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Recent Healthcare Insights
Elizabeth Permenter, the Head of Customer Success at Pearl, shares her journey into the healthcare industry and her passion for working with the aging population. While discussing her unique entry into healthcare through Oscar Health, Elizabeth shed light on her role at Pearl Health and the company’s distinctive approach to healthcare by focusing on empowering providers in value-based care rather than imposing rigid agendas.
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.
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.
As the deadline to participate in ACO REACH in 2023 approaches, Pearl has made this free informational webinar available on demand.
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.
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.
A key pillar of our evolution in 2023 was the significant growth of our team, expanding from 60 to 100 members, accompanied by internal promotions and the reinforcement of our commitment to a culture of continuous development. Last year was not just about growth, it was a strategic investment in the shaping of future leadership at Pearl Health.
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.
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.
NEW YORK (February 6, 2024) — Pearl Health today announced that it has been named to the 2024 New York Digital Health 100 (DH100), a recognition that highlights the most exciting and innovative startups in New York. Digital Health New York (DHNY) publishes the annual list in conjunction with the New York Healthcare Innovation Report, which takes an in-depth look at the investment trends, opportunities and challenges in the digital health sector.
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.
Michael Kopko, CEO & Co-Founder of Pearl Health, selected for the 2024 Presidential Leadership Scholars program, aims to transform healthcare through value-based care and technology.
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.
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.
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 2023 as we head into the new year. Cheers!
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.
Explore how Pearl Health and Vori Health’s partnership revolutionizes musculoskeletal care for Traditional Medicare patients, offering virtual-first access to expert care, reducing unnecessary procedures, and improving outcomes.
Nominate leaders shaping the future of healthcare! Pearl Health opens nominations for the Top 50 Value-Based Care Thinkers 2024. Celebrate innovators driving transformative change in healthcare delivery and reimbursement.
Join Lauren Prial, Head of Performance Operations at Pearl Health, in a candid conversation about the company’s unwavering values and the pivotal role employees play in its success. Discover how Pearl addresses the complexities of value-based care, supports primary care practices, and tackles challenges to create a patient-centric healthcare model.
April Greene, a seasoned healthcare strategy and operations executive, joins Pearl as Senior Vice President of Medicare Advantage. April joins Pearl with more than 25 years of experience in healthcare, offering expertise across network and clinical operations, value-based care, and population health.
Pearl Health has been named to Fast Company’s third annual Next Big Things in Tech list, which honors technology breakthroughs that promise to shape the future of industries—from healthcare and security to artificial intelligence and data.
Pearl Health published its 2023 Primary Care Pulse Report today, which identifies primary care challenges and opportunities based on survey responses from 200+ PCPs, follow-up interviews, and secondary research.
Pearl Health has partnered with ViCare Health, an independent physician association, to help ViCare Health physicians transition to and succeed in value-based care for Medicare patients. Learn about we’re accelerating the transition to value-based care together.
Pearl Health and Yuvo Health join forces to enhance value-based care access for community health centers and their patients. Learn about their innovative partnership and how it benefits underserved communities.
Walgreens and Pearl Health, a leading provider enablement company, today announced a partnership to accelerate the expansion of value-based care in collaboration with community-based primary care physicians.
Pearl Health announces that it has partnered with Santé Physicians IPA, one of the largest independent physician associations in California, to help Santé IPA physicians deliver better quality care for their Medicare patients at lower cost.
Pearl Health announces the addition of multiple senior leaders in recent weeks — including Patrick Mauro, Executive Vice President of Data Science & Analytics, and Ryan Donahue, Vice President of Software Engineering — to enhance the company’s technical capabilities and continue building out its robust engineering function.
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.
Learn how Pearl Health tackled data scalability by doubling Amazon RDS throughput, optimizing databases for a 10x increase in data volume while reducing costs remarkably.
When patients leave the hospital, their journey to recovery is far from over. In fact, it’s during this crucial transitional period that they’re most vulnerable to complications and setbacks that can lead to unplanned readmissions, higher mortality rates, and unnecessary health care costs.
Pearl is excited to equip PCPs with cutting-edge data science, to predict future preventable ED visits.
As healthcare moves toward value-based care, negotiating contracts that are provider-friendly and mutually beneficial has become increasingly important — and increasingly difficult.
Healthcare’s shift to value won’t happen because of wishful thinking or hopeful platitudes. Read on for Bill Georges’ perspective on the hard truths we need to recognize and face to succeed in value-based care.
Pearl Health and Story Health are revolutionizing specialty cardiac care for Medicare beneficiaries. Through data-driven technology and innovative approaches, patients receive personalized treatment and continuous support from the comfort of their homes. Experience improved outcomes and convenience in cardiovascular care.
