A missed hospital admission is hard to put on an invoice. Pearl Health pairs predictive software with Medicare payment models to make prevention pay for the people doing it.
A $970 MRI price gap helped inspire an insurer built around visible prices, open provider choice and money back. Its move into employer coverage puts that idea to a much bigger test.
Vytalize Health is a value-based care enabler and Accountable Care Organization (ACO) that helps independent primary care physicians care for Medicare patients while lowering the total cost of care. Founded in 2014 and headquartered in Hoboken, New Jersey, it pairs a physician-built clinical data platform (Vytal Insights) with a wraparound clinical team and virtual clinic (Vytal Care) so small practices can succeed in Medicare's advanced value-based programs like ACO REACH and MSSP. The company serves hundreds of thousands of Medicare beneficiaries across dozens of states and was named the No. 1 fastest-growing private company in America by Inc. in 2024.