Curbside Health vs MedPearl (2026)
Both deliver clinician written guidance inside the record system. Curbside Health turns a health system's guidelines, protocols and policies into structured decision logic, with a named clinical owner, independent review, committee sign off and version history for each item. AI helps on the authoring side, and every AI assisted change waits for clinician approval. It launches in Epic, Oracle Health, MEDITECH and athenahealth over SMART on FHIR. MedPearl was built inside Providence and has been used there since 2022. It helps primary care clinicians decide whether a patient needs a specialist, which one, how urgently and what workup should happen before the visit, from clinician authored guidance for more than 730 conditions. It is now sold by Health Endeavors, which also uses it as a guardrail for Alex, a virtual care manager that talks with patients. Choose Curbside Health to author and govern your own pathways; choose MedPearl for ready made specialist referral guidance.
- You want to author and govern your own pathways, protocols and policies.
- Every AI assisted change should wait for clinician approval.
- Institutions and societies should be able to share pathways through a community network.
- Primary care needs help deciding when and where to refer.
- The workup a specialist expects should be done before the referral.
- Guidance for more than 730 conditions should come ready to use.
This comparison is published by AI Health Index, an independent research platform that compares healthcare AI vendors objectively. Curbside Health and MedPearl are each graded against the same capability taxonomy, from each vendor's own public materials and the regulatory record, under the AI Health Index verification standard. No vendor pays for placement, and no vendor has reviewed this page. How this evidence is graded
Plain facts
| Fact | Curbside Health | MedPearl |
|---|---|---|
| Primary category | Clinical Decision Support | Clinical Decision Support |
| Website | curbsidehealth.online | medpearl.com |
Side by Side
Select any grade to read the note behind it.
Each vendor in one paragraph
Written to be quoted whole. Each paragraph opens the AI Health Index profile of the vendor: what the product is, who buys it and what it does.
Clinical pathway authoring and governance platform that turns a health system's guidelines, protocols and policies into structured, visual decision logic delivered inside the EHR. Each item carries a named clinical owner, independent clinical review, committee sign-off, version history and a review cadence.
Source: AI Health Index, September 2026
MedPearl is a clinical decision platform built inside Providence and in use there since mid 2022. It helps primary care clinicians decide whether a patient needs a specialist and, if so, which one, how urgently and what workup should come first, using a library of clinician-authored guidance for more than 730 conditions shown inside the electronic health record beside the patient's own data.
Source: AI Health Index, September 2026
Questions buyers ask
How are Curbside Health and MedPearl priced and sold?
For Curbside Health, no rate, unit or tier appears.
MedPearl's site is a single page with a contact form, and Health Endeavors' July 2026 release sells it inside an AI Care Suite for accountable care organizations and value-based care, alongside its Alex virtual care manager and OmniView patient profiles. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified September 30, 2026. No vendor pays for placement.
How do Curbside Health and MedPearl handle patient data?
In Curbside Health's case, the compliance statement says protected health information is encrypted in transit and at rest, with access logging, monitoring and periodic review; the privacy page summarizes principles (use only for disclosed purposes, least-privilege access, no sale of personal information) and says the full policy is provided during contracting.
The privacy policy the MedPearl site links is Health Endeavors' own, and it describes a patient application that stores health records and generates health tasks: identifiable data is not shared without consent, data is not sold after identifiers are removed, it sits on 'a secure and encrypted server', and it is deleted when an account ends. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified September 30, 2026. No vendor pays for placement.
What evidence is published for Curbside Health and MedPearl?
With Curbside Health, the home page says the platform is live in more than 40 health systems and shows Intermountain Health, University Hospitals Rainbow Babies and Children's, Children's Hospital Los Angeles, Nemours Children's Health and the American Academy of Pediatrics, with more than 1,000 pathway decisions modeled.
In MedPearl's case, all of it is from one health system that was also the developer, and the outcomes are operational and financial rather than clinical. One reported benefit, margin per referral, is a revenue measure in a tool that advises whether a patient sees a specialist. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified September 30, 2026. No vendor pays for placement.
How much do Curbside Health and MedPearl leave to the clinician?
For Curbside Health, the company calls review a gate, not a suggestion; AI surfaces candidates for review, not silent edits. At the point of care the clinician confirms eligibility and chooses, and the pathway is shown as explicit logic, so a clinician can disagree with a specific branch.
MedPearl delivers 'contextualized next best actions to clinicians', and the clinician decides: whether to refer, to whom and how urgently, and what workup to order, with the guide and the patient's data side by side; the guidance is authored by clinicians. From the AI Health Index, drawn from each vendor's own published materials and the regulatory record, verified September 30, 2026. No vendor pays for placement.
Related comparisons
Other published head to head assessments involving these vendors or their closest peers. The full set for this category is on the Clinical Decision Support page.
Both records were reviewed on this site in September 2026. Neither publishes a price. Neither states a regulatory position. Curbside Health's demonstration includes a time critical chest pain pathway with cath lab activation. MedPearl now also serves as a guardrail for a virtual care manager that talks with patients. Neither publishes a business associate statement. Curbside Health claims HIPAA aligned safeguards and provides security documentation on request. MedPearl publishes no security attestation. MedPearl names no record system it connects to, and Curbside Health names four. MedPearl describes AI without naming a learned component. MedPearl's results come from a 2024 NEJM Catalyst case study by Providence authors, where it was built. Curbside Health says it is live in more than 40 health systems and publishes no result for any of them.
Ask MedPearl which guides its patient facing agent relies on, and ask Curbside Health for an adherence figure at a named site.