Pearl Health
Value based care enablement platform for Medicare providers: AI powered predictive insights identify the highest urgency patients so care teams intervene before costs escalate, alongside financial risk modeling and workflow automation for scheduling and post discharge follow up. Supports more than 10,000 providers across 40+ states serving roughly 250,000 Medicare beneficiaries, with about $3.6 billion in annualized medical spend under management. Raised $110 million in July 2026 ($50 million equity led by Andreessen Horowitz plus a $60 million credit facility). Pearl is a hybrid: predictive software wrapped in risk bearing value based care enablement, and this record covers the platform.
Capability Axes
AI powered patient prioritization is the platform engine: predictive insights identify the highest urgency patients before costs escalate. Held back from A because the product is a hybrid, predictive software wrapped in risk bearing value based care enablement services, and the AI platform cannot be purchased separately from the enablement relationship.
Advisory by design: predictions and insights surface to care teams who act on them, and workflow automation covers scheduling and post discharge follow up. No formal oversight or governance documentation retrieved beyond this implied posture.
Scale is well documented (10,000+ providers, roughly 250,000 Medicare beneficiaries, about $3.6 billion in annualized medical spend). Outcome claims, including an expected $500 million in gross savings, are vendor announced projections rather than published or peer reviewed results.
No public pricing. Contact the vendor. The commercial model is built on value based enablement arrangements; no published rate card retrieved.
Coverage is stated with unusual clarity: Medicare populations, primary care providers, and ACO style risk arrangements across 40+ states. Narrow scope, clearly bounded, which is what this axis rewards.
Announced Deployments
Publicly announced health system deployments and partnerships. This is a record of announcements, not an assessment of deployment success or scale.
Pricing
Vendor-published figures are labeled as such. Figures labeled “Estimated” are derived from third-party sources and have not been confirmed by the vendor.
| Entry Price | Pricing Basis | BAA Tier | Implementation | Source |
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Contact the vendor
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Value based enablement arrangements; economics tied to attributed Medicare populations | — | — | Vendor Published |
Pearl's commercial model is built on value based care enablement arrangements with Medicare providers, in several cases involving shared risk. No published rate card. Buyers should expect economics tied to attributed populations and performance rather than a software license.