What Medisolv does

Medisolv, Inc. is a private U.S. healthcare technology company founded in 1999 and headquartered in Clarksville, Maryland, that provides a cloud-based clinical quality data management and analytics platform to hospitals, health systems, and ambulatory clinician practices. The company's flagship platform, ENCOR, is an ONC-certified (2015 Edition Cures Update) system supporting electronic clinical quality measures (eCQMs), chart-abstracted measures, hybrid measures, and PRO-PM measures, with direct data integrations into Epic, Cerner, Meditech, CPSI, Allscripts, eClinicalWorks, and Athenahealth that enable nightly automated data refreshes. Medisolv manages over 140 million patient records across 1,800+ healthcare organizations (approximately one-quarter of U.S. hospitals) and supports more than 100,000 providers.

The company's product portfolio is organized around compliance packages (Hospital Quality Reporting, MIPS Reporting, MVP Reporting, ACO APP Reporting), performance tools (QualityIQ analytics dashboard, Hospital Star Rating Analyzer), advisory services, and AI-powered capabilities including clinical data abstraction acquired through Health Elements AI (96% accuracy, up to 90% abstraction time reduction) and predictive analytics for Medicare Advantage Stars acquired through Lilac Software. Its SubmissionsPlus service handles all CMS and Joint Commission submissions on behalf of clients, including error resolution and audit defense. Revenue is generated primarily through annual subscriptions priced per facility (based on Net Patient Revenue) for hospital reporting and per clinician for ambulatory reporting, supplemented by one-time implementation fees, advisory/consulting engagements, and fees for additional modules and custom integrations. Distribution is exclusively direct enterprise field sales, supported by a dedicated Customer Experience team, with no apparent channel partner or reseller motion. Recent leadership includes CEO and founder Zahid Butt, SVP of Regulatory Affairs and Advisory Services Erin Heilman, and Chief Product Officer Andrew Biviano (formerly of Health Catalyst and Philips Healthcare).

Strategic context: Medisolv is in an active inorganic expansion phase, having completed two acquisitions in 2026 (Lilac Software on March 10 and Health Elements AI on April 30) to extend from provider-side compliance reporting into payer-side Stars/HEDIS performance and specialty clinical registry abstraction. Capital partners include BVP Forge (2023 funding round) and, per third-party reporting, HIG Capital as a financial backer. The company serves exclusively U.S. customers today, with the potential for international expansion implied by reference to a Cedyt acquisition in Spanish/Italian reporting.

Name

Medisolv

Legal name

Medisolv, Inc.

Website

https://medisolv.com

Company type

Private

Founded year

1999

Operating status

Operating

Headcount range

101–250 employees

Short description

Medisolv provides an ONC-certified, cloud-based healthcare quality data management and analytics platform (ENCOR) to U.S. hospitals, health systems, and ambulatory practices, serving 1,800+ organizations and managing 140M+ patient records for CMS and Joint Commission quality reporting.

Ownership category

akta.pro rank

Product category

Healthcare Quality Reporting Software

NAICS

Software Publishers (513210)

SIC

Services-Prepackaged Software (7372)

akta.pro primary industry

Acute Care & Hospital EHRs (HLACAAAA)

akta.pro secondary industry

EHR/EMR Integration & Interoperability Middleware (HL7/FHIR) (HLALAKAD)

Keywords

• Clinical quality reporting
• Hospital quality measures
• EHR data integration
• Healthcare analytics software
• Value-based care reporting

Headquarters

HQ city

Columbia

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Software

Cost components

Personnel, Technology or R&D, Marketing or Sales

Revenue model

1. Annual Software Subscription: Medisolv's primary revenue stream is an annual subscription for healthcare quality reporting software. Subscription pricing is calculated per facility for hospital reporting and per clinician for ambulatory reporting. The subscription is based on facility Net Patient Revenue and includes cloud hosting fees. This is the core recurring revenue relationship with customers.
2. Implementation Services: One-time implementation fee covering initial product setup and EHR data acquisition. Implementation costs are based on the number of product instances and data sources needed for setup. Additional custom data integration services may incur extra costs when data elements are in non-standard EHR locations or require custom mapping.
3. Advisory and Consulting Services: Medisolv offers fee-for-service advisory and consulting engagements including eCQM Optimization & Validation, Advanced Quality Improvement (AQI) subscription-based support, and model readiness advisory services for CMS value-based care programs.
4. Extended Modules and Custom Measures: Additional fees may be incurred if clients incorporate additional modules beyond the core reporting package or require custom measures or retired measures that are not part of the standard offering.

