Behind the Scenes with Ciara Walsh

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.

Keeping the Signals Clear: Behind the Scenes with Zane Wruble

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.

Resilience, Risk, and Reinvention: Lessons from Sid Sankaran at Pearl’s Lunch & Learn

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.

Investing in People and Possibility: Behind the Scenes with Catherine Naughton

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.

10 Takeaways from NAACOS Spring Conference 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.

Why We Revamped Our Company Values: Building for the Future

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.

Bridging the Invisible Gaps in Care: Behind the Scenes with Ben Csukor

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.

Safe Harbor for Big Ideas: Behind the Scenes with Madison Klein

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.

Bringing Strategy to the Table: Behind the Scenes with Sophie Bennett

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.

Pearl Health Achieves HITRUST r2 Certification Demonstrating the Highest Level of Information Protection Assurance

Pearl Health achieves HITRUST r2 Certification, demonstrating its commitment to the highest standards of data security, compliance, and risk management.

From Engagement to Excellence: How Pearl Fosters Employee Growth & Performance

Pearl Health fosters a thriving workplace through engagement, inclusivity, work-life balance, and professional growth—empowering teams to deliver proactive, patient-centered care.

DeepScribe and Pearl Health Announce Partnership to Bring Ambient AI Documentation to Value-based Care Providers

Latest DeepScribe partnership brings AI documentation and point-of-care intelligence to primary care clinicians participating in ACO REACH and other risk-bearing models

Virginia Care Partners, an HCA Virginia Affiliate, and Pearl Health Establish Partnership to Expand Access to Value-Based Care

Virginia Care Partners and Pearl Health partner to expand value-based care in Richmond, providing technology, insights, and financial tools for primary care providers.

Year in Review: 2024

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!

Dennis Weaver, MD, MBA, Joins Pearl Health as Chief Clinical Officer

Pearl Health appoints Dennis Weaver, MD, MBA, as Chief Clinical Officer to advance value-based care, clinical leadership, and healthcare innovation partnerships.

5 Takeaways: America's Physicians Group’s Fall Conference 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.

Holzer Health System and Pearl Health Partner to Increase Access to Value-Based Care in Ohio and West Virginia

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.

David Junius joins Pearl Health as Chief Financial Officer

David Junius joins Pearl Health as CFO, enhancing risk management expertise to advance value-based care.

5 Key Takeaways from 2024 Innovations in Value-Based Care Conference

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.

Pearl Health Partners With PraxisCare and Adaugeo Healthcare Solutions to Expand Value-Based Care Network in the Pacific Northwest

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.

Synapticure and Pearl Health Partner to Provide Specialized Neurologists and Personalized Patient and Caregiver Support to Medicare Patients with Dementia

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.

Pearl Health and MDX Hawaii Partner to Expand Access to Value-Based Care

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.

Isaac Health and Pearl Health Partner to Streamline Dementia Care Through the CMS GUIDE Model

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.

Day 1: Drive for Better Care

Today begins Pearl's Drive for Better Care, a two-week journey to connect with primary care practices nationwide.

Pearl Health releases Top 50 Value-Based Care Thinkers of 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.

The Drive for Better Care: Why We’re Hitting the Road

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.

Pearl Health and Chamber Partner on Innovative Value-Based Primary Care and Cardiology Model

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.

Pearl Health and Wellcare Announce Partnership to Advance Value-Based Care Access in Primary Care

Pearl Health, a leading technology company focused on physician enablement and risk bearing in value-based care, and Wellcare, the Medicare brand of Centene Corporation (NYSE: CNC), announced today a new partnership to advance value-based care in collaboration with primary care physicians.

Pearl CLO Jonathan E. Goldin Recognized as Notable General Counsel by Crain’s New York Business

Jonathan E. Goldin, Chief Legal Officer at Pearl Health, was one of 35 honorees named to Crain’s New York Business 2024 Notable General Counsel list. The list recognizes exceptional in-house lawyers across a variety of industries and includes individuals guiding health care innovators, steering organizations through regulatory landscapes, and supporting marginalized groups, such as defrauded immigrants.

Taking the Pulse: Why Aren’t PCPs Paid What They’re Worth?

If primary care’s time has come, why doesn’t it feel like it? That’s one question we explored in Pearl’s 2023 Primary Care Pulse Report. After collecting survey responses from more than 200 physicians, conducting follow-up interviews, and exploring secondary research, we learned a great deal about the challenges PCPs face in today’s healthcare system. We explored one challenge, the epidemic of PCP burnout, in a recent blog post, and today will dive into another — physician pay.

Taking the Pulse: How Can We Reduce PCP Burnout?

There’s no avoiding a simple fact: primary care physicians (PCPs) are struggling. The majority — whether in small group practices or large multispecialty organizations — feel overworked, under-resourced, and inadequately rewarded in their efforts to provide quality care.

Year in Review: 2023

Pearl Health celebrated a milestone 2023, marked by a $75M Series B raise, a Walgreens partnership, 20x network growth across 43 states, and 50,000 provider actions taken through their platform — all advancing their value-based primary care mission.

