# delty.ai

> AI-optimized mirror of delty.ai containing 50 pages totalling 75,287 words of clean markdown content, structured data, and semantic HTML. Original source: https://delty.ai. Last updated: 2026-08-04T08:57:04.475Z.

Each page is available as HTML (with JSON-LD structured data) and Markdown (text-only, ideal for LLMs and RAG).

## Homepage

- [Pelica Health · The AI workforce for value-based care](/content/site-root.html): Pelica's AI workforce helps value-based care teams close quality gaps, lift adherence, coordinate providers, and cut avoidable utilization with less busywork. (697 words)

## Articles & Blog Posts

- [pelica-com/glossary/index.html](/content/pelica-com/glossary/index.html) (3,856 words)
- [Medicare Annual Wellness Visit Requirements | Pelica Health](/content/pelica-com/blog/medicare-annual-wellness-visit-requirements/index.html): The Medicare Annual Wellness Visit is a yearly preventive visit, not a physical. The 11 CMS-required components, G0438 vs G0439, eligibility, denials, and risk-adjustment value. (1,963 words)
- [2026 Star Ratings Cut Points Explained | Pelica Health](/content/pelica-com/blog/2026-star-ratings-cut-points/index.html): How CMS sets 2026 Medicare Star Ratings cut points: clustering on the field, Tukey outlier deletion, the 5 percentage point guardrail, and why plans manage to a margin. (1,663 words)
- [Annual Wellness Visit vs Annual Physical | Pelica Health](/content/pelica-com/blog/annual-wellness-visit-vs-annual-physical/index.html): A Medicare annual wellness visit and a routine annual physical are different visits. Medicare covers the AWV in full and does not cover a routine physical. (1,754 words)
- [Cut Points (Star Ratings), Explained | Pelica Health](/content/pelica-com/glossary/cut-points/index.html): Cut points are the numeric thresholds CMS sets each year, via clustering after Tukey outlier deletion and guardrails, that determine how many stars a measure earns. They are set retrospectively and move every year. (1,056 words)
- [Tukey Outlier Deletion in Star Ratings, Explained | Pelica Health](/content/pelica-com/glossary/tukey/index.html): Tukey outlier deletion is the CMS method that removes statistical outliers before clustering when setting Star Ratings cut points. It stabilizes and generally raises cut points, making 4+ stars harder. (1,166 words)
- [RAF: Risk Adjustment Factor, Explained | Pelica Health](/content/pelica-com/glossary/raf/index.html): RAF (Risk Adjustment Factor) is the per-member score CMS uses to predict an MA enrollee's expected cost. A higher RAF means higher monthly payment per member. (1,191 words)
- [HEDIS Measures MY 2026 Changes | Pelica Health](/content/pelica-com/blog/hedis-measures-2026/index.html): HEDIS MY 2026 changes: NCQA added 7 measures, retired 2, moved 4 to ECDS reporting, and updated the format to align with the FHIR standard. What quality teams need to know. (1,432 words)
- [ECDS: Clinical Data Systems, Explained | Pelica Health](/content/pelica-com/glossary/ecds/index.html): ECDS is NCQA's reporting standard for HEDIS measures using continuous electronic data from claims, EHRs, and HIEs instead of chart-abstraction sampling. (1,044 words)
- [Annual Wellness Visit Checklist (Printable) | Pelica Health](/content/pelica-com/resources/annual-wellness-visit-checklist/index.html): A free, printable Medicare Annual Wellness Visit checklist covering every CMS-required component for G0438 and G0439. Print it or save it as a PDF. (891 words)
- [How Pelica Measures Its Outcomes | Pelica Health](/content/pelica-com/methodology/index.html): How Pelica Health measures every outcome number it publishes: patients managed, hours saved, adherence, RAF lift, and gap closure, with honest caveats. (1,220 words)