Pricing tiers

Go-to-market motion1 record

Distribution channels2 records

Marketing channels8 records

Core offering

Medisolv provides a cloud-based healthcare quality data management and analytics platform (ENCOR) that enables hospitals, health systems, and ambulatory clinicians to report, calculate, monitor, and submit CMS and Joint Commission quality measures (eCQM, abstracted, hybrid, and PRO-PM). The platform integrates directly with major EHR systems for nightly data refresh, applies AI-assisted abstraction with 96% accuracy, and bundles regulatory advisory and submission handling (SubmissionsPlus) into a per-facility annual subscription.

Product overview

Medisolv offers a unified healthcare quality data management platform with multiple integrated modules for hospital and clinician quality reporting. The core platform, ENCOR, provides electronic clinical quality measures (eCQMs), abstracted measures, clinician eCQMs, and MIPS CQM reporting across CMS and Joint Commission programs. The platform architecture includes compliance-focused reporting packages (Hospital Quality Reporting, MIPS Reporting, MVP Reporting, ACO APP Reporting), performance analytics tools (QualityIQ, Hospital Star Rating Analyzer), advisory services, and AI-powered Registry Abstraction. Medisolv manages over 140 million patient records for 1,800+ healthcare organizations and handles all submissions on behalf of clients through its SubmissionsPlus service. The platform integrates with major EHR systems including Epic, Cerner, Meditech, and others for automated data extraction.

Differentiator

Problem solved

Functional benefit

Brands

• ENCOR: Industry-leading solution for managing electronic clinical quality measures (eCQMs), including ENCOR for Electronic Hospital Measures, ENCOR for Hospital Abstracted Measures, and ENCOR for Clinician measures.
• Quality365
• QualityIQ
• SubmissionsPlus
• Quality Academy
• ENCOR-e

Products and services

• ENCOR for Electronic Hospital Measures (ENCOR-eh)
• ENCOR for Hospital Abstracted Measures
• ENCOR for Electronic Clinician Measures
• ENCOR for Clinician Registry Measures
• Hospital Quality Reporting Package
• MIPS Reporting Package
• MVP Reporting Package
• ACO APP Reporting Package
• QualityIQ
• Hospital Star Rating Analyzer
• Advisory Services
• Advanced Quality Improvement (AQI)
• eCQM Optimization & Validation Services
• AI-Assisted Registry Abstraction

Quantifiable outcome

• Reduces chart abstraction time by up to 90% and total data abstraction costs by 50% or more
• +4 more outcomes

Named customers10 records

Segments4 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration9 records

AI capability7 records

Feature9 records

Partnerships

Seven partnerships are on record, tiered core and minor.

