Transforming Healthcare Through Intelligent Monitoring
At Falcon Health, we empower healthcare organizations to deliver higher-value care through intelligent monitoring and advanced analytics. By combining deep industry expertise with cutting-edge technology, we help risk-bearing entities optimize services, promote clinical excellence, and succeed in value-based care programs.
Our dual-monitoring approach - Reducing Unnecessary Services While Promoting Clinical Excellence
Value-based care excellence requires both reducing unnecessary services and promoting clinical quality. Our intelligent monitoring platform combines industry-leading data access with sophisticated analytics to help you identify opportunities and take action at the right time.
- Intelligent Monitoring Platform. Our platform integrates live healthcare feeds (EDI claims, BCDA API, ADT) with nationwide Medicare Fee-for-Service data (VRDC). This foundation, enriched with quality metrics and proprietary benchmarks, enables sophisticated monitoring capabilities.
- Value-Based Care Optimization. Our dual focus on service and provider excellence helps identify and reduce unnecessary services while measuring ROI. We analyze provider performance to identify successful care protocols and guide network development.
- Service Category Monitoring. Our intelligent monitoring provides comprehensive oversight across critical service categories including specialty medications, DME, remote monitoring, SNF care, diagnostics, wound care, labs, and home health. Each category is monitored for both effectiveness and efficiency, enabling targeted interventions.
Why Falcon
Healthcare organizations leading in value-based care partner with Falcon Health for our unique combination of monitoring capabilities, industry expertise, and comprehensive data access.
- Unmatched Expertise. Our leadership team brings decades of executive experience from successful risk-bearing organizations. We understand what drives value-based care success because we've achieved it ourselves.
- Technology Leadership. Our platform integrates more healthcare data sources than any competitor, enabling the most comprehensive monitoring of healthcare delivery and performance.
- Proven Innovation. Our intelligent monitoring consistently helps partners achieve significant improvements in both quality metrics and shared savings, identifying opportunities others miss.
Sentinel
Early Warning System for Healthcare Utilization
Sentinel connects to live healthcare data feeds to detect and prevent unnecessary services before they become costly trends.
- Real-time monitoring through EDI claims, BCDA API, and ADT feeds to catch emerging patterns
- Advanced analytics engine that identifies unusual utilization patterns and potential areas of concern
- Actionable alerts with intervention recommendations and projected impact analysis
- Continuous tracking of intervention effectiveness and ROI measurement
Accepted Data Sources:
- X12 837
- BCDA API
- CCLF
- ADT
Pulse
Medicare Performance Analytics & Benchmarking
Pulse combines nationwide Medicare Fee-for-Service data with proprietary benchmarking to deliver unmatched program insights.
- Detailed MSSP and ACO REACH performance metrics with drill-down capabilities
- Transparent benchmarking methodology that shows exactly how you compare to peers
- Root cause analysis connecting utilization patterns to performance outcomes
- Forward-looking projections based on current trends and historical patterns
Scope
AI-Powered Provider-level Performance Analysis
Understand your provider network like never before with our AI analyst. Scope analyzes multidimensional provider data to deliver comprehensive performance insights and actionable recommendations.
- AI-driven analysis of provider performance across multiple quality and efficiency metrics
- Identification of high-performing providers and successful care protocols
- Network optimization insights to guide recruitment and retention strategies
By choosing Falcon Health, you're not just getting a service—you're gaining a partner committed to transforming healthcare utilization for the better.
Our offices
- Palo Alto, CA
Corporate HQ - Atlanta, GA
Technology Branch