Percipio Health Solutions for Payers

Find risk earlier.
Lower costs faster.

Gain a real-time window into member health — enabling earlier intervention, broader engagement, and measurable reductions in avoidable costs that are compressing margins today.

Reach the members you're missing

Traditional outreach reaches 20–35% of targeted members. Percipio's smartphone-based model meets members where they already are — no new hardware, no behavior change, no access barrier. 

Intervene before the claim arrives

Percipio's AI health signals update weeks before claims data reveals deterioration — giving care teams time to act on rising-risk members while intervention is still low-cost.

Protect revenue and margins with defensible data

Real-time health signals support stronger HCC capture, automated HEDIS gap closure, and Star Rating improvement — with executive dashboards that give your CFO the numbers they need.

Scale care management

AI automates member outreach, risk stratification, care plan generation, and clinical documentation — enabling your team to manage a materially larger population with the same staff.

Percipio Health Platform

AI health monitoring and care management

Use Cases

Built for the
challenges health
plans face today

Chronic disease management at scale: CHF, COPD, hypertension, diabetes

Care management for your highest-acuity members

Rising-risk member identification — weeks or months before claims data reveals deterioration

Medicare Advantage Star Rating and HEDIS gap closure

HCC capture and RAF revenue protection

Featured Use Case

New Member Early Discovery

Smartphone-based assessments deliver complete risk profiles, clear tiers, and prioritized actions — no devices or clinic visits — and before claims and costs.

Impact

More reach, higher efficiency,
better results

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$10.4M

in total savings for every 10k members

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50%

decrease in time spent on HRAs and care plans

Asynchronous monitoring is among the most powerful tools for the future of healthcare, enabled by AI. This ability to make the patient’s phone a pivotal part of healthcare may provide powerful health insights, second only to genetics.

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Dr. Andrew R. Watson

Professor of Surgery, UPMC

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Payers and providers can now reach and understand a much broader population, of both rising and high risk, to ensure they receive the proactive attention, assessment and interventions they need, resulting in lower costs of care and more optimal outcomes.

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David Lucas

Co-Founder & Chief Strategy Officer, Percipio Health

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A significant need exists to deliver to the clinician the right information about the right patient at the right time. With Percipio, this need can be accomplished at scale, at lower cost, with higher fidelity, transparency, and visibility of the data.

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Dr. Cameron Powell, MD

Venture Partner, WAVE Ventures

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News & Perspectives

Revitalizing the journey to value-based care

3 min read

What the new FDA guidelines on clinical decision support and wellness tech mean for your digital health strategy

The FDA's newly released updated guidance for its clinical decision support and general wellness policies eases the pathway for healthcare organizations and payers who have been hesitating to innovate at the speed of AI. Here is what the 2026 guidance means for your digital health strategy.

2 min read

Strategic investment in Percipio Health aims to help improve access to high-quality, lower-cost healthcare for Blue Cross of Idaho’s members

Granite Financial Holdings, an affiliate of Blue Cross of Idaho, has made a strategic investment in Percipio Health to help advance the health insurance industry’s ability to impact rising and high risk members among broader populations, resulting in lower costs and more optimal outcomes.  

5 min read

How dual RPM + AI will power Rural Health Transformation in 2026

As CMS’s Rural Health Transformation funding rolls out in 2026, rural health leaders must adopt a dual RPM strategy that combines clinically robust device-based monitoring with scalable smartphone-based signals to achieve whole-population visibility. Powered by AI, this integrated approach turns RPM data into actionable risk stratification, automated care plans, and streamlined workflows to enable earlier intervention, lower costs, stronger outcomes, and sustainable rural care delivery.