MedeAnalytics and Basys.ai have formed a strategic partnership aimed at modernizing utilization management and improving medical and administrative loss ratios across all payer segments. By combining MedeAnalytics’ broad healthcare data and analytics capabilities with Basys.ai’s agentic AI technologies, the collaboration seeks to accelerate decision-making, lower operational costs, and enhance the accuracy of key clinical and administrative processes.
MedeAnalytics contributes its extensive enterprise health data management platform, built on Health Fabric™, which aggregates one of the industry’s most comprehensive sets of clinical, claims, financial, administrative, and SDOH data. Basys.ai adds explainable, agentic AI designed for prior authorization, utilization management, documentation review, risk adjustment, and payment integrity. Together, the companies are delivering an integrated, scalable solution that aligns payers and providers while supporting faster, more precise UM decisions.
The combined platform is built on MedeAnalytics’ flexible multi-cloud architecture—using AWS and Snowflake—enabling seamless integration with existing systems. Organizations can deploy the solution in as little as 4–6 weeks, with security frameworks that meet HIPAA, SOC 2, and HITRUST standards. Core workflows such as prior authorization, medical necessity review, appeals, and high-cost case mitigation stand to benefit from improved clarity and earlier issue detection.
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“MedeAnalytics is widely adopted as the standard for transforming data into measurable performance improvement,” said Steve Grieco, CEO of MedeAnalytics. “By combining our enterprise health data management platform, intelligent analytics, and decades of payer and provider expertise with Basys.ai’s dynamic, agentic AI, we are enabling clients to identify issues earlier, manage utilization with greater clarity, and improve both MLR and ALR outcomes across all lines of business.”
Amber Nigam, CEO of Basys.ai, emphasized the impact of integrating explainable AI directly into UM workflows. “Our collaboration with MedeAnalytics brings together Basys.ai’s agentic AI with one of the richest, most scalable data platforms and healthcare analytics solutions,” she said. “By embedding explainable AI directly into the workflows that drive utilization management, documentation review, and payment integrity, we’re accelerating decisions, reducing administrative burden, and helping ensure patients receive timely, appropriate care.”
The partnership delivers a responsible AI-enabled ecosystem that identifies documentation gaps, predicts emerging high-cost cases, automates core UM functions, and strengthens compliance across Commercial, Medicare, Medicaid, and Medicare Advantage lines. The resulting platform aims to reduce avoidable costs, elevate decision quality, and support more collaborative payer–provider relationships.
