Payer Solutions

Leading Payers into the Future of Healthcare

With powerful analytics and insights, MedeAnalytics helps payers as they step into the future of healthcare. Insights and tools for population health, quality management, and employer reporting give you the power to build strong provider networks, reduce costs and utilization, and ensure quality care for your members.

Payer COVID-19 Dashboards

MedeAnalytics payer analytics dashboards provide the reporting and analysis needed to address provider billing for COVID-19 claims, identify cost and usage variations and protect at-risk members.


Payer Operations COVID-19 Dashboards
Dashboards help you compare new claims against historical member data, including diagnoses, average length of stay, office visits and more. With a complete view of your members you can uncover immediate insights into how COVID-19 is impacting your member population and what interventions are needed.

Value Based Performance Management COVID-19 Dashboards
Accurately track and monitor members with high-risk factors and understand their potential exposure to the virus. These interactive analytics dashboards can help you understand the impact of the pandemic as well as how predict and manage future changes.

Enterprise Analytics

Extends analytics across the payer enterprise to unlock the true business value of data.


Enterprise Analytics for Commercial Payers
Our Enterprise Analytics solution equips you with the data insights necessary to better understand your organization’s costs, drive population health strategies as well as improve quality initiatives and scores.

Enterprise Analytics for Managed Care Organizations
For MCOs, Enterprise Analytics offers robust and ad-hoc reporting, as well as predictive analytics dashboards to give insights into MCO performance, provider efficacy, long-term care performance and member risk stratification.

Payer Operations

MedeAnalytics Payer Operations delivers timely insights into the key drivers affecting plan performance, outcomes, and quality of care.


Healthcare Economics
Healthcare Economics helps you guide strategic action, mitigate catastrophic claims, and gain insight into costs, quality drivers, and at-risk populations by identifying the patterns that reveal savings.

Employer Reporting
MedeAnalytics Employer Reporting improves employer satisfaction and retention by sharing performance metrics and health plan value via an interactive platform and print-ready reports.

Provider Analytics
Provider Analytics gives you actionable insights into the cost and performance of your provider networks so you can understand value and usage, centers of excellence opportunities, and provider practice patterns.

Value Based Performance

MedeAnalytics Value Based Performance aligns with new reimbursement models by providing insight into clinical quality, utilization, and gaps in care.


Population Health
Population Health aggregates clinical and claims data to help you identify and understand at-risk populations, improve care management and engagement, and ultimately enhance population health and value-based care initiatives.

Quality Management
Quality Management provides insights that help you understand performance on quality measures, monitor pay-for-performance, achieve HEDIS® compliance, and improve quality care for your members.

Enterprise Performance Management

MedeAnalytics Enterprise Performance Management goes beyond business intelligence and status reporting, giving you the tools to communicate, align, measure, and ensure performance against your strategic objectives. Through dynamic, action-driven plans, you can accomplish essential financial, clinical, and operational objectives and connect them to specific goals, accountable leaders, and key performance indicators.


Action Planning
Link plans to metrics and track action plans to ensure execution on your most critical organizational or department initiatives.

Progress Tracking
Align, measure, and manage activities and progress on all your key initiatives and metrics in one integrated, collaborative solution.

Want to talk with one of our experts on the power of analytics?