Pelica

Pelica Health is an AI operating system for value based care organizations. It ingests claims, electronic health record, pharmacy, lab and other data streams into a single canonical record for each patient, then runs a set of AI copilots over that record to generate recommendations with cited evidence. Those recommendations are delivered where the work happens: by voice, as overlays in the EMR, in provider portals and in coder workspaces. The platform is built for health plans (Medicare Advantage, dual eligible special needs plans and regional Blues), independent physician associations and management services organizations that hold delegated risk, accountable care organizations in MSSP and REACH programs and clinically integrated networks, and risk bearing medical groups. Six copilots cover the core value based care workflows: risk adjustment with real time HCC capture built to withstand RADV audits, quality and Stars gap closure unified across payers, pharmacy and Part D adherence on weighted measures, provider network agendas generated automatically for practice meetings, care management driven by admission, discharge and transfer feeds, and an AI data analyst that answers natural language questions against the canonical data. Pelica does not publish pricing. Engagements are scoped through a demo request, and the vendor positions the product as an enterprise deployment rather than a self serve subscription.