Learn how to set your medical practice up for success in 2024 with the ACO REACH model. Discover key features, modifiable variables, and tips for preparation. Don’t miss the opportunity to embrace value-based care and increase revenue.
Discover how Pearl Health meets primary care physicians (PCPs) where they are, addressing their concerns and offering financial opportunities through the ACO REACH model. Learn about primary care capitation, risk-based arrangements, and revenue enhancements to maximize revenue and support PCPs in delivering quality care.
As primary care practices navigate the choices offered by ACO REACH, they encounter an important factor to consider within the Global program: the Performance Year
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.
Advance Care Planning is a process that helps patients share their personal values, life goals, and preferences regarding future medical care, while offering numerous benefits for both patients and clinicians.
Dr. Mohan, founder and CEO of Transitional Care Physicians of America, discusses how TCPA is delivering value-based care to complex, elderly patients with Pearl Health.
Pearl Health’s Chief Technology Officer, Matt Solnit, shares how his team responded to a security alert from CircleCI and the unexpected chain of events that followed. This article provides a cautionary tale for engineers using Docker build-time variables and stresses the importance of thorough testing and incident response planning.
Join software engineer Grace Jansen as she shares her experiences working at Pearl Health, a dynamic company that values user-centricity, collaboration, and a culture based on shared values. In this article, learn about the importance of collaboration and the multi-faceted team at Pearl, and how these factors contribute to the development of a high-quality product.
Enhance the efficiency and quality of primary care with our pre-visit planning solution. Learn about the various domains, best practices, and technology available to streamline processes and provide better patient care.
Discover the importance of having an incident policy in place at Pearl Health. Learn about the process, criteria, and SLAs involved in handling critical issues, and how it helps keep the company’s technology and patient data safe. Read now to learn more.
Pearl Health named to the New York Digital Health 100 (DH100), a recognition that highlights the most exciting and innovative startups in the New York region. Digital Health New York (DHNY) publishes the annual list as part of the New York Healthcare Innovation Report, a comprehensive analysis that takes an in-depth look at the data, trends and people that have propelled New York to become the capital of healthcare innovation
We are proud to announce that we have raised $75 million in our Series B funding round, led by Andreessen Horowitz’s Growth Fund and Viking Global Investors, with follow-on funding from AlleyCorp, SV Angel’s Growth Fund, and other leading investors.
It’s been a year of extraordinary growth and development for Pearl Health and value-based care. Read some of our highlights from 2022 as we head into the new year. Cheers!
Risk prediction models are incredibly useful tools that recognize the underlying patterns common to patients who will go on to become HCHN.
If you’re a PCP joining a REACH ACO in 2023, there is a lot to comprehend about how capitation will impact your monthly revenue in advance of the January 1st start date. In this post, we will address providers’ most Frequently Asked Questions regarding BPCC with the goal of empowering PCPs to take advantage of capitation in the new REACH ACO model.
Redirect Health, a platform that creates and manages healthcare solutions for businesses and employees nationwide, today announced its partnership with Pearl Health, a leading technology company focused on physician enablement and risk-bearing in value-based care.
Medicare’s future is linked to the success of the US and will be a harbinger for health systems across the world. Here are six predictions.
Transitional Care Physicians of America (TCPA), one of the largest provider groups in Georgia caring for complex, elderly patients, and Pearl Health, a leading technology company focused on physician enablement and risk bearing in value-based care, today announced their partnership to deliver value-based care at scale for TCPA’s patients with Medicare.
Pearl Health, a leading technology company focused on physician enablement and risk bearing in value-based care, today announced the addition of Bill Georges, formerly Chief Strategy Officer of Horizon Blue Cross, who joins the Pearl team as Senior Growth Advisor.
At Pearl, we developed an integration that streams admit, discharge, and transfer (ADT) data directly into the Pearl Platform. It provides practices with real-time updates whenever patients experience acute or post-acute care events.
At Pearl, we’re committed to building technical and administrative safeguards into our systems to ensure that data from our company, our employees, and our customers is as secure as possible. As we develop our own data security best practices, we also believe in sharing this information with other organizations that may find it helpful.
Pearl Health, a leading technology company focused on physician enablement and risk bearing in value-based care, announced the addition of Angie Inlow to its team as Vice President of Enterprise Partnerships. Inlow joins Pearl with more than 25 years of experience in healthcare, offering deep experience across several sectors, including: hospitals, payers, providers, and digital health.
When you visit your doctor, chances are you could pay a copay or coinsurance bill with a credit card saved on your smart watch. Odds
We believe our principles and decision criteria set us apart from peer organizations and ensure our technology and service partnerships are focused and well-aligned with Pearl’s strategy
The Centers for Medicare & Medicaid Services (CMS) announced that Accountable Care Organizations (ACOs) in the Medicare Shared Savings Program saved Medicare — and US
Healthcare technology is an exciting industry. Pearl CTO Matt Solnit explains why he chose to focus on primary care as an engineer.
