Spring 2025

Pelica

AI agents for risk-bearing healthcare organizations

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What they do

agents for health plans on one live member record

How close to us

3, close

member record plus agents that carry work through; closest to a full loop but healthcare only, learning not shown

Wedges

  • No wedge fit written yet.
L1 Company brain (knows the organisation) 2, clear
L2 Agent team (runs agents, tools, approvals) 2, clear
L3 Does and learns (finishes, checks, measures, updates the brain) 1, light

Who buys

Firm size
not known
Buyer type
business
Role
quality and care management heads at health plans
UK
not known
Their own description (from YC)

Pelica helps risk-bearing healthcare organizations improve quality performance, close care gaps, and lower administrative cost using specialized AI agents. Built for health plans, IPAs, MSOs, ACOs, and risk-bearing medical groups, Pelica unifies claims, EHR, pharmacy, lab, and ADT data into one live member record, then gives quality, risk adjustment, pharmacy, provider network, and care management teams agents that carry work through to completion. Pelica currently serves more than 350,000 members.

Full teardown

No full teardown yet. On the deep list.

Technical detail
Slug
pelica
Lens hash
179096c479
Pass
screen
Stale
no