- [2026 Star Ratings Cut Points Cheat Sheet | Pelica Health](/content/pelica-com/resources/2026-star-ratings-cut-points-cheat-sheet/index.html): A free, printable cheat sheet on how CMS sets 2026 Medicare Star Ratings cut points, with Tukey outlier deletion, the 5-point guardrail, and a planning worksheet. (812 words)
- [Building a RADV-Defensible HCC Program | Pelica](/content/pelica-com/guides/radv-defensible-hcc/index.html): The 2023 RADV rule made findings extrapolated and removed the FFS adjuster. Seven design choices that turn an HCC capture program into one that survives audit. (1,373 words)
- [The ECDS Transition: Retiring Hybrid HEDIS | Pelica](/content/pelica-com/guides/ecds-transition/index.html): NCQA retires hybrid HEDIS by 2029 for ECDS-only measures. Supplemental data volumes rise 35x to 75x per measure. How to prepare your data stack now. (1,262 words)
- [PDC: Proportion of Days Covered, Explained | Pelica Health](/content/pelica-com/glossary/pdc/index.html): PDC is the fraction of days a member had medication on hand. At 80% or higher, they count as adherent on triple-weighted Part D measures. (1,191 words)
- [CMS-HCC V28 Readiness: 90-Day Playbook | Pelica Health](/content/pelica-com/guides/v28-readiness/index.html): CMS V28 cuts average MA risk scores ~3% as the phase-in completes in 2026. A 90-day playbook for risk teams: audit, operationalize, and defend. (1,358 words)
- [AI for Provider Network Teams | Pelica Health](/content/pelica-com/provider-network/index.html): The AI workforce for provider network teams. Arm every rep with an auto-built practice agenda before the visit. Visit prep drops from 90 minutes to 15, NPS 80+. (1,329 words)
- [HealthCare Partners × Pelica — Customer Story](/content/pelica-com/customers/healthcare-partners/index.html): How HealthCare Partners, one of the Northeast's largest IPAs, put its quality, pharmacy, nursing, and risk teams on one system and went live in two weeks. Their story, in their words. (951 words)
- [Careers at Pelica Health | Engineering jobs in healthcare AI](/content/pelica-com/careers/index.html): Full-stack and ML engineering roles at Pelica Health. Build AI copilots for value-based care with ex-Google AI leaders at a YC-backed startup. (756 words)
- [Lalit Kundu, Co-Founder & CTO | Pelica Health](/content/pelica-com/team/lalit-kundu/index.html): Lalit Kundu is co-founder and CTO of Pelica Health, previously a Staff Engineer and Engineering Manager at Google and YouTube. (467 words)
- [Catherine Zhao, Co-Founder & CEO | Pelica Health](/content/pelica-com/team/catherine-zhao/index.html): Catherine Zhao is co-founder and CEO of Pelica Health, previously at Google AI and a clinical AI researcher at Stanford. (441 words)
- [PDC Math: 5 Points from 4-Star to 2-Star | Pelica](/content/pelica-com/guides/pdc-math/index.html): The three triple-weighted Part D measures (diabetes, RAS, statins) move Stars more than any lever. The math, the cliff effect, and what actually shifts PDC. (1,282 words)
- [Care Management & Transitions of Care AI | Pelica](/content/pelica-com/care-management/index.html): The AI workforce for care management and transitions of care. ADT-driven TOC worklists and 5-day follow-up tracked to close, to reduce avoidable readmissions. (1,457 words)
- [Anatomy of an AI HCC Gap Closure | Pelica Health](/content/pelica-com/blog/anatomy-of-ai-hcc-gap-closure/index.html): A step-by-step anatomy of how an autonomous AI agent captures a Hierarchical Condition Category: surface the suspect, validate MEAT, apply V28 trumping, route, and track to RADV-defensible submission. (1,753 words, Jun 18, 2026)
- [Best Care Management Software for 2026 | Pelica Health](/content/pelica-com/blog/best-care-management-software/index.html): Compare care management and transitions-of-care software for risk-bearing IPAs and ACOs in 2026. ADT-driven, real-time, closes the loop instead of just documenting. (2,117 words, Jun 18, 2026)
