MedeAnalytics, the AI-powered healthcare performance improvement company, today announced significant innovations to its Employer Group Performance solution and its market-leading health data management platform, Health Fabric™. The enhancements help health plans move beyond static employer reporting to proactive, predictive decision intelligence, enabling them to anticipate and act on emerging risks, prioritize highest-value opportunities, improve outcomes, and demonstrate greater value for their clients.

The enhancements combine Avi™, MedeAnalytics’ conversational and generative AI copilot, with dynamic reporting, predictive analytics, national benchmarks, social risk insights, cohort management, and automated stop-loss reporting—all within a single, unified and fully integrated solution. Together, these capabilities help health plans uncover what is driving performance, identify future high utilizers and emerging cost risks earlier, and translate those insights into more focused interventions, improved quality and financial outcomes, and stronger relationships with employer groups and brokers.

“Employer reporting has traditionally been static and designed to explain what has already happened. The bigger opportunity is to help plans and employers understand what is likely to happen next—and where they can act before cost and utilization escalate,” said Steve Grieco, CEO of MedeAnalytics. “By identifying future high utilizers and emerging risks earlier and making that intelligence easy to explore and investigate through Avi, interactive reports, and advanced analytics, we can help health plans and their commercial business, or any line of business, move from report providers to performance partners. That creates a stronger foundation for better decisions, measurable value, and deeper employer and broker relationships.”

Innovations enable health plans to:

  • Explore employer performance conversationally with Avi, MedeAnalytics’ generative AI copilot for healthcare decision intelligence, using natural-language questions to generate executive summaries, analyze trends, and quickly prepare for employer and broker meetings. Avi delivers secure, responsibly governed enterprise AI while ensuring customer data is not used to train underlying foundation models.

  • Predict future high utilizers and emerging cost risks using AI-powered predictive models that enable earlier intervention and more proactive care management.

  • Transform static employer reports into interactive, self-service reporting with embedded analytics, customizable presentation-quality reports, and real-time collaboration.

  • Benchmark employer performance against national peers, providing valuable market context through current-year benchmark projections and comparative performance analysis.

  • Create and monitor employer cohorts to measure intervention effectiveness, track performance over time, and support continuous performance improvement.

  • Gain deeper insight into social risk factors that influence healthcare costs and outcomes, enabling more targeted interventions.

  • Improve stop-loss monitoring through automated reporting and enhanced visibility into specific and aggregate thresholds, reducing administrative burden while identifying high-cost claimants earlier.

By bringing together the market-leading governed health data management platform, predictive analytics, AI-powered intelligence, and self-service reporting in a unified solution, Employer Group Performance helps health plans move beyond retrospective reporting—from what happened to predicting what will happen and how to act earlier—empowering employers, brokers, and internal teams with the intelligence they need to make faster, more confident decisions. Plans move from providing retrospective deliverables to working alongside employer clients as trusted advisors focused on improving performance.

To learn more about MedeAnalytics’ Employer Group Performance solution, visit www.medeanalytics.com/employer-group-performance/ or schedule a demonstration.

About MedeAnalytics

MedeAnalytics is the healthcare performance improvement company that delivers AI and cloud-native solutions that help payers and other value- and risk-bearing entities measurably improve performance by reducing costs, improving quality and MLR, optimizing utilization, increasing reimbursement, and elevating care outcomes across all lines of business. Its enterprise health data management platform—Health Fabric™—unifies clinical, claims, financial, and social data into a single, scalable foundation of truth that drives decision intelligence, action, and ROI.

As the industry’s healthcare intelligence partner of choice for more than 30 years, MedeAnalytics combines its platform; cross-domain enterprise analytics; Avi™, its AI copilot for healthcare decision intelligence; automated workflows; and Strategic Advisory™ services to transform intelligence into accountable execution—delivering greater ROI across value-based care, risk and quality, cost and utilization management, and network optimization.

MedeAnalytics empowers organizations to move faster from insight to impact with confidence and measurable results.

To learn more, visit medeanalytics.com and follow MedeAnalytics on LinkedIn and Facebook.

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