Mede Foundation creates a healthcare performance operating system by unifying AI, Mede Health Fabric™, Mede Core™, Mede Insights™, and Dynamic Reporting to help health plans discover opportunities, predict what’s next, prioritize action, and drive measurable performance across Commercial, Medicare Advantage, and Medicaid
RICHARDSON, Texas–(BUSINESS WIRE)–#RAFaccuracy–MedeAnalytics, the healthcare performance improvement company, today announced Mede Foundation™, a shared data, intelligence, AI, analytics, and workflow foundation designed to help health plans make better decisions earlier and turn those decisions into measurable action.
Mede Foundation acts as an operating system for healthcare performance, powering each of MedeAnalytics’ Performance solutions across Commercial, ACA, Medicare Advantage, Medicare, and Medicaid. It unifies fragmented healthcare data, applies cross-domain intelligence, and connects insights to the workflows, people, and tools that can improve financial, operational, quality, and care outcomes.
Mede Foundation incorporates MedeAnalytics’ newest innovations, including Avi™, its conversational and generative AI copilot; Detect 360™, an AI-powered insight engine designed to uncover emerging and undetected opportunities; and Dynamic Reporting, interactive, self-service reporting that enables users to create, customize, distribute, and explore professional reports across lines of business.
Together, these innovations provide a common operating foundation that enables health plans to expand into new use cases and lines of business without rebuilding or reimplementing systems, moving beyond retrospective analytics toward proactive decision intelligence.
“Health plans do not need more disconnected dashboards or isolated AI tools. They need to know what matters, what is likely to happen next, where action can create the greatest value, and whether that action worked,” said Steve Grieco, CEO of MedeAnalytics. “Mede Foundation brings trusted data, healthcare intelligence, AI, and workflow together and powers solutions aligned to how health plans actually run their businesses, so plans can move from insight to measurable performance improvement.”
A Common Foundation for Enterprise Decision Intelligence
Mede Foundation is designed to address a fundamental challenge facing health plans: material performance improvement cannot be achieved with fragmented data and disconnected systems, functions and lines of business.
Health plan performance depends on connected decisions across cost, utilization, quality, risk, provider performance, social risk, care management, growth, and reimbursement. Mede Foundation unifies the data and intelligence behind those decisions, then connects insights to workflow, automation, reporting, performance management, and human expertise so organizations can act on and measure the results.
Mede Foundation comprises:
- Mede Health Fabric™ – AI-native health data management platform. Health Fabric acquires data from virtually any healthcare source or format and integrates, normalizes, unifies, harmonizes, enriches, governs, and activates it. The platform includes interoperability, workflow activation, security, and governance required to transform healthcare data into trusted intelligence and action.
- Mede Core™ – integrated enterprise capabilities. Mede Core is the shared analytics, intelligence, and operating layer across membership and enrollment, utilization, benchmarks, cohorts, and social risk and brings it together with self-service reporting, scorecards, performance management and tracking, and dashboards.
- Mede Insights™ – cross-domain healthcare intelligence. Mede Insights is the domain intelligence layer. It organizes healthcare-specific data, context, analytics, and intelligence across the domains that determine performance, including Quality, Risk, Network, Care Management, Cost and Utilization, Value-Based Programs, Growth & Retention, Client Reporting, and Payment Integrity.
- Artificial Intelligence – embedded intelligence across the performance lifecycle. Together, Avi™, Detect 360™, and our predictive models help shift healthcare analytics from waiting for the right question to proactively discovering the questions, risks, and opportunities that matter.
- Dynamic Reporting – real-time interactive reporting. Dynamic Reporting provides a complete, integrated view of plan performance, enables self-service analytics, increases reporting speed and accuracy, and reduces the internal burden of manual static reports.
AI That Is More Intelligent and Less Artificial
AI is embedded throughout Mede Foundation rather than added as a standalone interface. It delivers secure, responsibly governed enterprise AI while ensuring customer data is not used to train underlying foundation models.
