AgentFoundry
Healthcare native Agentic AI Platform
Platform · Cloud SaaSCompany source
Company profile
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.
Company description Medecision official website
Primary marketPopulation Health & Healthcare Analytics
Commercial modelCommercial information available on request
Company presenceOfficial website
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01 · Operating footprint
Where the Company operates
Company-profile context for clinical focus, customers, deployment, integration, milestones, and partnerships.
Clinical focus
- At-risk populations
- Care gaps
- Chronic conditions
- Complex care coordination
- Long-term services and supports (LTSS)
- Preventable hospitalizations
Who it serves
- Commercial Health Plans
- Government Health Plans (Medicare Advantage, Medicaid)
- Health Systems
- Provider Organizations
- Third-Party Administrators
Deployment & integration
Cloud Saas · Other deployment with recorded integration context.
Recorded integration context: Direct messaging to EMR, EMR systems via SMART on FHIR APIs, Pharmacy systems, Provider portals.
Geographic context
MarketsUnited States
Company sourceOfficial website
Company milestones
Platform expansion
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.
Partnerships
Recorded partners
- Brand New Day
- HarmonyCare Health Plan
- Hawaii Medical Service Association
- Health Home Partners of Western NY
02 · Flagship portfolio
Products, workflows, and platform capabilities
Selected source-backed Company products and the available commercial context.
Care Management
Connect health plans, providers, and members through unified digital experience
Software · Cloud SaaSCompany source
Excell Consulting Services
Professional consulting services for healthcare organizations
Service · OtherCompany source
Patient Engagement
Keep patients actively engaged in their care journey
Software · Cloud SaaSCompany source
Pharmacy Management
Enhance medication adherence and optimize pharmacy workflows
Software · Cloud SaaSCompany source
Provider Enablement
Accelerate care delivery and provider network collaboration
Software · Cloud SaaSCompany source
Quality Management
Improve outcomes and meet regulatory standards with HEDIS measures engine
Software · Cloud SaaSCompany source
Risk Management
Strengthen clinical accuracy with advanced HCC risk models
Software · Cloud SaaSCompany source
Unified Data Platform
Comprehensive healthcare data integration and analytics platform
Platform · Cloud SaaSCompany source
03 · Research intelligence
Research Intelligence evidence
Publications, preprints, clinical validation, and regulatory records in Evidence Position order.
Evidence position
Publications, clinical validation, and regulatory records connected to this Company appear here.
Research
Publications & preprints
Reform's new MLR mandates: challenge or opportunity? Healthcare reform will undoubtedly bring its share of challenges, but meeting the new medical loss ratio requirements doesn't have to be one of them.Health management technology · Jun 1, 2011
The patient-centered medical home: an essential destination on the road to reform.American health & drug benefits · Mar 1, 2011
RHIOs in reverse.Health management technology · Feb 1, 2008
Freedom of choice. For real consumer-directed healthcare, patients must have solid information at their fingertips.Healthcare informatics : the business magazine for information and communication systems · Jun 1, 2006
Claims data as a viable treatment resource.AHIP Coverage · Jan 1, 2006
Collaborative disease management: leveraging MCO data to improve patient outcomes.Health management technology · Jul 1, 2005
Clinical validation
Clinical-trial records
No linked records are currently available.
Regulatory
Regulatory records
No linked records are currently available.
04 · Company-reported outcomes
Outcomes and case studies
Company-reported outcomes and customer stories are distinct from linked Research Intelligence evidence.
10% reduction in ER utilization
Through proactive care management and automated interventions
20% improvement in gaps in care
Via data-driven quality management and care coordination
20% efficiencies in administrative costs
Through workflow automation and AI-powered decision support
Brand New Day
Authorization processing and risk score management for Medicare Advantage members
Configured system to process authorizations much more easily with physicians able to automate their own authorizations
HarmonyCare Health Plan
Implementation and ongoing support for population health management
Smooth and fast onboarding with ongoing support feeling like extension of internal staff
Hawaii Medical Service Association
Utilization management workflow, administration and reporting since 2003
Long-term partnership helping achieve vision of building a healthier, happier Hawaii
Health Home Partners of Western NY
Patient identification, acuity evaluation, and care coordination during service disruptions
Able to find patients, evaluate acuity, prioritize and coordinate actions even when all other services were down
05 · Leadership
Leadership team
Leadership profiles and professional links from the current Company record.
Leah Ramirez
VP of Population Health
Guy Ng
Senior Utilization Management Solutions Analyst
Kathleen Donaldson
Director of IT Home and Community-Based Care
Mechelle Reed
Associate VP of Data Management, Risk Adjustment and Credentialing
06 · Company updates
Updates from Medecision
Recent articles published on Medecision's official website.
No Company updates are currently listed.
07 · HAIC coverage
Coverage and analysis
Health AI Central reporting that mentions this Company.
No HAIC coverage is currently linked to this Company.
08 · Official presence
Company sources and channels
Curated official destinations from the active Company record.
09 · Market pathway
Additional Companies in this Market
Other active Companies in the same market, selected alphabetically from the HAIC directory.
Market context
Population Health & Healthcare Analytics
Companies providing AI-powered analytics for population health management, healthcare data integration and analysis, risk stratification, care gap identification, or value-based care analytics. Focuses on analyzing data across patient populations to improve outcomes at scale and enable data-driven decision-making across health systems.
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10 · Pro research
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Expanded Company research is in development.
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Deeper Company research is coming soon.
Pro Research will introduce expanded technical context, linked evidence analysis, and comparative Company research.
Linked research, clinical, and regulatory source pathways.
Expanded product, deployment, integration, and partnership research.
Record-level provenance and review context.