Pearl Health

City & State NY recognized Matt Castelli, Market President at Pearl Health, as one of its 2026 Trailblazers in Health Care—highlighting the policymakers, providers, and practitioners shaping the future of healthcare in New York. We’re proud of Matt and the leadership he brings to Pearl. This recognition reflects the real-world execution behind the work we do alongside him to advance value-based care with clarity, accountability, and impact. Find Matt and the complete list of trailblazers here: https://lnkd.in/eDnw3F-n #HealthcareLeadership #ValueBasedCare #CityStateNY

🔜 Happening soon at the Home Care 100 Conference in Phoenix! This morning’s panel takes on a timely topic: value-based care contracting in Medicare Advantage, through the lens of home-based care. Grady Murphy, Market President at Pearl Health, will join the discussion to share perspective shaped by real-world experience navigating MA contracting—focused on how contract structure, incentives, and accountability show up in practice, not just on paper. While the conference is centered on ACOs, the conversation reflects a broader reality: as risk continues to shift, MA contracting decisions are becoming more operational, more consequential, and more time-sensitive. We're looking forward to a thoughtful discussion with fellow leaders shaping what’s next in value-based care. #HomeCare100 #ValueBasedCare #MedicareAdvantage #HealthcareLeadership

🚨 Don’t trust LEAD underwriting - yet. With the LEAD model announced, confident projections are already circulating. But underwriting is only as good as knowing the model’s underlying structure—and much of that is still TBD. In our latest article, our COO, Gabe Drapos, and Danny W. (Senior Manager, Data Science) explain what actually determines underwriting reliability and when the numbers are worth trusting. Read the full article here https://lnkd.in/e9w2MiVF #ValueBasedCare #LEADModel #ACOs #Underwriting #CMS

Happening soon at ACO Essentials in New Orleans. As the industry moves from ACO REACH to the LEAD Model, ACO leaders are making real decisions under real pressure—and timing matters. On stage shortly, Steven Duque, Chief Growth Officer at Pearl Health, will present on 3 Must-Know Priorities for ACO Leaders in PY2027, an outcomes-driven look at what ACOs need to get right next: • Risk optimization: Choosing programming based on data, not assumptions • Performance transparency: Moving from reactive reporting to proactive intervention • Workforce optimization: Using technology to multiply care team efforts while reducing manual work If you’re here at the DoubleTree, join us for the session at 1:25pm or catch Steven Duque and Vice President of Finance & Strategy Garrett Colgan afterwards to extend the conversation. #ACOEssentials #ValueBasedCare #LEADModel #PY2027

Post-discharge care is one of the most preventable failure points in value-based care yet one of the hardest to manage at scale. As organizations take on more downside risk, identifying who needs follow-up and when has become a real operational challenge. In this new blog from Pearl Health, Yuxin C. and Patrick Mauro break down how advanced AI can materially improve post-discharge decision-making while covering: • Why diagnosis codes alone miss meaningful post-discharge risk • How patient similarity and clinical embeddings surface earlier intervention opportunities • What population-level risk visualization enables for care teams managing limited resources The takeaway? Better post-discharge care isn't about more alerts. It's about clearer prioritization and earlier action. Read the full post: https://lnkd.in/eJTq9fbb #ValueBasedCare #ACO #CareManagement #HealthcareAnalytics #PopulationHealth

CMS has announced that the new 𝗟𝗼𝗻𝗴-𝘁𝗲𝗿𝗺 𝗘𝗻𝗵𝗮𝗻𝗰𝗲𝗱 𝗔𝗖𝗢 𝗗𝗲𝘀𝗶𝗴𝗻 (𝗟𝗘𝗔𝗗) 𝗠𝗼𝗱𝗲𝗹 will replace 𝗔𝗖𝗢 𝗥𝗘𝗔𝗖𝗛 starting January 1, 2027 and run through 2036. It’s a major signal of CMS’s long-term commitment to accountable care, with a renewed focus on stability, prospective payments, and support for rural, high-needs, and dual-eligible populations. In our latest blog post, Pearl Health’s VP of ACO Operations & Strategy, Gillian Christie, breaks down what we know so far and what provider organizations should be paying attention to as details continue to emerge. Key questions we’re watching:  • how benchmarks and risk adjustment will be structured  • what the incentives look like for independent providers  • how specialist integration through CMS Administered Risk Arrangements may work The Request for Applications is expected in March 2026, but now is the time to understand the framework and start planning for what’s next. 👉 Read the full breakdown here: https://lnkd.in/eQ8XvnKT #valuebasedcare #healthpolicy #CMS #ACO #healthcareinnovation #LEAD

