Pega Healthcare AI

Pega Healthcare AI

Healthcare Operations & Administration

About Pega Healthcare AI

Pega (Pegasystems Inc.) delivers an enterprise workflow automation and AI platform designed to reimagine, run, and evolve mission-critical processes for healthcare and life sciences organizations. Since 1983, Pega has helped the world's largest organizations transform their operations with a platform that combines AI, low-code development, and proven architecture to keep operations governed, scalable, and continuously adaptable. In healthcare, Pega serves multiple segments including payers, providers, life sciences companies, pharmacy benefit managers, and government healthcare agencies. For payers, Pega improves member loyalty and reduces costs by delivering simplified, personalized experiences while breaking down operational barriers. Healthcare providers use Pega to engage patients by connecting disparate systems, simplifying access to care, and improving clinical and operational outcomes. Life sciences organizations leverage Pega to speed up and digitize clinical trials and R&D through automation while personalizing patient experiences. The Pega Platform orchestrates work across people and systems, enabling end-to-end workflow automation, AI-powered decisioning, and real-time optimization. The platform features agentic AI capabilities including design agents, conversation agents, automation agents, knowledge agents, and coach agents that work within governed frameworks. Pega's approach emphasizes business architecture, case management, enterprise scale, real-time AI, and software reuse to deliver measurable business outcomes. Notable healthcare customers include Anthem (now Elevance Health), which used Pega to deliver more personalized, frictionless customer service while lowering operational costs.

Mission & Story

Mission

Pega delivers the platform to reimagine, run, and evolve the processes and decisions an enterprise can't afford to get wrong.

Who It Serves

PayersProvidersLife SciencesPharmacy Benefit ManagersGovernment HealthcareHealth Systems

Milestones & Awards

Recent Milestones

Latest release: Pega Infinity '25; PegaWorld 2026 conference; PEGAInnovate 2026 event

Awards & Recognition

Gartner Reports for Business Orchestration and Automation, Sales Force Automation; Forrester Reports for Real-time Decisions and AI, Total Economic Impact study

Social & Media

Latest Updates

Company Details

Founded
1983

Work here?

Claim this listing to update company information and connect with our audience.

Claim This Listing
Last updated Jul 1, 2026

Similar Companies in this Market

View all 70
AdvancedMD

AdvancedMD

AdvancedMD provides cloud-based practice management, EHR, and patient engagement software for healthcare practices. The company offers an integrated suite of applications including billing, scheduling, telehealth, and revenue cycle management services for independent practices, large groups, and medical billing companies.

Aidin

Aidin

Aidin provides a digital referral management and care coordination platform for hospitals, healthcare systems, and post-acute care providers. The platform streamlines discharge planning, prior authorization, and patient transitions to reduce length of stay, lower readmissions, and improve operational efficiency.

AKASA

AKASA

AKASA provides generative AI solutions for healthcare revenue cycle management, helping health systems reduce denials, improve margins, and increase revenue through AI-powered coding optimization, clinical documentation improvement, and automated administrative workflows.

Anterior

Anterior

Anterior provides enterprise-grade AI solutions for health plans, specializing in prior authorization automation. The company delivers clinically accurate, transparent AI that integrates directly into existing workflows to reduce administrative burden and accelerate approvals.

Apella

Apella

Apella uses ambient AI and computer vision linked to the EHR to optimize operating room performance. The platform provides real-time visibility, predictive analytics, and automated documentation to help surgical teams serve more patients, reduce delays, and improve OR efficiency.

Apixio

Apixio

Apixio provides AI-powered healthcare data analytics and risk adjustment solutions for health plans and providers. The company specializes in extracting clinical insights from unstructured medical records to improve quality reporting and payment accuracy.

Aspirion

Aspirion

Aspirion helps hospitals unlock high-value revenue from denied and complex claims through AI-powered revenue cycle management. Armed with US-based attorneys, clinicians, and AI engineers, they deploy cutting-edge automation to convert RCM challenges into opportunities.

AssistIQ

AssistIQ

AssistIQ uses AI-powered computer vision to automatically capture surgical supplies and implants in real-time, eliminating manual documentation and improving charge capture accuracy for health systems.

Data Accuracy Notice: Company information on HealthAI Central is compiled from public sources and updated regularly. While we strive for accuracy, details such as funding figures, employee counts, and product offerings may change. We recommend verifying critical information directly with the company before making business decisions.