Pearl Health

JSON twin: https://www.healthaidb.com/software/pearl-health.json

Company Name

Pearl Health

Product URL

https://pearlhealth.com

Company URL

https://pearlhealth.com

Categories

• clinical Care
• administrative Operations
• patient Facing
• diagnostic Support
• population Health
• value-based Care
• physician Enablement
• risk Management
• health Data Analytics
• care Coordination
• Clinical
• Administrative
• Diagnostic
• Aco Enablers And Primary Care Aggregators
• Value-based Care Enablers
• Population Health Analytics

Summary

Pearl Health is a physician enablement company that partners with primary care physicians to transition to value-based care, focusing on Medicare's ACO REACH program, providing technology and services to support value-based care outcomes.

Description

Pearl Health assists primary care physicians in engaging with Medicare's value-based care programs, such as the Medicare Shared Savings Program (MSSP) and the ACO Realizing Equity, Access, and Community Health (REACH) model. The company aggregates practices in Accountable Care Organizations (ACOs) and supports them as a risk-bearing partner that administers contracts and payments. Additionally, Pearl Health offers technology solutions that provide population health analytics, contract performance measurement, and care recommendations to enhance value-based care outcomes.

Api Available

yes

Certifications

• HITRUST r2 Certification

Company Founding

2020

Company Offices

• United States

Compliance

• HIPAA
• HITRUST r2 Certification

Customers

• Virginia Care Partners
• Santé Physicians
• MDX Hawaii

Data Residency

United States

Data Standards

• FHIR
• OAuth2 (for patient-authorized APIs)

Deployment Model

• SaaS

Features

• Patient panel risk visualization (Patient Map)
• Predictive risk scoring/forecasting
• ADT (admit/discharge/transfer) real-time alerts
• Proactive care alerts and worklists
• Conditions to Review (identify missing/annual diagnoses)
• Claims data ingestion and normalization
• CMS API (BCDA) integration support
• EHR integration via third-party middleware (Vim) to surface insights in-visit
• Panel management and outreach recommendations
• Analytics and reporting for value-based care performance

Id

SW2007

Integration Partners

• Virginia Care Partners
• Santé Physicians
• MDX Hawaii

Integrations

• Vim (EHR overlay partner)
• CMS Beneficiary Claims Data API (BCDA)
• Blue Button 2.0 (CMS)
• CMS Data at the Point of Care (DPC)
• EHR systems (integrations via middleware; specific EHR names not listed)

Languages Supported

• English

Last Updated

2025-10-11

License

commercial

Market Segment

• enterprise
• smb

Optional Modules

• EHR in-visit overlay integration (via Vim)
• BCDA quickstart/bulk claims ingestion tooling

Os Platforms

• Web

Pricing Details

Contact vendor for pricing information.

Pricing Model

subscription

Privacy Features

• Minimization of PHI usage for services
• De-identification/aggregation for analytics

Product Code

SW2007

Product Name

Pearl Health

Ratings

• Pearl Health has a profile on G2, but it currently has no reviews.

Regions Available

• United States

Related Urls

• https://elion.health/products/pearl-health

Release Year

2019

Security Features

• Administrative, technical, and physical safeguards
• Access controls/role-based access
• Audit logging

Specialties

• Neurology

Support Channels

• email
• phone
• chat
• ticketing
• community
• 24x7

System Requirements

Target Users

• clinicians
• nurses
• patients
• admins
• payers

Training Options

• documentation
• webinars
• live_online
• onsite
• certification

Type

product

User Reviews

• Pearl Health's technology platform and services will enable us to better identify and manage the needs of our high-risk and rising-risk patients, improve our quality performance, and optimize PCPs’ revenue potential.
• With Pearl’s advanced predictive technology, primary care providers in our network will gain access to data and insights that empower them to proactively focus on these ACO patients who need attention most.
• Our alliance with Pearl Health will enhance the knowledge and capabilities of our primary care providers, enabling them to adopt a more dynamic approach in their interactions with ACO patients.

