About Medecision
Medecision is a healthcare technology company that delivers population health management and analytics solutions purpose-built for health plans and healthcare providers. The company's Unified Data Platform serves as the foundation for harmonizing fragmented healthcare data into actionable intelligence, enabling event-driven workflows and timely automated interventions that improve efficiency and outcomes at scale. Medecision serves over 43 million lives across commercial health plans, government health plans (including Medicare Advantage and Medicaid), third-party administrators, and provider organizations. The company's platform integrates comprehensive care management, utilization management, quality management, risk management, provider enablement, and patient engagement solutions. Medecision was recognized as #1 by Black Book Research in 2026 for Care Management, LTSS (Long-Term Services and Supports), and Complex Care Coordination. The platform is HITRUST certified and HIPAA compliant. Medecision recently introduced AgentFoundry, a healthcare-native agentic AI platform that delivers intelligent, adaptive interactions and autonomous agents to optimize medical cost performance and reduce administrative burden. The company's solutions help organizations achieve measurable outcomes including 10% reductions in ER utilization, 20% improvements in gaps in care, and 20% efficiencies in administrative costs. Medecision's technology stack includes AI-powered policy management, automated decision rules, HEDIS measures engines, HCC risk models, and SMART on FHIR APIs for EMR connectivity.
Clinical Focus
Medical conditions and clinical areas addressed by Medecision.
Who It Serves
Milestones & Awards
Recent Milestones
Launched AgentFoundry agentic AI platform. Achieved #1 ranking by Black Book Research 2026 for Care Management, LTSS, and Complex Care Coordination. Platform now serves over 43 million lives. Modernized and unified the Aerial platform under the Medecision brand.
Awards & Recognition
#1 ranking by Black Book Research 2026 for Care Management, LTSS (Long-Term Services and Supports), and Complex Care Coordination
Key Partnerships
Company Details
Work here?
Claim this listing to update company information and connect with our audience.
Claim This ListingSecurity & Compliance
Official Sources
Similar Companies in this Market
View all 56 →
16 Bit Inc
AI-driven opportunistic screening platform to improve population bone health and healthcare quality.
1m
1m empowers healthcare leaders to make confident, risk-aware decisions using continuously updated, quantified risk intelligence.
AgileMD
AgileMD provides AI-powered clinical decision support tools including eCART, an FDA-cleared early warning system for clinical deterioration, and integrated clinical pathways that embed evidence-based protocols directly into EHR workflows for hospitals and health systems.
Algorex Health
N1 Health (formerly Algorex Health) is an applied AI platform that predicts the right individuals to engage with the right interventions to drive better health outcomes. The platform combines data, models, and technology to generate member-level predictions for healthcare organizations.
Arbital Health
Arbital Health provides the first AI-powered platform built for value-based care by industry-leading healthcare actuaries. The company helps providers, payers, and VBC enablers proactively manage risk contracts through actuarial-grade analytics and conversational AI.
Arcadia.io
acquired · 360 employees
Arcadia is a healthcare data analytics platform trusted by top payers and providers to deliver insights where they matter most.
Azara Healthcare
Azara Healthcare provides population health management solutions for safety-net providers, community health centers, and physician practices. The company's flagship platform, Azara DRVS, aggregates clinical, claims, and social determinants data to enable quality reporting, care coordination, and value-based care performance.
Carrot Health
Carrot Health provides AI-powered consumer health intelligence and predictive analytics for healthcare organizations. The company helps payers, providers, and life sciences companies identify, engage, and serve patients more effectively through data-driven insights.
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.