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MedeAnalytics Platform

Actionable insights for healthcare.

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Overview

MedeAnalytics offers a suite of analytics solutions for health plans and providers. Their platform helps organizations manage financial performance, improve clinical quality, and optimize operations. For quality measurement, their tools support HEDIS and other quality program reporting, helping payers and providers identify care gaps and improve performance on key metrics.

✨ Key Features

  • Payer and Provider Analytics
  • Quality Management (HEDIS, Stars)
  • Revenue Cycle Management
  • Cost and Utilization Analysis
  • Population Health Management
  • Network Management

🎯 Key Differentiators

  • Strong focus on both payer and provider markets
  • Deep expertise in financial and revenue cycle analytics
  • Long-standing presence and experience in the healthcare analytics market

Unique Value: Delivers actionable financial and clinical insights to both payers and providers to improve performance and quality.

🎯 Use Cases (5)

HEDIS and Star Ratings improvement for health plans Financial performance and revenue cycle analysis Population health risk analysis Network performance and contract modeling Accountable Care Organization (ACO) reporting

✅ Best For

  • Improving health plan Star Ratings
  • Reducing claims denials and improving revenue capture
  • Optimizing provider network performance

💡 Check With Vendor

Verify these considerations match your specific requirements:

  • Small provider practices focused solely on clinical care
  • Organizations needing deep, real-time clinical data integration

🏆 Alternatives

Cotiviti Optum Health Catalyst IQVIA

Provides a broader suite of integrated financial and clinical analytics compared to point solutions focused only on quality.

💻 Platforms

Web API

🔌 Integrations

Claims Data Systems EHR/EMR Systems Financial Systems

🛟 Support Options

  • ✓ Email Support
  • ✓ Phone Support
  • ✓ Dedicated Support (Enterprise tier)

🔒 Compliance & Security

✓ SOC 2 ✓ HIPAA ✓ BAA Available ✓ SSO ✓ HITRUST CSF Certified ✓ SOC 1 Type II ✓ SOC 2 Type II ✓ NCQA Certified

💰 Pricing

Contact for pricing
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