Pearl Health, a New York-based health technology company focused on assisting providers in managing risks for Medicare patients, announced Wednesday that it has raised $110 million in funding.<\/p>\n
The company facilitates value-based care by offering predictive AI insights, financial risk modeling, and more efficient workflows. Its platform aids in identifying at-risk patients, enabling providers to intervene earlier, while also automating administrative processes such as scheduling and post-discharge follow-ups.<\/p>\n
The funding round comprises a $50 million equity investment led by Andreessen Horowitz, with participation from Viking Global Investors, AlleyCorp, and Ulysses Capital, alongside a $60 million credit facility led by Trinity Capital.<\/p>\n
\u201cPearl has demonstrated that risk management across large patient populations in various care settings can improve patient outcomes, generate significant savings, and support a sustainable business model at scale,\u201d stated Vineeta Agarwala, MD, a general partner at Andreessen Horowitz, in a press release. \u201cPearl\u2019s ability to enable providers to successfully engage in value-based payment programs\u2014through technology rather than by expanding clinical staff\u2014reflects both the vision and execution of the Pearl team.\u201d<\/p>\n
The new funding will allow Pearl to expand its AI platform, continue developing new partnerships between healthcare systems and payers, and grow its presence within Medicare Advantage.<\/p>\n
Pearl Health currently supports over 10,000 providers across 40 states, serving more than 250,000 Medicare beneficiaries. The company manages approximately $3.6 billion in annual medical spending, an increase from $2.4 billion in the previous year. It aims to generate $500 million in gross savings and triple its patient base from 2024 to the end of 2026.<\/p>\n
With more than 70 million individuals covered by Medicare and system costs exceeding $1 trillion, Pearl seeks to cut costs by assisting providers in linking reimbursement to outcomes instead of volume.<\/p>\n
“Pearl was founded on a simple belief: healthcare should reward keeping people healthy, not just treating them when they are sick,” stated Michael Kopko, co-founder and CEO of Pearl Health, in a statement. “Unnecessary costs and poor outcomes persist in the U.S. healthcare sector because most providers lack the capabilities to shift entirely to outcome-based care. With this funding, we are investing in accelerated innovation and growth to expand our impact across the healthcare system.”<\/p>\n
Other companies aiding providers in transitioning to value-based care include Aledade and Astrana Health.<\/p>\n
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