List of Medecision Customers
Wayne, 19087, PA,
United States
Since 2010, our global team of researchers has been studying Medecision customers around the world, aggregating massive amounts of data points that form the basis of our forecast assumptions and perhaps the rise and fall of certain vendors and their products on a quarterly basis.
Each quarter our research team identifies companies that have purchased Medecision for Medical Care Management 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 Medecision for Medical Care Management include: HCSC (Health Care Service Corporation), a United States based Banking and Financial Services organisation with 28000 employees and revenues of $54.75 billion, Independence Health Group, a United States based Insurance organisation with 14000 employees and revenues of $31.10 billion, Highmark Blue Shield, a United States based Insurance organisation with 44000 employees and revenues of $29.40 billion, Ascension, a United States based Healthcare organisation with 142000 employees and revenues of $27.20 billion, Blue Cross Blue Shield of Minnesota, a United States based Insurance organisation with 3900 employees and revenues of $15.30 billion and many others.
Contact us if you need a completed and verified list of companies using Medecision, including the breakdown by industry (21 Verticals), Geography (Region, Country, State, City), Company Size (Revenue, Employees, Asset) and related IT Decision Makers, Key Stakeholders, business and technology executives responsible for the software purchases.
The Medecision customer wins are being incorporated in our Enterprise Applications Buyer Insight and Technographics Customer Database which has over 100 data fields that detail company usage of software systems and their digital transformation initiatives. Apps Run The World wants to become your No. 1 technographic data source!
Apply Filters For Customers
| Logo | Customer | Industry | Empl. | Revenue | Country | Vendor | Application | Category | When | SI | Insight |
|---|---|---|---|---|---|---|---|---|---|---|---|
|
|
Albany Medical Center | Healthcare | 8606 | $1.6B | United States | Medecision | Medecision | Medical Care Management | 2020 | n/a |
In 2020 Albany Medical Center implemented Medecision to centralize discharge to community care workflows and document case management activity within its hospital and community outreach programs. The deployment uses Medecision and Medecision's Aerial Platform as the core application in the Medical Care Management category to support telephonic care coordination and post discharge outreach for Medicaid enrolled and uninsured patients.
The implementation focused on care management capabilities including telephonic care management, eligibility screening and verification, Social Determinants of Health assessments, patient flagging for community based services, and structured case documentation. Medecision was configured to capture case notes and program enrollment details used by care coordinators, while enabling standardized processes for DSRIP and Health Home program referrals and for training social work and nurse case management staff on connection workflows.
The Medecision deployment integrated with the hospital EHR environment and with eMedNY ePACES for eligibility checks and benefit verification, enabling coordinators to reconcile clinical records and public benefits data during discharge planning. Operational coverage included hospital case management, social work, utilization review, and community based organization coordination in Albany New York, with Medecision Aerial Platform used as the documentation and workflow orchestration layer across those teams.
Governance and process changes accompanied the rollout, with staff training on documentation standards, program eligibility workflows, and HIPAA compliant handling of PHI. Operational artifacts created during the implementation included department operational guides and standardized referral procedures, and care coordinators reported case activity to interdisciplinary teams using Medecision as the system of record.
|
|
|
AmeriBen | Insurance | 700 | $295M | United States | Medecision | Medecision | Medical Care Management | 2022 | n/a |
In 2022 AmeriBen implemented Medecision, deploying Medecision Aerial EHR as its Medical Care Management platform. The deployment was positioned to support clinical care coordination and nurse led case management within AmeriBen's Health Management organization.
Configuration centered on core care management capabilities typical of Medical Care Management software, including longitudinal care plans, care coordination work queues, utilization management workflows and structured clinical documentation to support nurse case management. The Medecision Aerial EHR implementation emphasized role aligned templates and worklists to operationalize care pathways and member engagement processes.
Operational coverage focused on Health Management and nursing teams, embedding Medecision into clinician workflows for case assignment, care plan updates and clinical documentation. The implementation established the electronic health record layer for care teams, enabling unified clinical records and standardized care coordination across AmeriBen's internal care management functions.
Deployment governance included clinical workflow standardization, role based access controls for clinicians and case managers, and phased onboarding with targeted training for nurses and care coordinators. Change management prioritized aligning operational processes with the Medecision Aerial EHR configuration to ensure consistent care management practices across the insurer's Health Management organization.
|
|
|
Ascension | Healthcare | 142000 | $27.2B | United States | Medecision | Medecision | Medical Care Management | 2020 | n/a |
In 2020, Ascension implemented Medecision in the Medical Care Management category to support Utilization Management, call center operations, and claims reporting workflows across its clinical and operations teams. The deployment emphasized application-level administration and reporting instrumentation rather than a greenfield clinical system rollout, with Medecision functioning as a centralized care management platform used by Ascension Technologies, Inc. stakeholders.
Medecision Aerial was administered as part of the Medecision implementation, with operational responsibilities including account creation, password resets, access provisioning, and configuration changes. Functional capabilities implemented included Utilization Management dashboards, call center metrics tracking, and Daily Claim Reporting that used Facets data extracts, while reporting and visualization layers were produced via Tableau, Tableau Server, SAP Business Objects, SQL extracts, and Excel workflows.