• Health Elements AIcoreStrategic or Co-development Partner · 30 April 2026Medisolv acquired Health Elements AI, a specialist in AI-first software that automates clinical data capture and structuring from medical records for quality reporting and clinical registries. The acquisition aims to reduce the manual chart review burden for over 4,000 abstractors, expand Medisolv's capabilities into specialty clinical registries including the American College of Cardiology and American Heart Association registries, and strengthen Medisolv's position as an intelligent data infrastructure layer for healthcare quality data.
• Lilac SoftwarecoreStrategic or Co-development Partner · 10 March 2026Medisolv acquired Lilac Software, an AI/ML-powered healthcare technology company specializing in Medicare Advantage Stars performance management, claims-based quality measurement, and AI-driven patient engagement capabilities. The acquisition combines Medisolv's clinical quality intelligence platform with Lilac's predictive analytics to create a unified solution for health plans and providers across value-based care programs including Medicare Advantage Stars, MSSP, ACO, and HEDIS. The deal represents a strategic expansion into predictive analytics and payer/provider population health management.
• EpiccoreTechnology or IntegrationEpic is one of the major EHR systems that Medisolv integrates with for direct clinical data acquisition. During implementation, Medisolv works with each client's IT, Network, and Security teams to establish data connections. Nightly data refreshes pull clinical data from Epic into Medisolv's ENCOR platform for quality measure calculation.
• CernercoreTechnology or IntegrationCerner is one of the major EHR systems that Medisolv integrates with. Medisolv has experience acquiring data from Cerner systems as part of its standard data acquisition process. Implementation follows Medisolv's standard technical configuration guide.
• MeditechcoreTechnology or IntegrationMeditech is one of the major EHR systems that Medisolv integrates with for clinical data acquisition. Data is extracted and normalized as part of Medisolv's nightly data refresh process.
• American College of Cardiology (ACC)minorStrategic or Co-development PartnerFollowing the acquisition of Health Elements AI, Medisolv expanded its Registry Abstraction capabilities to support specialty clinical registries including those from the American College of Cardiology. ACC registries represent a key vertical expansion target for Medisolv's quality management platform.
• American Heart Association (AHA)minorStrategic or Co-development PartnerFollowing the acquisition of Health Elements AI, Medisolv expanded its Registry Abstraction capabilities to support specialty clinical registries including those from the American Heart Association. AHA registries represent a key vertical expansion target for Medisolv's quality management platform.

Scale indicators6 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Premier Inc. Premier Inc. provides performance improvement, supply chain, and quality measurement solutions to U.S. hospitals and health systems, with deep overlap to Medisolv's hospital quality reporting and value-based care offerings.
• Health Catalyst: Health Catalyst offers healthcare data and analytics enterprise platforms for quality, cost, and outcomes improvement across providers and payers — directly comparable to Medisolv's ENCOR analytics and value-based care capabilities, and a former employer of Medisolv's CPO.
• Arcadia: Arcadia is a healthcare data analytics platform that aggregates EHR data for population health, quality, and value-based care performance — closely aligned with Medisolv's ENCOR data aggregation and QualityIQ analytics, and explicitly named in third-party analyst coverage.
• Conduent (Midas+): Conduent's healthcare division includes Midas+, a long-standing hospital quality measurement and regulatory reporting platform — directly overlapping with Medisolv's ENCOR for Hospital Abstracted Measures and CMS quality program submissions.

Emerging players

• Dimensional Insight: Dimensional Insight provides healthcare analytics (The Diver Platform) used by hospitals and health systems for quality, performance, and operational benchmarking — comparable to Medisolv's QualityIQ and performance analytics layer but with a narrower healthcare footprint.
• CitiusTech: CitiusTech offers healthcare technology services and analytics platforms supporting quality reporting, clinical data abstraction, and value-based care — comparable to Medisolv's AI-assisted abstraction and reporting workflows, with a stronger services-led model.
• i2i Population Health: i2i Population Health provides population health management and quality reporting solutions to ambulatory and community health providers — overlapping with Medisolv's MIPS/clinician reporting and ACO APP packages for value-based care performance.

Broad incumbents

• Optum (UnitedHealth Group): Optum operates one of the largest healthcare analytics and care management platforms in the U.S., spanning quality, risk adjustment, and population health — comparable to Medisolv's broader quality and payer-facing ambitions but as part of a much wider services and data portfolio.
• Oracle Health (formerly Cerner): Oracle Health provides the Cerner EHR and adjacent population health and quality reporting capabilities to U.S. hospitals — a key integration partner for Medisolv but also a structural competitor as the EHR vendor expands native quality measurement features.
• Philips (Population Health Management): Philips' Population Health Management portfolio includes clinical analytics and care coordination tools used by health systems — overlapping with Medisolv's care coordination and analytics themes as part of a much broader medical device and health technology portfolio.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/Medisolv
• YouTubeyoutube.com/@medisolv
• Facebookfacebook.com/medisolv
• LinkedInlinkedin.com/company/medisolv

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles3 records

Subsidiaries2 records

Funding overview

Funding rounds1 record

Investors1 record

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A2 records

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Medisolv