Predictive Signals
Integrate MA claims to generate timely, curated patient insights, prioritized by urgency to improve quality and manage total cost of care at scale.
Embedded STARS Measures
Current quality requirements are built into our Signal Action Framework, so gap closure happens naturally within existing, patient-centric workflows.
Benchmark Accuracy Support
Optimize risk adjustment and benchmarks through a multi-pronged approach that drives fair, reliable performance results.
Point-of-Care Integration
Address gaps directly within the EMR, with prompts that reduce friction and enable immediate intervention.
Timely Data Enrichment
Combine Medicare Advantage claims with real-time data feeds to surface faster, more actionable patient insights.
Flexible Data Options
For organizations without claims access or using existing gap lists, we support direct integration to your pop health platform to maintain one actionable operational view.
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.
Learn how physician-led organizations can evaluate value-based care partners—and how Pearl empowers primary care to thrive in a changing healthcare landscape.
Virginia Care Partners and Pearl Health partner to expand value-based care in Richmond, providing technology, insights, and financial tools for primary care providers.
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.
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.
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.
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.
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.
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.
Powering the Future of Healthcare
info@pearlhealth.com
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