Delty

Delty is a healthcare AI platform built around Pelica, an AI workforce designed for Medicare Advantage (MA) health plans. The platform addresses the operational gaps that plans face across risk adjustment, Stars quality measures, and provider care coordination — areas where manual processes traditionally create bottlenecks, compliance risk, and missed revenue opportunities.

The platform's core capability is an AI workforce that closes quality gaps, lifts adherence scores, coordinates provider networks, and manages care workflows. According to Delty's product documentation, the platform reduces avoidable utilization while requiring less manual coordination behind every clinical and administrative step. This positions Delty as an operational automation layer rather than a passive analytics dashboard, targeting the hands-on coordination work that consumes plan resources.

A distinctive feature is the EMR overlay, which integrates directly into existing electronic medical record systems. Providers receive credit for care already delivered — addressing a persistent industry pain point where documented clinical care fails to translate into risk adjustment credit due to workflow friction and documentation gaps. The overlay approach means clinical teams do not need to switch contexts or learn separate systems, which the vendor highlights as a key adoption advantage.

The platform also includes an AI Data Analyst that delivers plain-English answers drawn from the canonical patient record. This natural-language interface lowers the barrier for clinical and administrative staff who need quick, accurate answers without writing structured queries or navigating complex reporting modules. An export route to a coder queue further streamlines the risk adjustment submission pipeline, connecting clinical documentation review directly to coding workflows.

Delty's available customer evidence includes adoption by a regional MA plan with 240,000 members, where the Director of Risk Adjustment relies on the platform. A Stars Program Manager at a top-10 national MA plan is also cited as a user, suggesting the platform scales from regional to national plan operations. These testimonials indicate traction in both the risk adjustment and quality program domains that define MA plan performance.

The platform's singular focus on Medicare Advantage means its feature set is purpose-built for HCC coding, HEDIS and Stars quality measures, and the specific regulatory workflows that MA plans navigate. While Delty operates in a specialized healthcare vertical, its AI workforce approach shares conceptual ground with broader AI Code Assistant tools in automating knowledge-worker tasks. For teams evaluating AI-powered workflow automation, tools like Claude Buddy and OpenClaw AI represent different approaches to AI-assisted productivity, though without Delty's deep healthcare regulatory alignment.