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Pearl Health

Platform automating provider tasks; tracking outcomes

Overview

Pearl Health builds a technology platform for healthcare providers to manage care teams, automate routine tasks, and track patient data. The platform helps providers run more efficient operations, gain attribution for their work, and participate in value-based care by tracking patient outcomes and identifying at-risk patients. Revenue comes from providers who pay for platform access. The platform differentiates Pearl Health by focusing on clinicians and practice managers, providing transparency, attribution, and data-driven insights that support proactive patient interventions. The goal is to improve care quality and efficiency while enabling providers to demonstrate outcomes and receive appropriate credit and reimbursement.

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About Pearl Health

Simplify's Rating
Why Pearl Health is rated
C+
Rated B on Competitive Edge
Rated B on Growth Potential
Rated D+ on Differentiation

Industries

Data & AnalyticsEnterprise SoftwareHealthcare

Company Size

201-500

Company Stage

Series C

Total Funding

$205M

Headquarters

New York City, New York

Founded

2020

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Simplify's Take

What believers are saying

  • Pearl raised $110 million on July 8, 2026, funding AI and Medicare Advantage expansion.
  • The company said it reached profitability in 2025, strengthening hiring and retention credibility.
  • Pearl projected $500 million gross savings and tripling patients through end-2026, signaling strong demand.

What critics are saying

  • Aledade added 700 organizations in 2026, crowding Pearl in primary-care Medicare.
  • CMS ends ACO REACH on December 31, 2026, forcing Pearl customers into LEAD.
  • Pearl's business depends on Medicare policy; a 2027 rule shift can crush economics.

What makes Pearl Health unique

  • Pearl Health combines Medicare risk analytics, workflow integration, and financial tooling in one stack.
  • It supports 10,000-plus providers managing $3.6 billion annualized spend across 40-plus states.
  • Its 2026 LEAD underwriting and ACO REACH expertise lowers entry friction for physicians.

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Funding

Total Funding

$205M

Above

Industry Average

Funded Over

5 Rounds

Notable Investors:
Series C funding is usually for startups that are doing well and are looking for more money to fuel major growth, such as acquiring other companies, expanding into global markets, or launching new product lines. Investors typically include larger venture capital firms and private equity.
Series C Funding Comparison
Above Average

Industry standards

$50M
$50M
$62M
$100M
$110M

Benefits

  • Annual Discretionary Bonus
  • Stock Options
  • Company Equity

Growth & Insights and Company News

Headcount

6 month growth

1%

1 year growth

1%

2 year growth

0%
Insight on Business
Oct 12th, 2026
Emplify partners with Pearl Health for analytics, financial tools and Medicare benchmarking.

Emplify partners with Pearl Health for analytics, financial tools and Medicare benchmarking. October 12, 2026 Get Our Email Newsletter Local news about the companies, people and issues that impact business in Northeast Wisconsin and beyond. Emplify Health will partner with Pearl Health to enhance care delivery for approximately 25,000 Medicare beneficiaries across the combined Bellin and Gundersen footprint of 11 hospitals, over 100 clinics and 1,400 providers. Pearl brings infrastructure for modeling and managing financial risk, monitoring network-wide performance against Medicare benchmarks, and applying lessons learned from providers operating in similar markets nationwide. Many of the patients Emplify Health serves live in rural and small-town Wisconsin and Minnesota, where a hospitalization can mean hours away from home and family. By identifying health risks earlier and organizing care around the primary care relationship, the two organizations aim to support patient wellness and long-term health. Providers participating in Pearl Health's accountable care organizations gain access to data insights, financial tools, practice enablement technology and a broad range of accountable care services. In 2026, Pearl supported more than 10,000 providers across over 40 states, managing approximately $3.6 billion in annualized medical spend on behalf of more than 250,000 Medicare beneficiaries, and is projected to deliver $500 million in gross savings through the end of 2026. Emplify Health patients will keep their current physician and see no change to their Medicare benefits, coverage or out-of-pocket costs. What changes is behind the scenes. Care teams gain a clearer, more timely picture of each patient's health with Pearl's predictive analytics, allowing them to surface the highest priority patient insights inside the workflows care teams already use. The system will flag which patients are at rising risk, who has fallen out of touch with their care team, and where an intervention will matter most. The two organizations will begin onboarding Emplify Health practices this fall ahead of the Jan. 1, 2027 start date, with plans to build on the collaboration across the network's Wisconsin and Minnesota markets.

PR Newswire
Jul 8th, 2026
Pearl Health raises $110M to expand AI platform for Medicare care management

Pearl Health has raised $110 million to expand its AI platform for managing Medicare patient care. The funding comprises a $50 million equity round led by Andreessen Horowitz, with participation from Viking Global Investors, AlleyCorp and Ulysses Capital, plus a $60 million debt facility from Trinity Capital. The company reached profitability in 2025 and projects $500 million in gross healthcare system savings whilst tripling its patient base from 2024 through end-2026. Pearl's platform helps providers predict risk and automate workflows before issues become emergencies. Pearl supports over 10,000 providers across 40 states, caring for more than 250,000 Medicare beneficiaries. It manages approximately $3.6 billion in annualised medical spend, up from $2.4 billion the previous year.