Healthcare leaders don’t get the luxury of stability. Policy shifts, payment reform, margin pressure, and workforce strain are constants, not exceptions. The organizations that outperform aren’t reacting faster. They’re designed differently. In our latest piece by Pearl Health Chief of Staff Ciara Walsh, we outline what separates resilient healthcare organizations from those stuck in perpetual firefighting, including how leading teams: • translate strategy into clear, executable priorities • design operating models that absorb change without burning out teams • hold complexity at the leadership level so frontline teams can stay focused • build organizational muscle for adaptation, not just short-term optimization. The takeaway is simple but often overlooked. Sustainable performance in healthcare is less about heroic leadership and more about how teams are structured, supported, and empowered to execute amid uncertainty. 🔗 Read the full piece: https://lnkd.in/eRMyq2Y3 #HealthcareLeadership #ValueBasedCare #HealthcareOperations #ExecutiveLeadership #OrganizationalDesign Michael Kopko Gabe Drapos Dennis Weaver, MD, MBA Dennis Hillen Steven Duque Jonathan E. Goldin Jennifer Rabiner Matt Solnit Patrick Mauro Cameron Berg

Value-based care won’t reach its full potential without specialists. As care models expand beyond primary care, aligning specialty care around population health and total cost of care has become a defining opportunity - requiring close collaboration between primary and specialty teams, creative payment models to align incentives, and the right mix of culture, data, and technology to enable coordinated care. Join us for a conversation moderated by Dr. Cameron Berg from Pearl Health, featuring panelists Theresa Dreyer, CEO of Health Care Transformation Task Force, George M. Aloth, CEO & Co-Founder of Chamber, and Ryan A. Grant, MD, MS, MBA, FAANS, Chief Innovation Officer at Vori Health to explore how leading organizations are successfully integrating specialists and improving outcomes for high-risk patients. ✅ Register here to secure your spot for the live virtual panel on Feb 4th at 3pm ET. https://lnkd.in/e7TQhbRQ #ValueBasedCare #SpecialtyCare #PrimaryCare #PopulationHealth #Medicare #TEAM

Value-based care won’t reach its full potential without specialists. As care models expand beyond primary care, aligning specialty care around population health and total cost of care has become a defining opportunity - requiring close collaboration between primary and specialty teams, creative payment models to align incentives, and the right mix of culture, data, and technology to enable coordinated care. Join us for a conversation moderated by Dr. Cameron Berg from Pearl Health, featuring panelists Theresa Dreyer, CEO of Health Care Transformation Task Force, George M. Aloth, CEO & Co-Founder of Chamber, and Ryan A. Grant, MD, MS, MBA, FAANS, Chief Innovation Officer at Vori Health to explore how leading organizations are successfully integrating specialists and improving outcomes for high-risk patients. ✅ Register here to secure your spot for the live virtual panel on Feb 4th at 3pm ET. https://lnkd.in/e7TQhbRQ #ValueBasedCare #SpecialtyCare #PrimaryCare #PopulationHealth #Medicare #TEAM

𝗛𝗲𝗮𝗹𝘁𝗵𝗰𝗮𝗿𝗲 𝘀𝗽𝗲𝗻𝗱𝗶𝗻𝗴 𝗶𝘀 𝗿𝗮𝗱𝗶𝗰𝗮𝗹𝗹𝘆 𝘀𝗸𝗲𝘄𝗲𝗱. 📈  The top 5% of patients account for nearly half of all costs. The top 1% alone drives more than twenty percent of total healthcare spending. The real insight is not the imbalance. It is how predictable these costs are. In our latest post, Pearl Health CEO Michael Kopko breaks down how precision AI can identify risk earlier, guide next best actions, and reduce avoidable and costly admissions before they happen. This is how you bend the cost curve 𝑤𝑖𝑡ℎ𝑜𝑢𝑡 𝑐𝑢𝑡𝑡𝑖𝑛𝑔 𝑐𝑎𝑟𝑒. 📉 👉 Read more: https://lnkd.in/ef6ubYit #HealthcareEconomics #ValueBasedCare #PrecisionAI #PopulationHealth #CareDelivery