
Rigorously designed, continuously refreshed evidence at the highest standard.
An observational evidence platform built on standing cohorts, interactive therapeutic-area atlases and validated causal-inference software with AI strategically and responsibly deployed to accelerate evidence generation without compromising scientific rigor.

Rigorously designed, continuously refreshed evidence at the highest standard.
An observational evidence platform built on standing cohorts, interactive therapeutic-area atlases and validated causal-inference software with AI strategically and responsibly deployed to accelerate evidence generation without compromising scientific rigor.
Technology
We develop validated software and workflows that operationalize advanced methods at scale. Our technology enables researchers to implement complex epidemiologic studies including target trial emulation, doubly-robust estimation approaches, negative control outcome studies, clone-censor-weighted estimators – addressing common challenges in address in healthcare data, including confounding, missing data, measurement error, and loss to follow-up. We create tools and workflows to support staged and gated analyses with clean room governance that de-risk comparative studies. These approaches enable full transparency, reproducibility, audit-readiness, and the kind of analytic transparency regulatory and HTA reviewers increasingly expect. The tools are designed to work across data sources and computational environments.
Evidence Partnerships
Our scientists work shoulder-to-shoulder with our partners to develop evidence to support critical decision making. We operate as a strategic evidence partner – identifying key evidence needs, formulating clear research questions, assessing data needs, and then formulating appropriate designs and analytical approaches. Analytical tools are configured into pipelines to allow research to be done in a transparent, rigorous and repeatable manner. The results are deployed to an elegant interactive reporting platform. Study designs and analyses, methods, address challenges in healthcare data, including confounding, missing data, measurement error, and loss to follow-up. including target trial emulation, clone-censor-weight approaches, negative control outcome studies, fusion designs and estimators, propensity score diagnostics, and the staging and clean room framework for transparency and bias protection in comparative analyses. Recent work has been published in American Journal of Epidemiology, Pharmacoepidemiology and Drug Safety, Biometrika, and Clinical Pharmacology & Therapeutics, among others.
Advisory Services
Our scientists work with sponsors, academic partners, and research organizations on study design, analytic strategy, regulatory submission preparation, and methodological review of observational research — across the full range of decisions where methodological complexity affects whether evidence will hold up to scrutiny.

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Pedestal Health projects leverage Headwater Science methods, technology and causal inference expertise where the analytical complexity is highest, comparative effectiveness studies that require dynamic treatment design, regulatory-grade external control work, methodological consultation on submission packages, and the kinds of bias-protection frameworks that consequential evidence increasingly requires.
Pedestal Health projects leverage Headwater Science methods, technology and causal inference expertise where the analytical complexity is highest, comparative effectiveness studies that require dynamic treatment design, regulatory-grade external control work, methodological consultation on submission packages, and the kinds of bias-protection frameworks that consequential evidence increasingly requires.
