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Pearl Health

by Pearl Health  ·  founded 2020  ·  US

Last verified

Value-based care platform for primary care practices with patient prioritization, workflow automation and ACO risk-sharing programs.

Visit Pearl Health (opens in new tab)Read our methodology

At a glance

Pricing
No public price. Vendor describes "aligned incentives" with provider organizations; the commercial model is risk and shared-savings contracts.
HIPAA
Attested
SOC 2
Not disclosed
EHRs
—
Founded
2020
HQ
US
On this page

Independent score  ·  By our public rubric

19/100Tracked

Not rated: too little independent evidence yet.

How it’s computed →
  • Regulatory & Compliance
    6/10

    Partial attestation (one of HIPAA / SOC2 / BAA)

  • Clinical Integration
    0/31.8

    No EHR integrations listed

  • Evidence Strength
    0/20

    No peer-reviewed coverage

  • Vendor & Market
    8.7/24

    Seed-stage or unfunded

  • Sentiment & Transparency
    3/6

    Pricing on request, no public amounts

▸ Show all 11 dimensions

Regulatory & Compliance

  • HIPAA / SOC2 / BAA6/10

    Partial attestation (one of HIPAA / SOC2 / BAA)

Clinical Integration

  • EHR integrations (count)0/18

    No EHR integrations listed

  • Top-3 EHR coverage (Epic / Oracle / Athena)0/10

    None of the top-3 EHRs covered

  • Bidirectional write-back0/4

    No bidirectional write-back documented

Evidence Strength

  • Peer-reviewed papers0/14

    No peer-reviewed coverage

  • RCT / meta-analysis / systematic review0/6

    No RCT, meta-analysis, or systematic review

Vendor & Market

  • Funding & adoption signal5/18

    Seed-stage or unfunded

  • Years in market4/6

    Founded 2020 (6 years)

Sentiment & Transparency

  • Pricing transparency3/6

    Pricing on request, no public amounts

Scored November 2, 2026 · Public scoring method v1.2.0

Value-based care platform for primary care practices with patient prioritization, workflow automation and ACO risk-sharing programs.

No public price. Vendor describes "aligned incentives" with provider organizations; the commercial model is risk and shared-savings contracts. HIPAA-attested.

Evidence record

Verification
  • Score computed November 2, 2026, method 1.2.0
  • Review written November 2, 2026
Cite this record

MedAI Verdict, Pearl Health record, https://medaiverdict.com/tools/pearl-health, version November 2, 2026

Change history
View every change to this record

Bottom line

Pearl pairs a patient-prioritization platform with Medicare risk programs: ACO REACH, MSSP, Medicare Advantage and the CMS LEAD model starting January 1, 2027. The site speaks of "aligned incentives," implementation advances and shared savings, and calls itself "the operating system for value-based care." Pearl has no public price. Primary care groups weighing a Medicare risk arrangement are the audience, and a practice that wants no Medicare risk has no other offer described on the pages.

What does Pearl offer a practice?

The program pages describe matching practices to Medicare programs and risk tracks, with "implementation advances, predictable monthly payments," shared-savings optimization and risk pools across peer practices. Pearl says it manages ACO REACH and MSSP populations.

The platform is framed as a Signal-Action framework. It "continuously analyzes data from claims, ADT feeds, and EHR systems," and an "AI-powered algorithm pinpoints the highest-urgency patients." Listed features are patient prioritization, next-step guidance on follow-ups, care gaps and chronic conditions, workflow automation for outreach and scheduling, and performance views of total cost of care and quality. A report describing the algorithm is offered as a download behind a form.

The vendor says it is "admin-light, EHR-agnostic" and connects with existing EHR data. The footer states that all data processing complies with HIPAA and regional governance protocols.

Who runs Pearl Health?

The footer and terms list addresses on Fifth Avenue in New York. The site says Pearl was founded in 2020 by physicians, public health experts, technologists and risk management professionals. Michael Kopko is CEO and co-founder, formerly of Oscar Health. The board includes Vineeta Agarwala MD of Andreessen Horowitz and Kevin Ryan of AlleyCorp. A "Backed By Leading Investors" section shows investor names as images only, and no round or amount appears on the official pages.

What does the vendor claim?

The site title reads "Value-Based Care Intelligence for Providers," and its description begins "Join thousands of providers partnered with Pearl to succeed in value-based care." The homepage gives 250,000 beneficiaries, 10,000 providers, more than 40 states, $3.6 billion in premiums managed and 2x growth in lives covered year over year. Its outcome claims are a 1 to 3% medical loss ratio improvement in year one and 25% potential workload reduction, and no study is cited next to either figure. Quoted customers are BayCare Plus, Virginia Care Partners and Santé Physicians.

The verdict

The offer is a Medicare risk track with the platform attached. Pearl says it manages ACO REACH and MSSP populations today, and the CMS LEAD model it pitches starts January 1, 2027.

Editorial review last generated November 2, 2026. Synthesized from clinician sentiment, peer-reviewed coverage, and our editorial silo picks. Refined by hand where vendor facts change.

What it costs

All tiers are custom-quoted. The vendor does not publish per-provider list pricing.

TierMonthlyAnnualNotes
EnterpriseNot statedNot statedNo public price. Vendor describes "aligned incentives" with provider organizations; the commercial model is risk and shared-savings contracts.

Source: vendor pricing page. Last checked November 2, 2026.

What deploys cleanly

Carries HIPAA per vendor documentation. Independent attestation review is the buyer's responsibility before clinical deployment.

Who builds it

Pearl Health (Pearl Health) was founded in 2020 in US, putting it 6 years into market.

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