Vim
Oct 20th, 2025
With Vim as a Strategic Technology Partner, Pearl Health Launches Enhanced EHR Experience

With Vim as a strategic technology partner, Pearl Health launches enhanced EHR experience. May 9, 2024 - Vim, a leading middleware platform for clinical workflow integration, and Pearl Health, a leading technology company focused on physician enablement and risk bearing in value-based care, today announced a strategic technology-focused partnership that enhances Pearl's ability to empower providers to succeed in value-based care. Pearl Health enables primary care organizations to deliver more proactive, whole-patient care through data insights, financial tools, practice enablement technology, and a broad range of value-based care services. By leveraging Vim's innovative middleware platform, Vim Connect, which sits on top of the most popular electronic health records (EHRs), Pearl has begun rolling out its new EHR experience with provider partners nationwide. The initial offering allows Pearl to seamlessly surface the Pearl Platform's Conditions to Review insights directly into the practice EHR workflow. This provider-facing technology will help practices focus, in the first instance, on consideration of previously diagnosed chronic conditions without disrupting existing workflows. "Our partnership with Vim presents significant new opportunities to our providers," said Jennifer Rabiner, Chief Product Officer at Pearl Health. "While much of Pearl's workflow lives outside traditional patient visits, when a provider needs the insights we have in our platform, we want to make sure they have them at their fingertips. Vim's point-of-care technology solution makes this possible, bringing critical information from Pearl directly into the visit workflow." The data surfaced through this partnership will support Pearl's mission to improve the performance of its partner providers in value-based care and enable a more proactive care model. It will help streamline point-of-care workflows and allow them to focus more on the patient than on switching between computer applications. "By collaborating with Pearl Health to enhance their technological solutions for healthcare providers, Vim will bolster their innovation capabilities, amplify the value proposition of their offerings, and help to empower their providers to excel in value-based care operations," emphasized Oron Afek, CEO of Vim. "This solution aligns perfectly with our mission to empower providers with the insights they need to deliver high-quality care and improve patient outcomes," said Jen Rabiner, Chief Product Officer at Pearl Health. Pearl plans to expand its EHR integration with Vim in the future. The company is eager to bring additional insights from Pearl's Data Science & Analytics team to providers through the Vim Connect platform, starting with surfacing quality gaps for patients with Medicare Advantage (MA) to help providers succeed in MA programs. Pearl's long-term goal is to leverage the Vim Canvas Developer Platform(TM) to provide greater value to its practice partners. Vim builds healthcare infrastructure for the real world. As a next-generation developer platform, Vim connects payers, providers, EHRs, and digital health innovators through a shared workflow layer that lives directly in the clinical moment. From surfacing care gaps and automating chart retrieval to enabling third-party apps powered by AI, Vim brings intelligence to the point of care without disruption. Vim's platform is trusted by leading health plans, provider organizations, and technology partners to reduce friction, improve performance, and turn intent into action across the healthcare ecosystem. Vim is on a mission to fix what's broken by embedding the tools healthcare actually needs right where they're needed most. Learn more at getvim.com. About Pearl Health Pearl Health is democratizing access to value in healthcare. Led by provider enablement, risk-bearing, and technology experts, Pearl offers software and services that help providers reimagine how they visualize, understand, and care for their patients. Pearl supports primary care organizations and providers in their transition to value-based care and surfaces data and insights that help them deliver better, more proactive care, decrease total cost of care across patient panels, and optimize performance in risk-bearing models like Medicare's ACO REACH. Since its founding in 2020, Pearl has raised approximately $100M in funding from investors such as Andreessen Horowitz, Viking Global Investors, AlleyCorp and SV Angel, and has grown to serve providers across the United States. Learn more at www.pearlhealth.com. You may also like. Diverge health selects Vim to accelerate value-based care performance across medicaid populations. Vim Connect empowers innovators to bring new solutions directly into care team workflows.

Pearl Health
Apr 29th, 2025
Primary Care in 2025: Taking the Pulse

That's why Pearl Health launched the Primary Care Pulse - an annual survey capturing the perspectives of physicians leading this transformation on the ground.

BambuUP
Jan 8th, 2025
Virginia Care Partners, an HCA Virginia Affiliate, and Pearl Health Establish Partnership to Expand Access to Value-Based Care

Through its partnership with Pearl Health, providers in the VCP network will gain access to data insights, financial tools, provider enablement technology, and a broad range of services designed to help them succeed in value-based Medicare programs by delivering better, more proactive patient care.

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