- [Best Part D Adherence Software for 2026 | Pelica Health](/content/pelica-com/blog/best-part-d-adherence-software/index.html): Compare the best medication adherence and PDC software for Medicare Part D Stars in 2026. What to look for, and whether a tool only reports PDC or closes the gap. (2,393 words, Jun 18, 2026)
- [Best Provider Network Management Software 2026 | Pelica](/content/pelica-com/blog/best-provider-network-management-software/index.html): Compare the best provider network management, engagement, and relations software in 2026. See how roster and credentialing tools differ from an EMR-overlay layer that preps field reps with a live visit agenda and closes the loop. (2,648 words, Jun 18, 2026)
- [Best Value-Based Care Software in 2026 | Pelica Health](/content/pelica-com/blog/best-value-based-care-software/index.html): Compare the top value-based care platforms in 2026, from Innovaccer to Navina to Pelica, and learn how to choose between an analytics platform and an AI execution layer. (2,512 words, Jun 18, 2026)
- [How to Improve Part D Adherence and Raise PDC | Pelica](/content/pelica-com/blog/improve-part-d-adherence/index.html): An operational guide to lifting PDC on the three triple-weighted Part D adherence measures before the Star Ratings cut points: who to call, when, and what an AI execution layer does. (2,024 words, Jun 18, 2026)
- [Best HEDIS and Stars Software 2026 | Pelica Health](/content/pelica-com/blog/best-hedis-stars-software/index.html): The best HEDIS and Stars software in 2026 is judged on ECDS readiness and whether it closes gaps or only reports them. A fair, cited vendor comparison. (1,889 words, Jun 4, 2026)
- [Innovaccer Alternatives for VBC Teams | Pelica Health](/content/pelica-com/blog/innovaccer-alternatives/index.html): Comparing Innovaccer alternatives in 2026? Most are still analytics platforms. The real fork is analytics vs an execution layer. A fair vendor comparison. (1,965 words, Jun 4, 2026)
- [Navina vs Reveleer: Risk Adjustment 2026 | Pelica Health](/content/pelica-com/blog/navina-vs-reveleer/index.html): Navina vs Reveleer in 2026: Navina is prospective, point-of-care condition detection; Reveleer is retrospective chart review and RADV prep. Which you need. (1,502 words, Jun 4, 2026)
- [2027 Medicare Star Ratings Changes to Plan For | Pelica](/content/pelica-com/blog/2027-medicare-star-ratings-changes/index.html): The 2027 Medicare Star Ratings changes to plan for: Tukey, guardrail removal, the equity-reward reversal, cut-point volatility, and measure weighting shifts. (1,819 words, May 27, 2026)
- [AI Agents vs Analytics Dashboards in VBC | Pelica](/content/pelica-com/blog/ai-agents-vs-analytics-dashboards/index.html): A dashboard tells you what to do. An AI agent does it. Why value-based care leaders should stop buying analytics and start buying execution. (1,551 words, May 27, 2026)
- [AI for HEDIS Gap Closure: Close Care Gaps Faster | Pelica](/content/pelica-com/blog/ai-hedis-gap-closure/index.html): How AI closes HEDIS care gaps faster: prioritize gaps across data sources, route to the right coordinator, run multi-channel outreach, and document the close. (1,704 words, May 27, 2026)
- [What an AI Agent Does to Close a Care Gap | Pelica Health](/content/pelica-com/blog/anatomy-of-ai-care-gap-closure/index.html): A step-by-step anatomy of how an AI agent closes a care gap: pull context, prioritize, decide, call, follow up, escalate only when needed, and document. (1,637 words, May 27, 2026)
- [Best Risk Adjustment Software for IPAs & ACOs | Pelica](/content/pelica-com/blog/best-risk-adjustment-software/index.html): A 2026 buyer's guide to the best risk adjustment software for IPAs and ACOs: what to look for, a fair vendor comparison, and how to evaluate RADV defensibility. (1,715 words, May 27, 2026)
