Pearl Health

When a system overpays by $40 billion in a single year, while taxing healthcare providers with countless administrative hours at a time when clinician burnout is at an all time high, the system warrants reconsideration. In a new piece, Pearl Health's Chief Operating & Compliance Officer Gabe Drapos sketches one: inferring diagnoses from utilization, modeling clinical trajectories, and incorporating modifiable risk. A “FICO score for health”, grounded in care actually delivered rather than paperwork generated. Read in full: https://lnkd.in/e_xHhpSw

Healthcare AI will only reach its full potential if the underlying healthcare infrastructure becomes more open, connected, and patient-centered. We’re encouraged to see growing industry momentum around expanding patient data portability and improving access to scheduling and care navigation data, including the recent proposals outlined by OpenAI (see "Keeping Patients First: A Blueprint for AI in U.S. Healthcare ": https://lnkd.in/gusa3dAC) At Pearl Health, we believe patients and providers benefit when healthcare information can move more seamlessly across systems, settings, and stakeholders. Better interoperability has the potential to: • Reduce administrative friction for providers and care teams • Improve coordination across the healthcare ecosystem • Enable more proactive, personalized care experiences • Support innovation in value-based care and AI-enabled care delivery As AI agents and intelligent workflows become more integrated into healthcare operations, open and portable data infrastructure will become increasingly important to delivering meaningful outcomes for patients and clinicians alike. We’re supportive of efforts that help move the industry in that direction. #HealthcareAI #ValueBasedCare #Interoperability #DigitalHealth #HealthTech #PatientAccess #CareNavigation #AIinHealthcare #HealthcareInnovation #PopulationHealth

Healthcare AI will only reach its full potential if the underlying healthcare infrastructure becomes more open, connected, and patient-centered. We’re encouraged to see growing industry momentum around expanding patient data portability and improving access to scheduling and care navigation data, including the recent proposals outlined by OpenAI (see "Keeping Patients First: A Blueprint for AI in U.S. Healthcare ": https://lnkd.in/gusa3dAC) At Pearl Health, we believe patients and providers benefit when healthcare information can move more seamlessly across systems, settings, and stakeholders. Better interoperability has the potential to: • Reduce administrative friction for providers and care teams • Improve coordination across the healthcare ecosystem • Enable more proactive, personalized care experiences • Support innovation in value-based care and AI-enabled care delivery As AI agents and intelligent workflows become more integrated into healthcare operations, open and portable data infrastructure will become increasingly important to delivering meaningful outcomes for patients and clinicians alike. We’re supportive of efforts that help move the industry in that direction. #HealthcareAI #ValueBasedCare #Interoperability #DigitalHealth #HealthTech #PatientAccess #CareNavigation #AIinHealthcare #HealthcareInnovation #PopulationHealth

Most AI-in-healthcare conversations swing between breathless optimism and cautious skepticism. Practice leaders are stuck in the middle, asking a more practical question: what does this actually look like for my patients and my practice today? We wanted to answer that — not from 30,000 feet, but from the people building the tools. Ben Breuer, Director of Growth Partnerships at Pearl Health, sat down with two founders working different ends of the practice: Aaron Molitor (Convoy Health) on the financial operating layer for medical groups, and Luke Moretti (AI Optics) on point-of-care retinal screening. What stood out: whether you're working in the back office or the exam room, AI earns its place when it turns raw signals into decisions that make it easier for professionals to act on. Read the conversation→ https://lnkd.in/e7ThY-2N #ValueBasedCare #HealthcareAI #PrimaryCare

Most health system value-based care (VBC) strategies don't fail at the contract level. They fail at the cost level. Operational labor alone can consume 60–80% of whatever shared savings you generate. That's one of several sharp observations in a new Hospitalogy piece by Blake Madden featuring Pearl Health CEO & Co-Founder Michael Kopko which reframes the VBC economics conversation for health system CFOs who've run the numbers and walked away skeptical. The argument isn't that VBC is the right thing to do. It's that the math increasingly says it's the smarter financial strategy. https://lnkd.in/eMFN884K

Execution is the new credential in value-based care. That is what defines Pearl Health’s 2026 Top 50 Value-Based Care Thinkers Report – live to read today. For years, visibility and narrative reigned in VBC. This year’s cohort reflects a clearer standard: leaders moving the numbers that matter – total cost of care, quality scores, patient outcomes–at scale. The 5th edition of the report features can’t miss perspectives from Don Berwick (IHI), Andy Slavitt, Vinod Khosla, Sachin H. Jain, MD, MBA (SCAN), Elliott Fisher (Geisel School of Medicine at Dartmouth), Abe Sutton (Centers for Medicare & Medicaid Services Innovation Center) and 44 others shaping where the industry goes next. See the full list → https://lnkd.in/eG9P8yPX #ValueBasedCare #Healthcare #ACO #PrimaryCare

The nominee analysis from our fifth annual Top 50 Value-Based Care Thinkers initiative is live — and this year's cohort is the largest and most diverse yet. Steven Duque, Chief Business Officer, and Kuhuk Shroff, Senior Director, Strategy and Operations, distill what 200+ nominations reveal about how leadership in VBC is changing, including: • Four archetypes shaping how the model executes at scale • Why optimization and transformation are starting to pull apart • What the ACO LEAD model signals about where CMS is taking the market The edge now belongs to leaders who move across policy, execution, and narrative — and define how the three connect. Read the full blog here: https://lnkd.in/eP6SRKFH ***Final Top 50 will be announced April 28*** #ValueBasedCare #ACOs #HealthPolicy #VBC

NEW VIDEO INTERVIEW | Why do value-based care and prevention sound easy on paper but prove to be so complex in practice? A huge thank you Michael Stamatinos for this thoughtful conversation with our CEO Michael Kopko about the real challenges of transitioning independent physicians to Medicare programs, how systems thinking from Bridgewater and Oscar Health shapes Pearl's approach, and why now is the time to be optimistic about healthcare's future. Watch the full episode on YouTube 🎥 https://lnkd.in/gbEFg-BB

“As soon as I met the team, I was sold.” - Suzanne Velez, Senior Director of User Experience Research. In Pearl's latest blog post, Chief of Staff Ciara Walsh asked four critical members of the Pearl Health team why they joined and why they stayed, including Suzanne, Gillian Christie, VP of ACO Operations & Strategy, Steve Bell, Software Engineering Manager, and Colin Gibbons, Director of Enterprise Partnerships. What they described was a place where the problems are hard, the work is visible, the people are exceptional, and the impact on patients is real. If that sounds interesting to you, join us. Read the full post here: https://lnkd.in/eABRp2Hi #PearlHealth #ValueBasedCare #HealthTech #Hiring #MissionDriven

Reminder: We’re hosting a live webinar next week, on April 20 at 1 PM ET to break down the LEAD RFA: We’ll cover: - How LEAD works (risk tracks, benchmarking, attribution) - Key differences vs. MSSP and REACH - Important dates, milestones, and timelines - Live Q&A Session If LEAD is on your radar - or you’re looking for a clearer, more practical view on where value-based care is heading - be sure to register below! https://lnkd.in/ehTvTjc4