The Connective Tissue of Healthcare Operations.
Company Overview · 2026
The problem
What Falcon is
Falcon starts by connecting your data and ours into a single platform, then evolves into the autonomous intelligence layer running your healthcare operations.
Ask questions in plain language. Get answers in minutes, not weeks. Beautiful reports ready for leadership.
Save your best queries as reusable Skills, schedule recurring analyses, and let Topic Radar auto-group your team's chats, tickets, and reports — surfacing blockers and todos in one place.
The intelligence layer that just runs. Insights surface before you ask. Your operations stay ahead, automatically.
Our platform in action
We're applying the Falcon Engine to healthcare one domain at a time. These are the areas where we're demonstrating our expertise — with more to come:
Map the competitive landscape across providers, ACOs, SNFs, FQHCs, RHCs, HHAs, and Hospices nationwide. Run custom SAS and SQL queries, benchmark with actuary-grade methodology.
Population health research and FWA investigation. Member cohorts, HCC trajectories, and CMS-compliant referral packages — with AI-drafted overpayment letters.
Auto-ingest CMS communications, surface payment discrepancies, and use raInference for HCC documentation-gap analysis to prioritize RADV audit prep.
Member alignment and quality measure calculation, tied back to the underlying claims. Connects Monthly Expenditure, Benchmark, and Quarterly Alignment Reports into one story.
Map the competitive landscape across providers, ACOs, and six facility types — SNF, FQHC, RHC, HHA, Hospice, and ACO landscapes nationwide.
Two connected workflows — analyze member cohorts and care gaps, or follow a suspicious provider through claims networks to a CMS-compliant referral package.
Medicare Advantage Prescription Drug financial intelligence, risk adjustment, and CMS compliance — built by the team that ran MAO-004 reporting at CMS.
Member alignment, quality measure calculation, and provider relationship management — with the esoteric CMS reports connected into one story.
Why work with Falcon
What used to take your team days or weeks of manual analysis now takes hours. Falcon handles the heavy lifting — researching, cross-referencing, and synthesizing data — so your experts can focus on decisions, not data wrangling.
Generic AI tools don't understand Medicare policies, CMS data formats, or healthcare operations. Falcon does — built by a team that's worked at CMS, built healthcare companies, and holds PhDs in AI. It shows you exactly which tools and data sources it used, so you can trust and verify every insight.
Stop spending hours formatting spreadsheets for executives. Falcon delivers beautiful, presentation-ready analytics that stakeholders and business leaders can immediately understand and act on.
Don't wait for problems to become crises. Our AI continuously monitors your data, detects anomalies early, and alerts you to patterns that need attention — utilization shifts, billing irregularities, or performance changes.
Where we are today
Fast-growing, with customers shaping the roadmap alongside us.
Leadership
Serial healthcare entrepreneur. Founded Orma Health (acquired by Astrana Health) and served as President of Provider Solutions at Astrana. MBA from UVA Darden, Biomedical Engineering from Johns Hopkins.
AI/ML expert with PhD from UT Austin. Founded and successfully exited Accordion Health (acquired by Evolent) and Orma Health (acquired by Astrana). Combines advanced AI with deep healthcare domain knowledge.
Former CMS technical lead for MAO-004 reporting (7+ years). DrPH from Johns Hopkins Bloomberg School. Expert in Medicare Advantage risk adjustment and encounter data operations.
Data scientist with clinical AI experience spanning Boston Children's Hospital, Harvard Medical School, and Mayo Clinic. Previously led AI for prior-authorization automation at Ethermed.
See it in action
Ask a question in plain language, get a market analysis backed by Medicare-grade claims and reproducible SAS and SQL — formatted for leadership.