Detect 360™, MedeAnalytics’ explainable and predictive AI-powered insight engine, continuously analyzes data in Health Fabric to identify emerging and undetected cost, quality, and utilization patterns, including opportunities that traditional reports, predefined rules or hypothesis-driven analysis may never surface. It helps explain what is driving each finding, prioritizes opportunities according to expected value and impact, recommends interventions, and incorporates human validation before trusted opportunities move toward action.
Avi™, MedeAnalytics’ conversational and generative AI copilot, gives authorized users a natural-language way to interact with the intelligence across MedeAnalytics solutions. Users can investigate data, uncover and interpret insights, understand performance drivers, summarize information, create executive overviews, ask follow-up analytical questions, explore recommendations, and move more quickly from question to decision to action.
Insights that are Elegant and Engaging, Not Static and Cumbersome
Mede Foundation also includes Dynamic Reporting, giving users a modern, interactive way to create, customize, distribute, and explore reports.
Dynamic Reporting replaces rigid, static reporting with a no-code, self-service report-building experience. As part of Mede Foundation, users can create professional reports across all lines of business for employers, brokers or any audience using flexible layouts and reusable templates, add dynamic narratives and rich visualizations, and provide interactive online experiences through filtering, sorting, tool tips, drill paths, and report navigation.
The result is not simply a better presentation. Dynamic Reporting helps reduce manual reporting effort, shorten turnaround times, expand reporting capacity, increase self-service, and make enterprise intelligence easier to communicate and act upon.
One Foundation Powers Solutions Across Lines of Business
Mede Foundation powers MedeAnalytics’ solutions with shared enterprise and cross-domain intelligence, enabling each solution to address the distinct economics, populations, performance measures, and operational priorities of the health plan.
Employer Group Performance for Commercial businesses helps plans understand cost and utilization drivers, anticipate emerging risk, improve member outcomes, demonstrate measurable value, and strengthen employer and broker growth and retention. It brings together Avi, predictive analytics, peer benchmarking, automated stop-loss monitoring, Dynamic Reporting, and other capabilities to help plans identify and act on performance opportunities earlier.
Medicare Advantage Performance connects traditionally siloed intelligence across quality, risk adjustment, utilization, provider performance, member experience, and financial performance to help plans improve Star Ratings, reimbursement, care-gap closure, value-based performance, and member outcomes.
MedeAnalytics has previously reported that one Medicare Advantage client achieved actionable insights in less than 10 days and millions of dollars in value creation by unifying disparate data, while its Medicare Advantage analytics have reduced time spent on quality reporting and submissions by up to 60% and costs and time associated with utilization tracking by up to 30%.
Medicaid Performance applies the same common enterprise foundation to Medicaid priorities and connects clinical, claims, behavioral health, financial, administrative, and social risk data into a single enterprise platform that helps state agencies, managed care organizations, providers, and community partners improve financial stewardship, quality performance, cost and utilization, population health, care gap closure, and more.
Discover. Predict. Decide. Act. Measure.
Mede Foundation supports a continuous performance improvement model: unify trusted data, discover and predict opportunities, decide where to act, connect decisions to execution, and measure the results. The objective is not more analytics or more AI. It is measurable healthcare performance improvement.
About MedeAnalytics
MedeAnalytics is the healthcare performance improvement company, delivering AI-native Enterprise Decision Intelligence and cloud-native solutions that help payers and other value- and risk-bearing organizations measurably improve financial, operational, quality, and care performance.
Powered by Mede Foundation, MedeAnalytics Performance solutions connect data, analytics, AI, healthcare intelligence, and workflow across the enterprise to help organizations reduce cost and waste, improve MLR and care quality, optimize utilization, increase revenue and reimbursement, strengthen growth and retention, and improve outcomes. For more than 30 years, MedeAnalytics has helped healthcare organizations move from data to intelligence, intelligence to action, and action to measurable performance.
To learn more, visit medeanalytics.com and follow MedeAnalytics on LinkedIn and Facebook.
Contacts
Media Contact
Jonathan Houghton
Dalton Agency
[email protected]
