Who We Are

When 50 million people depend on you, liberation is more than a mindset. It’s a business imperative.

30

YEARS

Thanks to 30 years of business success and 85 partnerships with leading health plans and care delivery organizations, Medecision has gained a critical mass needed to help drive a revolution in healthcare. Today, we are an integrated health solutions company, partnering with risk-bearing organizations to manage 50 million+ members in commercial, Medicare Advantage, and various Medicaid programs. It’s a tall order. So we bring our A-game today and every day.

85

PARTNERSHIPS

When healthcare really works, it’s a beautiful thing.

Medecision doesn’t just take on our customers’ biggest business challenges. We’re also taking on the industry’s as well. Through quality improvement that breaks down barriers and busts through silos. Consumer engagement that feels relevant and personal to members, patients and the people who take care of them. Care, case and utilization management that support mobile, care-everywhere models and best-practices workflow. And population health management programs that identify risk and rising risk and drive community outcomes. Our roots are in technology, but we know product features and technical specs are only part of the solution for real people with serious health conditions. We help our clients become the difference between good days and bad, sickness and health, or even life and death, for their most vulnerable members and patients.

We believe in a liberated healthcare system.

A place where people, plans and care teams engage in driving the best health outcomes in a seamless, interconnected way. Medecision’s people and technologies optimize interventions for population health, care, case and utilization management programs in a decidedly different way. We’ve brought together tools and insights in one cloud-based, integrated platform that helps healthcare entities connect care and liberate their own businesses from the status quo. It’s called Aerial, and our community of users say it helps them do their jobs better every day.

Adapting to thirty years of healthcare changes.

We all looked pretty different back in 1988, and so did our business. Today, we’re more than 225 technical, strategic and clinical experts strong. We’ve also hit some pretty exciting milestones as we’ve grown. We’ve gained HITRUST certification and NCQA Population Health Management Prevalidation Status. We’re honored that our Aerial Complex Care Management™ and Aerial Insights™ solutions are among the first in the nation to earn this prevalidation status, which identifies technology solutions that have functionality and practices that help health plans and other organizations meet

population health management-related standards in NCQA accreditation programs. In 2018, we acquired Aveus, a consulting firm focused on customer experience, change and innovation to help deliver these important services to our customers. You might say that we don’t fear change. And you’d be right. In fact, that same mindset helps us prepare our customers to embrace the opportunities that come with emerging regulations, alternative reimbursement models, demographic shifts or care delivery innovations.

HITRUST
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Learn what liberation looks like for your organization.

While liberated healthcare is the ultimate end game, how we get there is a little different based on each partner’s unique needs. Maybe you need help improving compliance or managing appeals for Medicaid populations. Or you need business consulting services to ease the transition to value-based care. You can read on to find out more about our solutions, or contact us today for a one-on-one discussion.

SEE OUR SOLUTIONS