MedeAnalytics is the healthcare performance improvement company that delivers AI-driven, cloud-native solutions to help payers, risk-bearing providers, and other value- and risk-bearing entities measurably improve performance. Its enterprise health data management platform, Health Fabric, unifies clinical, claims, financial, and social data into a single, scalable source of truth that fuels insights, action, and AI. MedeAnalytics empowers organizations to move faster from insight to impact with confidence and measurable results.

As the Medicare Advantage (MA) market continues to evolve amid regulatory change, margin pressure, and ongoing member movement, it remains a crucial growth and performance priority for many health plans. In late June, the company announced innovations to Medicare Advantage Insights, one of the core offerings of its enterprise healthcare analytics portfolio. These new capabilities help MA health plans unify fragmented data across quality, risk, finance, utilization, social determinants of health, and member experience. By turning that data into predictive, prioritized insights and intelligent workflows, Medicare Advantage Insights helps plans improve financial performance, quality outcomes, and value-based care execution.

“Medicare Advantage plans are under enormous pressure to improve Medicare Star Ratings, optimize Risk Adjustment Factor accuracy, manage medical costs, and enhance member experience, all while responding to rapid regulatory and market changes,” according to Steve Grieco, CEO of MedeAnalytics. “With Medicare Advantage Insights, we’re helping payers unify critical data across the enterprise and surface the insights needed to act earlier, make better decisions, and improve financial performance and member outcomes. For example, one client had actionable insights in less than ten days and experienced millions of dollars in value creation by unifying disparate data.”

Unlike fragmented point solutions that focus on individual domains, Medicare Advantage Insights is purpose-built for MA organizations while operating as part of MedeAnalytics’ market-leading enterprise analytics platform. This enables plans to connect quality, risk, utilization, member experience, provider performance, and financial performance in one integrated view. Medicare Advantage Insights has been shown to reduce time spent on quality reporting and submissions by up to 60% and reduce costs and time spent tracking utilization by up to 30%.

The platform's modular architecture enables payers to easily extend analytics beyond Medicare Advantage to Medicaid and commercial lines of business, supporting enterprise-wide analytics strategies while improving care for dual-eligible populations. The technology is built on Health Fabric and industry-leading cloud technologies, including Amazon Web Services and Snowflake. That means the platform allows health plans of any size to rapidly deploy new populations and scale analytics capabilities to meet their needs.

Medicare Advantage Insights centralizes data from Centers for Medicare & Medicaid Services Medicare Advantage files, claims, clinical systems, provider data, surveys, and operational sources to provide a comprehensive view of plan performance. As a result, plans can optimize risk adjustment and revenue, improve Medicare Star Ratings and quality performance, manage population health proactively, enhance member experience and retention, and optimize cost and operational performance.

MedeAnalytics has been the industry’s healthcare intelligence partner of choice for more than 30 years. The company, which became a Hacienda tenant in July 2025, combines its platform, cross-domain enterprise analytics; AI-powered workflows; and Strategic Advisory services to transform intelligence into accountable execution. The result is greater ROI across value-based care, risk and quality, cost and utilization management, and network optimization.

For more information about MedeAnalytics, please visit www.medeanalytics.com, www.linkedin.com/company/medeanalytics-inc, or www.facebook.com/profile.php?id=61569233518425.