MedeAnalytics
MedeAnalytics is a US healthcare data analytics company, founded in 1993, that sells an enterprise SaaS platform unifying clinical, claims, financial, and administrative data for payers, providers, government programs, and self-insured employers, with AI-driven insights, predictive analytics, and action-oriented workflows.
- Company typePrivate
- Founded1993
- HeadquartersEmeryville, United States
- Headcount251–500
- GTM typeB2B
- OfferingSoftware
What MedeAnalytics does
MedeAnalytics is a US-based, privately held healthcare data analytics company founded in 1993 and headquartered in Richardson, Texas. It sells an Enterprise Healthcare Performance Cloud to healthcare payers (commercial, Medicare, Medicare Advantage, Medicaid, ACA Exchange), providers (hospitals, health systems, medical groups, post-acute care), government Medicare/Medicaid programs, and self-insured employers and brokers. The company reports serving nearly half of all Blue Cross Blue Shield plans across 22 markets and counts large enterprise customers such as Presbyterian Healthcare Services and a Midwest health plan covering 15+ million members.
The core platform is Health Fabric™, described as a fully-curated data fabric that unifies clinical, claims, financial, and administrative data into a single connected foundation. Layered on top are AI Studio (ready-to-use and custom AI models), Managed Action® (next-best-action surfacing and automated playbooks), and Integrated Analytics (pre-built analytics with embedded ROI tracking). Solution modules address quality (Stars/HEDIS), employer group performance, network optimization, value-based care, revenue cycle, SDOH, Medicaid, and Medicare Advantage. Strategic Advisory Services and products such as MedeAchieve and MedeAdopt support adoption and execution.
The business model is enterprise SaaS subscription, sold via a direct enterprise field sales motion with consultative demo and strategic advisory engagements. Pricing is quote-based and not publicly disclosed. The company augments organic product investment with acquisitions (SubPop Health in 2024) and strategic partnerships (Basys.ai for agentic AI; Socially Determined and Mathematica for SDOH analytics). Historical venture and growth funding totals approximately $114M across rounds in 2004, 2008, and 2015 from investors including Bain Capital, Bain Capital Ventures, Emergence Capital, Integral Capital Partners, and Kennet Partners.
MedeAnalytics firmographics
Firmographics- Name
- MedeAnalytics
- Legal name
- MedeAnalytics, Inc.
- Website
- https://medeanalytics.com
- Company type
- Private
- Founded year
- 1993
- Operating status
- Operating
- Headcount range
- 251–500 employees
- Short description
- MedeAnalytics is a US healthcare data analytics company, founded in 1993, that sells an enterprise SaaS platform unifying clinical, claims, financial, and administrative data for payers, providers, government programs, and self-insured employers, with AI-driven insights, predictive analytics, and action-oriented workflows.
- Ownership category
- akta.pro rank
MedeAnalytics industry classification
Industry- Product category
- Healthcare Data Analytics Platform
- NAICS
- Computer Systems Design and Related Services (54151), Software Publishers (5132)
- SIC
- Services-Health Services (8000)
- akta.pro primary industry
- Medical-Grade Device Connectivity & Device Management (MDM) (HLACAFAG)
- akta.pro secondary industry
- Care Pathway Automation & Patient Engagement for RPM (Coaching, Messaging, Scheduling) (HLACAPAM)
Keywords
Where MedeAnalytics is headquartered
LocationHeadquarters
- HQ city
- Emeryville
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
MedeAnalytics business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Technology or R&D, Personnel, Marketing or Sales, Operations, Infrastructure
Revenue model
- SaaS Analytics Platform Subscription: Subscription-based SaaS analytics platform providing healthcare performance improvement solutions to payers, providers, and government programs. Revenue generated through recurring platform subscriptions with associated consulting and strategic advisory services.
Go-to-market motion1 record
Distribution channels1 record
Marketing channels6 records
MedeAnalytics product offering
Product offeringCore offering
MedeAnalytics provides an AI-driven Enterprise Healthcare Performance Cloud that unifies clinical, claims, financial, and administrative data on its Health Fabric™ data platform to deliver performance improvement analytics for healthcare payers, providers, and government programs. Its offerings include pre-built analytics modules, AI/ML modeling (AI Studio), next-best-action workflows (Managed Action®), and Strategic Advisory Services that translate insights into measurable cost, quality, and risk outcomes.
Product overview
MedeAnalytics is a healthcare performance improvement company offering a unified Enterprise Healthcare Performance Cloud platform with multiple integrated modules. The core platform is built on Health Fabric™, an AI-powered data fabric that unifies clinical, claims, financial, and administrative data. The platform includes AI Studio for ready-to-use AI and custom models, Managed Action® for surfacing next best actions, and Integrated Analytics for pre-built enterprise analytics. Solution-specific modules include Quality Insights, Employer Insights, Network Insights, Value-Based Care Administration, Value-Based Care Insights, Medicaid Enterprise Analytics, Social Risk Insights, MedeAdopt, and Medicare Advantage Insights. The company also offers MedeAchieve for strategic initiative execution and Strategic Advisory Services for expert guidance. MedeAnalytics serves payers, providers, government programs, and self-insured employers across Commercial, Medicare, Medicare Advantage, Medicaid, and ACA Exchange lines of business.
Differentiator
Problem solved
Functional benefit
Products and services
- Health Fabric™
Quantifiable outcome
- Up to 30% reduction in time spent in planning and execution
- +4 more outcomes
Companies that use MedeAnalytics
Customer profileNamed customers11 records
Segments4 records
Ideal customer profiles4 records
MedeAnalytics technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
AI capability6 records
Feature5 records
MedeAnalytics partnerships and signals
Strategic signalPartnerships
Three partnerships are on record, tiered core and strategic.