- [The Real Cost of Vendor Portal Sprawl in VBC | Pelica Health](/content/pelica-com/blog/cost-of-vendor-portal-sprawl/index.html): Running value-based care on 8 to 15 vendor portals costs more than the licenses. Duplicate outreach, a BI bottleneck, and retrospective catch-up are the bill. (1,550 words, May 27, 2026)
- [How to Improve Your RAF Score Under V28 | Pelica Health](/content/pelica-com/blog/improve-raf-score-v28/index.html): How to improve your RAF score under V28 without adding coders. The real levers: accurate suspecting, pre-claim flagging, and correct trumping. (1,221 words, May 27, 2026)
- [Is Healthcare AI HIPAA Compliant? SOC 2 Explained | Pelica](/content/pelica-com/blog/is-healthcare-ai-hipaa-compliant/index.html): Yes, healthcare AI can be HIPAA compliant with a BAA, minimum-necessary access controls, SOC 2 Type II, and full audit trails. What each control actually means. (1,098 words, May 27, 2026)
- [Member Outreach Automation: Multi-Channel | Pelica Health](/content/pelica-com/blog/member-outreach-automation/index.html): Member outreach automation across email, voice AI, and SMS, run from one queue so no member gets three calls. What works, what is HIPAA and TCPA compliant. (1,550 words, May 27, 2026)
- [Triple-Weighted Part D Adherence Measures | Pelica Health](/content/pelica-com/blog/part-d-adherence-measures-explained/index.html): Triple-weighted Part D adherence measures explained: diabetes, hypertension, and statin PDC, the 80% threshold, and the 2026 weighting change. (1,297 words, May 27, 2026)
- [Prospective vs Retrospective Risk Adjustment | Pelica](/content/pelica-com/blog/prospective-vs-retrospective-risk-adjustment/index.html): Prospective vs. retrospective risk adjustment: how they differ on timing, data, and risk, and why running both on one record beats two vendors. (1,806 words, May 27, 2026)
- [Provider Rep Practice Visit Prep with AI | Pelica Health](/content/pelica-com/blog/provider-rep-practice-visit-prep/index.html): What a provider network rep walks into a practice with when AI handles the prep. From a 90-minute scramble to a 15-minute agenda with every gap and ADT event. (1,805 words, May 27, 2026)
- [Replace BI Tickets With AI Questions | Pelica](/content/pelica-com/blog/replace-bi-ticket-queue-ai/index.html): Why the BI team is a 3-week bottleneck, and how natural-language analytics with provenance changes the shape of the work without replacing BI. (1,776 words, May 27, 2026)
- [Transitions of Care: ADT Feed Automation | Pelica Health](/content/pelica-com/blog/transitions-of-care-adt-automation/index.html): Turn real-time ADT feeds into a worklist and post-discharge outreach inside the CMS TCM window: 2-day contact, follow-up within 5 days, fewer readmissions. (1,543 words, May 27, 2026)
- [Value-Based Care Software: 2026 Buyer's Guide | Pelica](/content/pelica-com/blog/value-based-care-software-buyers-guide/index.html): A buyer's guide to value-based care software in 2026. How to choose between analytics platforms and AI execution layers, plus a fair vendor comparison. (2,084 words, May 27, 2026)
- [Why We Started Pelica Health | Pelica Health Blog](/content/pelica-com/blog/why-we-started-pelica/index.html): A founder letter from Catherine Zhao and Lalit Kundu on why we left Google to build the operating system for value-based care. (1,274 words, Apr 15, 2026)

## About Pages

- [About Pelica Health | Building the VBC Operating System](/content/pelica-com/about/index.html): Pelica Health builds the AI operating system for value-based care, founded by former Google AI leaders Catherine Zhao and Lalit Kundu. Y Combinator-backed. (442 words)

## Resources

- [Full Page Index](/index.html): Browse all cached pages with rich metadata
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- [Robots.txt](/robots.txt): Crawler directives