Pearl Health Partners with Vori Health to Provide Virtual-First Musculoskeletal Care to Medicare Beneficiaries

Pearl Health partnered with Vori Health to provide Medicare patients virtual-first musculoskeletal care through integrated teams of doctors, physical therapists, and health coaches, aiming to reduce unnecessary procedures while improving outcomes for back, neck, and joint conditions.

From Values to Results: A Look Inside Pearl Health's Performance Operations with Lauren Prial

Lauren Prial, Pearl Health's Head of Performance Operations, discusses her team's role in helping primary care practices succeed in value-based care. She highlights key challenges like physician burnout and limited care coordination, while emphasizing Pearl's mission to simplify complexity and improve patient outcomes.

Pearl Health Named to Fast Company’s Third Annual List of the Next Big Things in Tech

Pearl Health was named to Fast Company's 2023 Next Big Things in Tech list, recognizing its healthcare technology that helps primary care providers deliver proactive, value-based care through data insights, financial tools, and strategic partnerships.

Pearl Health and ViCare Health Announce Partnership to Accelerate Transition To Value-Based Care for Medicare Patients

Pearl Health has partnered with ViCare Health, an independent physician association, to help its physicians transition to value-based care for Medicare patients. The collaboration leverages Pearl's technology platform and financial services to improve patient outcomes and lower healthcare costs.

Yuvo Health and Pearl Health Partner to Help Community Health Centers & Their Patients Access Innovative Value-Based Care Programs

Pearl Health and Yuvo Health announced a partnership to expand value-based care for community health centers. By combining technology, risk-bearing infrastructure, and operational support, they aim to empower FQHCs, reduce disparities, improve outcomes, lower costs, and strengthen the long-term sustainability of safety-net providers.

Walgreens and Pearl Health Announce Strategic Partnership to Advance Value-Based Care Delivery

Walgreens and Pearl Health partnered in September 2023 to expand value-based primary care. Pearl Health contributes technology and insights, while Walgreens adds pharmacy and clinical services, together aiming to improve health outcomes for Medicare patients and underserved communities nationwide.

Walgreens In Deal With Tech Firm Pearl Health To Enhance Work With Primary Care Doctors

Pearl Health CEO Michael Kopko and COO Gabe Drapos discuss navigating value-based care options, like ACO REACH and Making Care Primary, while leveraging Pearl’s platform to enhance patient-centric care.

Pearl Health and Santé Physicians IPA Announce Partnership to Deliver Value-Based Care for Medicare Patients

Pearl Health partnered with Santé Physicians IPA to support Medicare value-based care in California. Through data-driven analytics, technology, and risk management services—supported by Alliant—Pearl will help Santé physicians better manage high-risk patients, improve quality performance, enhance patient outcomes, and reduce overall costs.

Pearl Health Expands Technical Leadership Team to Enhance Data Science, Analytics, and Engineering Capabilities

Pearl Health added senior leaders Patrick Mauro (EVP, Data Science & Analytics) and Ryan Donahue (VP, Software Engineering) to strengthen its engineering and analytics capabilities. Their expertise will enhance Pearl’s scalable technology platform, empowering primary care providers with data-driven insights to succeed in value-based care.

The High Seas of Feature Flags: A Tale of Blunder, Plunder, and Waffles

Navigate the high seas of feature development with Django Waffle's feature flags and learn how Pearl Health ensured smooth sailing in managing application features.

Pearl Health Expands Clinical Strategy Leadership to Help PCPs Identify Opportunities to Provide Proactive Patient Care

Pearl Health appointed Cameron Berg, MD, as Executive Vice President of Clinical Strategy. Drawing on his emergency medicine and informatics expertise, Dr. Berg will expand Pearl’s clinical strategy efforts, helping primary care providers leverage data-driven insights to deliver proactive, value-based, patient-centered care.

The Importance of Advance Care Planning for End-of-Life Care

Pearl Health Named to the New York Digital Health 100

Pearl Health has been named to the New York Digital Health 100 for the second consecutive year, recognizing its innovative use of data science to support primary care providers in value-based care models.

Pearl Health raises $75M to fuel growth, diversify offerings, and accelerate value-based care innovation

Pearl Health announced a $75M Series B funding round led by Andreessen Horowitz and Viking Global Investors, bringing total funding to over $100M to expand its value-based primary care technology platform nationwide.

Transitional Care Physicians of America Partners with Pearl Health to Deliver Value-Based Care at Scale in Georgia

Transitional Care Physicians of America (TCPA), a large Georgia-based provider group serving complex elderly patients, has partnered with Pearl Health to transition from fee-for-service to value-based care for Medicare patients, combining TCPA's 60+ provider network with Pearl's technology and risk-bearing expertise.

The Security-Utility Balance and Healthcare Data

Pearl Health Hires Chief Technology Officer Matthew Solnit to Guide Development of Practice Enablement Technology

Pearl Health hired Matthew Solnit as CTO to lead development of its physician enablement technology platform. Solnit brings experience from Akamai Technologies and SOASTA, where he built large-scale engineering teams and data-intensive software products.

Pearl Health Hires General Counsel Jon Goldin to Accelerate Access to Value-Based Care

Pearl Health has hired Jonathan Goldin as General Counsel. Goldin brings legal and operations experience from Wachtell Lipton and an international consulting firm, and will help Pearl navigate the evolving value-based care and ACO REACH regulatory landscape.