- Socially DeterminedcoreCollaboration to compile insights from 45 different data sources analyzing social determinants of health (SDOH) programs for a health plan. The partnership identified $25 million in possible savings from SDOH interventions targeting high-risk populations. MedeAnalytics COO Saleem Tahir highlighted findings as evidence of SDOH programs' value.
- MathematicacoreTri-party collaboration with Socially Determined and MedeAnalytics to analyze SDOH programs. Combined expertise in healthcare analytics, social risk data, and policy research to demonstrate value of SDOH interventions for a Southern health plan covering 1 million members.
- Basys.aistrategicStrategic partnership announced December 8, 2025 to transform healthcare utilization management and improve MLR. Collaboration focuses on AI-powered decision-making and optimizing operational workflows by integrating advanced analytics and agentic AI technology across various payer lines.
Scale indicators13 records
Recent moves6 records
Expansion highlights6 records
MedeAnalytics competitors and assessment
Company assessmentDirect peers
- Health Catalyst: Health Catalyst is a healthcare data and analytics platform serving payers, providers, and ACOs with a Data Operating System and analytics applications. It directly competes with MedeAnalytics in payer and provider performance analytics, value-based care, and population health.
- Cotiviti: Cotiviti provides payment accuracy, risk adjustment, and quality analytics to health plans, with deep overlap in HEDIS, Stars, and value-based care performance management. It competes head-to-head with MedeAnalytics' payer analytics modules.
- Premier Inc. Premier Inc. provides healthcare performance improvement solutions including analytics, supply chain, and population health to providers and payers. Its performance services overlap directly with MedeAnalytics' analytics and value-based care offerings.
Broad incumbents
- Optum (UnitedHealth Group): Optum is the largest healthcare analytics, technology, and services platform, serving payers, providers, and employers. It overlaps with MedeAnalytics across payer analytics, risk adjustment, and population health but operates at vastly greater scale and as part of UnitedHealth.
- Oracle Health (Cerner): Oracle Health (formerly Cerner) provides electronic health records, population health (HealtheIntent), and analytics to health systems and payers. Its data platform competes broadly with MedeAnalytics' Health Fabric, especially in provider-side analytics.
- Epic Systems: Epic dominates hospital EHRs and, with Healthy Planet and Cosmos, increasingly competes in payer-provider analytics and population health. Its deep provider footprint makes it a powerful incumbent competitor to MedeAnalytics' provider analytics modules.
Emerging players
- Innovaccer: Innovaccer offers a healthcare data platform (Health Cloud) and AI applications for payers, providers, and government programs. It is an emerging competitor to MedeAnalytics in unified clinical/claims data fabrics and value-based care analytics.
- Arcadia: Arcadia provides a healthcare data platform with population health and value-based care analytics for providers and payers. It competes with MedeAnalytics' analytics modules, particularly for ACOs and risk-bearing provider organizations.
- Clarify Health: Clarify Health provides a healthcare analytics platform combining claims, clinical, and social data for payers, providers, and life sciences. It overlaps with MedeAnalytics on value-based care analytics, network performance, and SDOH insights.
Others
- Socially Determined: Socially Determined is an SDOH analytics firm partnered with MedeAnalytics to analyze 45 social risk data sources. It is a partner and ecosystem player adjacent to MedeAnalytics' Social Risk Insights module rather than a direct competitor.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat6 records
Key risks5 records
Key highlights7 records
Customer concentration
MedeAnalytics social profiles
Digital presenceMedeAnalytics compliance and trust
Trust signalCompliance5 records
MedeAnalytics financial estimates
Financial estimateRevenue estimate
Valuation estimate
MedeAnalytics leadership team
Management profileNumber of profiles
Profiles16 records
MedeAnalytics subsidiaries and ownership
Company hierarchySubsidiaries1 record
MedeAnalytics funding detail
Funding detailFunding overview
Funding rounds4 records
Investors6 records
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
MedeAnalytics M&A and investment
M&A and investmentM&A2 records
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about MedeAnalytics
What does MedeAnalytics do?
MedeAnalytics provides an AI-driven Enterprise Healthcare Performance Cloud that unifies clinical, claims, financial, and administrative data on its Health Fabric™ data platform to deliver performance improvement analytics for healthcare payers, providers, and government programs. Its offerings include pre-built analytics modules, AI/ML modeling (AI Studio), next-best-action workflows (Managed Action®), and Strategic Advisory Services that translate insights into measurable cost, quality, and risk outcomes.
Is MedeAnalytics a public or private company?
MedeAnalytics is a private company. It is classified as venture growth investor backed and is currently operating.
When was MedeAnalytics founded?
MedeAnalytics was founded in 1993. It employs 251 to 500 people.
Where is MedeAnalytics based?
MedeAnalytics is headquartered in Emeryville, United States, in the North America region.
How does MedeAnalytics make money?
One revenue line is on record: saaS Analytics Platform Subscription.
Who are MedeAnalytics's main competitors?
Direct peers on record are Health Catalyst, Cotiviti and Premier Inc.. Broad incumbents are Optum (UnitedHealth Group), Oracle Health (Cerner) and Epic Systems. Emerging players are Innovaccer, Arcadia and Clarify Health. Socially Determined is listed as an others.
Does MedeAnalytics have an API?
No public API is recorded for MedeAnalytics.
What industry is MedeAnalytics in?
MedeAnalytics's product category is Healthcare Data Analytics Platform. Its primary akta.pro industry code is HLACAFAG, Medical-Grade Device Connectivity & Device Management (MDM), with a secondary code of HLACAPAM, Care Pathway Automation & Patient Engagement for RPM (Coaching, Messaging, Scheduling). Its NAICS code is 54151 and its SIC code is 8000.