Primary care providers (PCPs) in the US are burdened with administrative tasks and under-compensation, impacting downstream healthcare costs. The limitations of existing value-based care models creates an opportunity to explore the potential of Specialty Risk Partners (SRPs), mission-driven companies managing distinct patient cohorts based on clinical disease burdens. Pearl Health proposes a risk marketplace to enable physician-led healthcare, by aligning PCPs with SRPs through financial incentives to improve healthcare outcomes and benefit all parties involved.
There are distinct eras in the development of the modern American healthcare payments system. Pre-Insurance Period (Pre-1942): The period prior to World War II involved
Value-based care (VBC) initiatives and the value of healthcare data have been inextricably linked since the onset of value-based care. As the traditional risk-bearers in
Our new Patient View provides a user-friendly interface that presents all of your patient-related information in one informative page
What does it take to build a patient-centric brand? Discover the key drivers of an effective brand strategy for your primary care practice.
Learn more about how Pearl is using data to help drive proactive care and what you can expect to see from Panel View in the months ahead.
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.
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.
For your practice to provide quality care and enjoy long term success in an ACO, we focus on two key levers impacting your shared savings
Dr. Michael Odibo is partnering with Pearl to improve overall health outcomes and reduce costs for his patients in North Carolina.
Dr. Janice Johnston is creating positive experiences for her patients in Arizona with data-driven insights and timely alerts from Pearl.
Dr. Mildred Frantz is delivering better quality care for her patients in New Jersey — and at a lower cost with Pearl.
Dr. David LaMond is partnering with Pearl to better identify which patients are most at risk in North Carolina.
The Value-Based Care Advisor is one more way that we’re empowering PCPs to participate and succeed in ACO REACH
The Value-Based Care Advisor is one more way that we’re empowering PCPs to participate and succeed in ACO REACH
At Pearl, we recognize the need to embed compliance in everything we do from the onset. We’re hitting the ground running on our path to becoming HITRUST certified.
The U.S. Conference of Mayors voted in support of the CMS’s ACO REACH Model, recognizing the model’s potential to increase primary care availability in underserved communities and bridge historic health inequities
As we move into the third year of the pandemic, what has become plain is the importance of healthcare data as a public good.
Our Product Principles drive how we make product choices as we navigate the thousands of small and large decisions we make along the way.
As a primary care provider, you may be wondering what portion of your FFS revenue can be attributed to E&M services. Here, we break down total FFS revenue along various dimensions for you.
In Part 3, we continue to examine how value-based organizations can support primary care providers in managing the care journeys of their patients.
By removing certain risk factors in your life, you can statistically extend it. Data studied from more than 8,000 patients found that managing these risk factors well can extend life by approximately 9 years.
The ACO REACH program has many fewer Quality Measures (QMs) than past ACO programs did. Here’s a breakdown of the four QMs and our perspective on how to succeed.
From our experience helping primary care practices transition to value-based care, we know that delivering high-quality care while controlling costs is about more than simply aligning payments with value — that is just the beginning.
In Part I of the Value-Based Care Playbook, we ensured a shared understanding of the notion of Value in the context of healthcare. Here, we
2022 is poised to be a big year for value-based care (VBC). The Centers for Medicare & Medicaid Services (CMS) and the Center for Medicare
After an exciting 2021 introducing primary care providers across the country to Direct Contracting, we were thrilled to launch our 2022 cohort of providers in
2021 Pearl Health Year-In-Review Milestones Primary Care Trends Resolutions Looking Back Trends Resolutions Looking Back: A Pearl Is Formed This past year marked the first full year
Culture at Pearl Health: the Lifeblood of Our Company At Pearl, we believe the culture of our organization is the defining and ultimate reason
Part 1: Defining Value in Healthcare Value-based care, a term largely attributed to Michael Porter and Elizabeth Teisberg, is the idea of structuring incentives to
As we approach another Medicare ACO performance year, now in the REACH model as opposed to Direct Contracting, we’ve refreshed our FAQ article from last
The Centers for Medicare and Medicaid Innovation Center (CMMI) is hosting a listening session to discuss its October 2021 whitepaper, “Driving Health System Transformation –
(Healthcare) Risk Is Opportunity The slogan for the Society of Actuaries is “Risk is Opportunity.” As providers consider managing healthcare risk through value-based models, they
Value-based care has been part of our healthcare lexicon for the last 15 years when, in 2006, Michael Porter and Elizabeth Olmsted Teisberg are credited