Integrations and operational coverage focused on data feeding into reporting and batch processes, specifically Daily Claim Reporting drawing from Facets data sources and structured SQL tables. The implementation supported automated report publication for both internal and external stakeholders, with Medecision data surfaced through BI tools for utilization review and operational monitoring.
Governance and process changes were operationalized through a daily batch operations review process, with a data science professional acting as project manager to diagnose failures and develop remediation steps. The same team member mentored junior analysts on the Ascension data model and maintained dashboards and reporting categories, which transformed previously manual reporting into automated custom reporting for clinical operations and stakeholder reporting.
|
|
|
Blue Cross Blue Shield of Minnesota | Insurance | 3900 | $15.3B | United States | Medecision | Medecision | Medical Care Management | 2010 | n/a |
In 2010 Blue Cross and Blue Shield of Minnesota implemented Medecision as its Medical Care Management platform to centralize Case Management workloads and operationalize care coordination. The program encompassed a $4 million IT project and a multi-million-dollar initiative to move Case Management functionality onto the Medecision Aerial and Alineo Health Management solution, with technology deliverables reported as implemented on time, under budget and with no defects.
The implementation focused on Case Management modules and nurse-facing care coordination workflows, configuring Medecision to support care plans, task orchestration and user interface adjustments that directly targeted clinician efficiency. Technical project management and architecture oversight established QA gates, comprehensive tracking processes and bi-weekly Scrum planning to govern releases and ensure alignment between business owners and development teams.
Integration work included an IBM DataPower migration of 184 web services to support the new operating platform, along with ongoing production support responsibilities for systems that process over 1,000,000 claims monthly and more than 2,500,000 HIPAA 27x transactions. The Medecision deployment was positioned as the central Medical Care Management solution supporting nursing users and back office transaction flows, with the production environment maintained for service levels and escalations.
Program governance combined technical leadership, a 40-person delivery team and internal decommissioning processes for existing systems as the new platform came online. Operational outcomes recorded in project documentation include improved web service performance and stability, releases launched on schedule within budget, and a stated 20 percent increase in nurse efficiency tied to user experience and workflow changes.
|
|
|
Brand New Day Health PLan | Insurance | 500 | $250M | United States | Medecision | Medecision | Medical Care Management | 2013 | n/a |
In 2013, Brand New Day Health Plan implemented Medecision by deploying the vendor's Aerial digital platform as its Medical Care Management solution. The Westminster, California based Medicare Advantage plan applied the platform to a member population of about 50,000 across 12 counties, focused on Medicare only, Medicare and Medi Cal, special needs populations, and residents of long term care facilities, addressing known clinical integration and patient population management challenges.
The implementation centered on Care Coordination capabilities within Aerial and configuration of automated authorizations. Routing roles were configured to route authorization work to medical directors and the Utilization Management department, enabling approvals from phones or PCs and reducing manual touchpoints. Workflows were built with rules tied to specialty ICD 10 codes to generate task queues, and the solution automated templated Centers for Medicare and Medicaid Services letters as part of authorization and notification flows.
Medecision Aerial was used as a single repository for claims and encounter data, and reserve fields were configured to surface member information inside a provider portal so providers see eligibility, specialty claims, medication flags, and high utilizers of hospitals, emergency rooms and ambulance services in real time. The Facesheet within Aerial highlights Hierarchical Condition Categories and missing ICD 10s based on claims and encounter data, and the plan uploads specialty claim and medication details such as osteoporosis therapy into the portal so gaps in care are visible during eligibility checks. Operational coverage spans medical directors, Utilization Management, the clinical care team, medical groups and Independent Practice Associations.
Governance included hands on onboarding, where every new primary care physician and select specialty providers receive system training, live walkthroughs and ongoing monthly webinars, and the clinical team maintained rules specific to measures such as diabetic eye exams to trigger open authorizations. Outcomes stated by the plan include an automation driven auto approval rate of nearly 25 percent of authorizations, faster turnaround times with medical groups and IPAs, improved audit results, a five fold increase in providers between 2013 and 2019, and recognition with a 2019 Innovation Award from Medecision, all supporting higher provider and member satisfaction.
|
|
|
|
Healthcare | 900 | $647M | United States | Medecision | Medecision | Medical Care Management | 2015 | n/a |
|
|
|
|
Healthcare | 13000 | $2.9B | United States | Medecision | Medecision | Medical Care Management | 2019 | n/a |
|
|
|
|
Insurance | 1600 | $7.5B | United States | Medecision | Medecision | Medical Care Management | 2011 | n/a |
|
|
|
|
Banking and Financial Services | 28000 | $54.7B | United States | Medecision | Medecision | Medical Care Management | 2015 | n/a |
|
|
|
|
Insurance | 500 | $150M | United States | Medecision | Medecision | Medical Care Management | 2015 | n/a |
|
Buyer Intent: Companies Evaluating Medecision
- Predictiv India, a India based Professional Services organization with 25 Employees
- Blue Cross Blue Shield of Illinois, a United States based Insurance company with 11000 Employees
- Nurture Farm, a India based Distribution organization with 350 Employees
Discover Software Buyers actively Evaluating Enterprise Applications
| Logo | Company | Industry | Employees | Revenue | Country | Evaluated | ||
|---|---|---|---|---|---|---|---|---|
| No data found | ||||||||