List of MedeAnalytics Payer Enterprise Analytics Customers
Richardson, 75080, TX,
United States
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Each quarter our research team identifies companies that have purchased MedeAnalytics Payer Enterprise Analytics for Analytics and BI from public (Press Releases, Customer References, Testimonials, Case Studies and Success Stories) and proprietary sources, including the customer size, industry, location, implementation status, partner involvement, LOB Key Stakeholders and related IT decision-makers contact details.
Companies using MedeAnalytics Payer Enterprise Analytics for Analytics and BI include: Mississippi Division Of Medicaid United States, a United States based Government organisation with 900 employees and revenues of $7.80 billion, Presbyterian Health, a United States based Insurance organisation with 14000 employees and revenues of $5.55 billion, Magnolia Health United States, a United States based Healthcare organisation with 300 employees and revenues of $900.0 million and many others.
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| Logo | Customer | Industry | Empl. | Revenue | Country | Vendor | Application | Category | When | SI | Insight |
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Magnolia Health United States | Healthcare | 300 | $900M | United States | MedeAnalytics | MedeAnalytics Payer Enterprise Analytics | Analytics and BI | 2019 | n/a |
In 2019, Magnolia Health United States implemented MedeAnalytics Payer Enterprise Analytics. Magnolia Health is a regional managed care organization and the deployment used MedeAnalytics Payer Enterprise Analytics, an Analytics and BI application, to support care management and population health functions for payer operations.
The implementation focused on generating and transmitting clinical data summaries, using MedeAnalytics data exchange interfaces to package clinical summaries for state reporting. Functional capabilities inferred from the announcement include data ingestion, clinical summary formatting and normalization, and population health analytics workflows to identify care management cohorts and surface clinical insights for submission.
Operational coverage centered on the payer to state exchange between Magnolia Health and the Mississippi Division of Medicaid, representing the first MCO-to-state clinical data submissions under the program. The rollout required alignment with Mississippi Division of Medicaid submission requirements and program governance, coordinating MedeAnalytics outputs with state clinical summary specifications to operationalize care management and population health reporting.
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Mississippi Division Of Medicaid United States | Government | 900 | $7.8B | United States | MedeAnalytics | MedeAnalytics Payer Enterprise Analytics | Analytics and BI | 2014 | n/a |
In 2014, Mississippi Division Of Medicaid implemented MedeAnalytics Payer Enterprise Analytics in the Analytics and BI category to establish a Medicaid Enterprise Master Patient Index, a clinical data repository, and a provider portal to enable real-time clinical data exchange. The deployment targeted state Medicaid operations and payer workflows to improve care coordination and beneficiary clinical data availability across Mississippi.
MedeAnalytics Payer Enterprise Analytics was configured to deliver explicit Medicaid enterprise analytics and clinical data exchange capabilities, including a standardized EMPI, a central clinical data repository for claims and clinical feeds, and a provider-facing portal for query and exchange. Configuration emphasized identity resolution rules for beneficiary matching, ingestion pipelines for high-volume clinical transactions, and analytics views aligned to Medicaid care management and utilization review.
Operational scope covered the Mississippi state Medicaid program and affiliated provider network, supporting a standardized EMPI for approximately 750,000 active beneficiaries and multi-million transaction data exchanges between clinical sources and the Medicaid data repository. The implementation enabled real-time clinical data exchange between the provider portal and the clinical data repository, with transaction orchestration appropriate for payer-driven clinical interoperability and beneficiary service workflows.
Governance focused on data stewardship for the Medicaid Enterprise Master Patient Index, operational procedures for clinical data ingestion and reconciliation, and provider access controls through the portal. Outcomes explicitly reported include the establishment of a standardized EMPI for about 750,000 active beneficiaries and support for multi-million transaction exchanges, improving the agency's ability to consolidate beneficiary records and surface clinical data for care functions.
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Presbyterian Health | Insurance | 14000 | $5.5B | United States | MedeAnalytics | MedeAnalytics Payer Enterprise Analytics | Analytics and BI | 2014 | n/a |
In 2014, Presbyterian Health deployed MedeAnalytics Payer Enterprise Analytics in the Analytics and BI category to unify reporting across its integrated delivery system and health plan in New Mexico. The implementation focused on revenue cycle and payer provider analytics to support revenue cycle and finance functions across the United States, aligning payer and provider reporting workflows for consolidated operational oversight.
The deployment leveraged MedeAnalytics RCM and payer reporting capabilities to augment Epic and deliver payer facing employer and plan reporting as documented in the case study. MedeAnalytics Payer Enterprise Analytics was configured to surface revenue cycle management reports, payer performance analytics, and employer and plan dashboards for operational and financial teams. Category aligned Analytics and BI functionality such as automated report generation and role based access controls were applied to support scheduled distribution and consumption of insights.
Integration architecture centered on augmenting Epic with MedeAnalytics reporting layers and data models, creating a consolidated reporting layer across payer and provider operations. The operational scope covered revenue cycle and finance departments and extended to payer facing reporting for employers and plans, consolidating data for both internal operational teams and external plan audiences.
Governance emphasized centralized reporting processes and automated distribution to reduce manual reconciliation between payer and provider views. The implementation delivered $3.4M in measurable value, achieved 90% automated reporting, and realized a nine month payback on investment, outcomes attributed to the combined use of MedeAnalytics RCM and payer reporting capabilities integrated with Epic and applied to revenue cycle and finance workflows.
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