falcon

Your AI Co-Analyst
for Healthcare.

The connective tissue of healthcare operations.

Company Overview · 2026

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falcon

The problem

Healthcare data analysis
is stuck in the past.

  • Weeks of manual analysis — every leadership question becomes a multi-day spreadsheet expedition across siloed systems.
  • Generic AI doesn't speak healthcare — Medicare policies, CMS data formats, HCC coding, and value-based care nuances are invisible to off-the-shelf tools.
  • Signals scattered across teams — chats, tickets, and reports never connect, so the patterns that move the needle stay hidden.
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What Falcon is

From co-analyst to intelligence layer.

Falcon starts as your co-analyst and evolves into the autonomous intelligence layer running your healthcare operations.

1

Your Co-Analyst

Ask questions in plain language. Get answers in minutes, not weeks. Beautiful reports ready for leadership.

2

Automated Intelligence

Save your best queries as reusable Skills, schedule recurring analyses, and let Topic Radar auto-group your team's chats, tickets, and reports.

3

Autonomous Intelligence

The intelligence layer that just runs. Insights surface before you ask. Your operations stay ahead, automatically.

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falcon

Where we're proving our approach

Three AI co-analysts.
One healthcare intelligence platform.

Market Intelligence
Pulse

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.

Claims Intelligence
Sentinel

Population health research and FWA investigation. Member cohorts, HCC trajectories, and CMS-compliant referral packages — with AI-drafted overpayment letters.

MAPD Financial
Scope

Auto-ingest CMS communications, surface payment discrepancies, and use raInference for HCC documentation-gap analysis to prioritize RADV audit prep.

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falcon
Pulse

AI co-analyst for healthcare market intelligence.

Map the competitive landscape across providers, ACOs, and six facility types — SNF, FQHC, RHC, HHA, Hospice, and ACO landscapes nationwide.

  • Custom SAS and SQL on proprietary claims — run your own queries against Medicare-grade data, no engineering bottleneck.
  • Actuary-grade benchmarking — full SAS and SQL scripts published for review and reproducibility.
  • Six facility types nationwide — SNF, FQHC, RHC, HHA, Hospice, and ACOs in one map.
  • Network & contract decisions — surface the moves that change unit economics.
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falcon
Sentinel

AI co-analyst for population health & FWA investigation.

Two connected workflows — analyze member cohorts and care gaps, or follow a suspicious provider through claims networks to a CMS-compliant referral package.

  • Cohort & HCC trajectory analysis — risk and care-gap signals across your population.
  • Provider-graph FWA workflow — claims networks, referral patterns, and complete CMS packages.
  • AI-drafted recovery letters — overpayment and documentation requests with certified-mail tracking.
  • LCD/NCD & OIG search — coverage policy and enforcement history at your fingertips.
  • Network-wide collective intelligence — signals aggregated across the Falcon customer base.
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falcon
Scope

AI co-analyst for MAPD financial intelligence.

Medicare Advantage Prescription Drug financial intelligence, risk adjustment, and CMS compliance — built by the team that ran MAO-004 reporting at CMS.

  • Auto-ingested CMS communications — every notice urgency-scored and routed before reconciliation windows close.
  • Payment & enrollment reconciliation — discrepancies and mismatches surfaced early.
  • raInference — statistical HCC documentation-gap analysis to prioritize RADV audit prep.
  • Transaction Monitor & EDPS — submissions tracked across the full risk adjustment lifecycle.
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falcon

Why work with Falcon

The analytics partner
we wished we had.

From weeks to hours

What used to take days or weeks of manual analysis now takes hours. Our AI co-analyst handles the heavy lifting so your experts focus on decisions, not data wrangling.

AI that speaks healthcare

Built by a team that's worked at CMS, founded healthcare companies, and holds PhDs in AI. Falcon shows you exactly which tools and data sources it used — so you can trust and verify every insight.

Reports for leadership

Stop spending hours formatting spreadsheets. Falcon delivers presentation-ready analytics that stakeholders and business leaders can immediately understand and act on.

Smart anomaly detection

Continuous monitoring catches utilization shifts, billing irregularities, and performance changes early — before they become crises.

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Where we are today

Customers send us customers.

2025
Founded
20+
ACOs served
Millions
Medicare member claims analyzed each week
MA Plans
Reconciling claims & CMS reports

Fast-growing, with customers shaping the roadmap alongside us.

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falcon

Leadership

Built by healthcare and
AI veterans.

Neil Ahuja
Founder & CEO

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.

Yubin Park, PhD
Co-Founder & CTO

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.

Dr. Prince Baawuah
Head of MA Solutions

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.

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See it in action

Pulse, in your browser.

Ask a question in plain language, get a market analysis backed by Medicare-grade claims and reproducible SAS and SQL — formatted for leadership.

  • Sentinel and Scope screenshots available on request
  • Live demo at your team's data, in 30 minutes
  • Public research briefs at falconhealth.ai/blog
Pulse — Market Intelligence
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falcon

Let's turn weeks into hours.

Web
falconhealth.ai
Email
sales@falconhealth.ai
Research
falconhealth.ai/blog
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