Version

1.0

Alternatives

See related products

Canonical JSON

{
  "product_name": "Pearl Health",
  "company_name": "Pearl Health",
  "product_url": "https://pearlhealth.com",
  "company_url": "https://pearlhealth.com",
  "related_urls": [
    "https://elion.health/products/pearl-health"
  ],
  "product_code": "SW2007",
  "summary": "Pearl Health is a physician enablement company that partners with primary care physicians to transition to value-based care, focusing on Medicare's ACO REACH program, providing technology and services to support value-based care outcomes.",
  "description": "Pearl Health assists primary care physicians in engaging with Medicare's value-based care programs, such as the Medicare Shared Savings Program (MSSP) and the ACO Realizing Equity, Access, and Community Health (REACH) model. The company aggregates practices in Accountable Care Organizations (ACOs) and supports them as a risk-bearing partner that administers contracts and payments. Additionally, Pearl Health offers technology solutions that provide population health analytics, contract performance measurement, and care recommendations to enhance value-based care outcomes.",
  "categories": [
    "clinical Care",
    "administrative Operations",
    "patient Facing",
    "diagnostic Support",
    "population Health",
    "value-based Care",
    "physician Enablement",
    "risk Management",
    "health Data Analytics",
    "care Coordination",
    "Clinical",
    "Administrative",
    "Patient-facing",
    "Diagnostic",
    "Aco Enablers And Primary Care Aggregators",
    "Value-based Care Enablers",
    "Physician Enablement",
    "Risk Management",
    "Population Health Analytics",
    "Care Coordination"
  ],
  "market_segment": [
    "enterprise",
    "smb"
  ],
  "target_users": [
    "clinicians",
    "nurses",
    "patients",
    "admins",
    "payers"
  ],
  "specialties": [
    "Neurology"
  ],
  "regions_available": [
    "United States"
  ],
  "languages_supported": [
    "English"
  ],
  "pricing_model": "subscription",
  "pricing_details": "Contact vendor for pricing information.",
  "license": "commercial",
  "company_offices": [
    "United States"
  ],
  "company_founding": "2020",
  "deployment_model": [
    "SaaS"
  ],
  "os_platforms": [
    "Web"
  ],
  "features": [
    "Patient panel risk visualization (Patient Map)",
    "Predictive risk scoring/forecasting",
    "ADT (admit/discharge/transfer) real-time alerts",
    "Proactive care alerts and worklists",
    "Conditions to Review (identify missing/annual diagnoses)",
    "Claims data ingestion and normalization",
    "CMS API (BCDA) integration support",
    "EHR integration via third-party middleware (Vim) to surface insights in-visit",
    "Panel management and outreach recommendations",
    "Analytics and reporting for value-based care performance"
  ],
  "optional_modules": [
    "EHR in-visit overlay integration (via Vim)",
    "BCDA quickstart/bulk claims ingestion tooling"
  ],
  "integrations": [
    "Vim (EHR overlay partner)",
    "CMS Beneficiary Claims Data API (BCDA)",
    "Blue Button 2.0 (CMS)",
    "CMS Data at the Point of Care (DPC)",
    "EHR systems (integrations via middleware; specific EHR names not listed)"
  ],
  "data_standards": [
    "FHIR",
    "OAuth2 (for patient-authorized APIs)"
  ],
  "api_available": "yes",
  "system_requirements": "",
  "compliance": [
    "HIPAA",
    "HITRUST r2 Certification"
  ],
  "certifications": [
    "HITRUST r2 Certification"
  ],
  "security_features": [
    "Administrative, technical, and physical safeguards",
    "Access controls/role-based access",
    "Audit logging"
  ],
  "privacy_features": [
    "Minimization of PHI usage for services",
    "De-identification/aggregation for analytics"
  ],
  "data_residency": "United States",
  "customers": [
    "Virginia Care Partners",
    "Santé Physicians",
    "MDX Hawaii"
  ],
  "user_reviews": [
    "Pearl Health's technology platform and services will enable us to better identify and manage the needs of our high-risk and rising-risk patients, improve our quality performance, and optimize PCPs’ revenue potential.",
    "With Pearl’s advanced predictive technology, primary care providers in our network will gain access to data and insights that empower them to proactively focus on these ACO patients who need attention most.",
    "Our alliance with Pearl Health will enhance the knowledge and capabilities of our primary care providers, enabling them to adopt a more dynamic approach in their interactions with ACO patients."
  ],
  "ratings": [
    "Pearl Health has a profile on G2, but it currently has no reviews."
  ],
  "support_channels": [
    "email",
    "phone",
    "chat",
    "ticketing",
    "community",
    "24x7"
  ],
  "training_options": [
    "documentation",
    "webinars",
    "live_online",
    "onsite",
    "certification"
  ],
  "release_year": "2019",
  "integration_partners": [
    "Virginia Care Partners",
    "Santé Physicians",
    "MDX Hawaii"
  ],
  "id": "SW2007",
  "slug": "pearl-health",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-10-11",
  "links_json": {
    "self": "https://www.healthaidb.com/software/pearl-health.json"
  }
}