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Overview

Built for health plans and providers, our platform transforms fragmented data into actionable intelligence, powering event‑driven workflows and timely, automated interventions that improve efficiency and outcomes at scale.

News

Blog 22 days ago
From Mandate to Opportunity: Why Healthcare Must Gear Up for AI Now
By Kenneth Young, CEO, Medecision Artificial intelligence (AI) is creating a unique moment for healthcare. To put it plainly, we are at an inflection point. We must move our processes into the modern era. To do that, we must be intentional today about saf
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Blog 1 month ago
Trust Is the Foundation. Innovation Is What You Build on It.
By Bill Gerardi, Chief Medical Officer, Medecision Population health programs have a data problem and a trust problem. They're the same problem. Health plans and providers don't lack information. They lack a foundation solid enough to act on that informat
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Blog 2 months ago
The Payer-to-Payer Cliff: Why Technical Compliance Won't Be Enough Under CMS-0057-F
By Bill Gerardi, Chief Medical Officer, Medecision By January 1, 2027, impacted health plans will be focused on a familiar milestone: technical compliance with the CMS Interoperability and Prior Authorization Final Rule, CMS-0057-F. The APIs will be live.
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Blog 2 months ago
Medecision Earns "Innovators" Distinction in Frost & Sullivan's 2026 Frost Radar Report
For Immediate Release Recognition by the global analyst team in the U.S. Population Health Management category further validates Medecision's unified data platform strategy KING OF PRUSSIA, Pa., August 6, 2026 (GLOBE NEWSWIRE) - Medecision, a healthcare t
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Blog 3 months ago
From Data Silos to Smarter Intelligence: The Power of a Unified Data Platform
Healthcare organizations are drowning in data-yet starving for clear, actionable intelligence. Decades of relying on disparate point solutions have left critical health information trapped in silos, yielding a limited-and usually outdated-picture of peopl
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Blog 4 months ago
Medecision Named #1 Care Management, LTSS, and Complex Care Coordination Technology Vendor by Black Book Research in 2026
For Immediate Release Annual State of Payer Digital Technology report recognizes client ratings of payer IT vendors KING OF PRUSSIA, PA - June 10, 2026 - Medecision, a healthcare technology company whose unified data platform, agentic AI capabilities, and
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Blog 6 months ago
Building Intelligent Health: The AI-Enabled Blueprint for Smarter Member Engagement
For decades, consistent and effective member engagement has been an elusive North Star. Despite significant investment, many health plans remain trapped in a reactive paradigm, hindered by a "triple threat" of legacy constraints: paper-based processes tha
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Blog 7 months ago
The Interoperability and Prior Authorization Final Rule: A Significant Opportunity for Health Plans
By Kim Ingram, SVP Clinical Innovation, Excell Healthcare Advisors Every so often, the Centers for Medicare & Medicaid Services (CMS) issues requirements that hold the potential to transform healthcare. The CMS Interoperability and Prior Authorization Fin
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Press release 1 year ago
Medecision Announces Strategic Acquisition of Excell Healthcare Advisors, a Nationally-Recognized Healthcare Consultancy
Acquisition further boosts Medecision's ability to deliver critical change management services while elevating service efficiencies and client satisfaction
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Blog 1 year ago
Medecision Report Reveals Disconnect Between Digital Care Management Expectations and Reality
KING OF PRUSSIA, PA - May 21, 2025 - A new report from Medecision, Building the Intelligent Health Plan, reveals a clear message from health plan leaders: current digital care management (DCM) tools are not meeting the moment. As financial pressure intens
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