About us - Our strength is collaboration
At Falcon Health, we're revolutionizing healthcare program integrity by combining industry-leading expertise with cutting-edge AI technology. Our mission is to transform how healthcare organizations handle payment accuracy, compliance, and fraud prevention.
Founded by a powerhouse team with experience from CMS, successful healthcare startups, and advanced AI research, we bring unmatched insight into the complexities of healthcare reimbursement systems. Our leadership includes former CMS technical leaders, serial entrepreneurs with multiple successful exits, and pioneers in healthcare AI applications.
What sets us apart is our comprehensive approach to program integrity. We don't just identify problems—we prevent them. Our sophisticated AI-powered platforms detect patterns that traditional analysis might miss, allowing for early intervention before issues escalate. From Fee-for-Service to Value-Based Care models, our solutions ensure that every dollar flows correctly through the healthcare ecosystem.
With deep expertise in Medicare Advantage operations, risk adjustment reconciliation, and claims processing, we speak the language of healthcare administration fluently. Our systems integrate seamlessly with existing workflows while providing the intelligence needed to stay ahead of emerging compliance challenges and payment discrepancies.
Our culture - A strategic partner dedicated to protecting your financial integrity and healthcare mission
When you work with Falcon Health, you gain more than a vendor—you gain a strategic partner committed to protecting your organization's financial integrity while advancing your mission of delivering quality healthcare.
- Partnership. We work closely with our clients to understand their unique challenges and develop tailored solutions that protect their financial interests while supporting their healthcare mission.
- Integrity. Our commitment to ethical practices and transparency builds lasting trust with our partners. We maintain the highest standards of compliance while delivering measurable results.
- Innovation. We continuously evolve our technology and approaches to stay ahead of emerging healthcare challenges and provide cutting-edge solutions for our partners' changing needs.
Leadership
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Our offices
- Palo Alto, CA
Corporate HQ - Atlanta, GA
Technology Branch