Helm
Manage population health
Give population health teams one current view of performance, care opportunities, and the operational work needed to improve outcomes.
For ACOs, health plans, and other risk-bearing organizations
Improve financial performance.Reduce operational costs.Stop chasing answers across disconnected systems.
Falcon helps your team manage MA data pipelines, answer urgent performance questions, and work overpayments with speed and depth. The same system helps you identify better provider partners, investigate FWA, and act on population opportunities that improve savings.
Falcon AIConnected
Healthcare leadership workspace
Ask the question that crosses every dashboard.
Continue the investigation
Ask across Helm, Sentinel, Pulse, and ScopeWhich MA submissions need intervention?
Where do we have recoverable overpayments?
Which billing patterns are putting savings at risk?
The problem
The work that determines financial performance is not one job.
Risk-bearing organizations need to keep the operation moving and find the next financial opportunity. Those jobs are linked, but the systems supporting them rarely are.
01
The operational work is relentless
MA data pipelines, overpayment work, and urgent performance questions compete for attention every day.
02
The answers arrive in pieces
Data, analysis, and the people responsible for acting on it are spread across systems, reports, and handoffs.
03
Savings opportunities stay hidden
FWA signals, provider opportunities, and population trends are harder to act on when they are disconnected from the operational picture.
The Falcon products
Start with the work in front of you.
Each product meets a specific operational or savings need. They share the same foundation, so the context from one workflow can inform the next.
Sentinel
Find preventable spend
Prioritize FWA and payment-integrity signals with the evidence to investigate and act quickly.
Pulse
Find the next move
See the provider, utilization, market, and network context behind population and growth decisions.
Scope
Run MA data operations
Bring MA enrollment, encounter, and risk-adjustment data into one traceable operating workflow—so teams can resolve issues before they become revenue problems.
How it works
One connected path from question to action.
Falcon connects your operational data, shared methods, and purpose-built healthcare analysis. The evidence and methodology stay visible as your team moves from an operational question to a savings decision.
01
Connect the operating picture
Bring MA data, financial and claims context, and the business definitions your team already trusts into one foundation.
02
Follow the question
Ask an urgent operational or savings question and trace it across the data, analysis, and supporting evidence.
03
Carry the answer into action
Turn validated work into investigations, reports, workflows, and reusable Skills instead of starting over next time.
Client data
CMS + public
Benchmarks
Falcon foundation
Context, methods, Skills, memory, and governed AI
Helm
Sentinel
Pulse
Scope
↺Feedback and validated work improve the foundation
Why teams choose Falcon
One connected system for the work that protects margin.
The underlying ingestion and transformation pipeline remains inspectable, versioned, and discussable with AI—not hidden behind a support ticket.
01
Connects administrative integrity and savings work
The same foundation supports MA data operations, overpayment recovery, payment integrity, FWA, and population performance—rather than creating another handoff between tools.
02
Keeps the evidence visible
Teams can inspect the data, pipeline, methodology, and decision trail behind an answer instead of acting on an opaque alert or waiting for a black-box report.
03
Makes expert work reusable
Turn validated work into a governed Skill, schedule it, and improve it over time—so the next investigation starts with more context and less coordination overhead.
Bring us the question your current systems cannot answer