orchestratinghealthcare

for the work healthcare can’t afford to get wrong.

medem connects it.
one platform, compounding value.

Across health plans, public health, life sciences, and providers, the same thing happens: important work gets stuck between systems, teams, and time.

Start where you are

Nothing to rip out. medem layers over the systems and data you already have.

Hand over more as trust builds

You set how far it goes: surface the work, recommend the next step, or run it end to end.

The gains compound

Every step cuts manual work and leaves an auditable record, so each one makes the next more valuable.

different worlds. the same breakdown.

The work that decides cost, care, and speed gets stuck between teams and systems. People chase it down by hand, and things fall through the cracks.

Health Plan

Coverage, care, and cost decisions don’t talk to each other.

Utilization management · Care and case management · Payment integrity · Policy management

Public Health

Programs run for years across agencies with no shared view.

Health program performance ·
Cross-agency collaboration · Scenario planning

Life Sciences

Every therapy’s journey is scattered across partners and systems.

Patient access and support · Eligibility verification · Care and case management

Providers

Every handoff
adds delay, cost, and
rework.

Revenue integrity · Care coordination · Context-aware evidence

One layer. Four healthcare worlds.

the problem changes shape.
the fix is the same: orchestration.

Health Plan

Connect coverage, care, and cost.

Reads the note. Weighs the policy. Writes why.

Public Health

Coordinate programs, partners, and populations.

Takes the question. Chooses the evidence. Explains what it found.

Life Sciences

Connect the work around every therapy.

Traces the history. Infers the block. Points to the next step.

Providers

Remove the friction around care.

Reviews the chart. Decides if it’s enough. Names what’s missing.

How Medem Works

set the direction. medem does the rest.

One governed loop, step by step. One vocabulary, start to finish.

Policy

You set the goals, rules, and priorities.

medem operates inside them, every action stays within the direction leadership sets.

Context

medem assembles the full picture.

The person, their history, benefits, and the rules that apply, pulled together across systems, nothing re-keyed.

Action

medem does the work.

medem coordinates teams, updates systems, and moves each case toward resolution.

Human Review

People keep the final say.

medem hands off for approval, judgment, or care whenever it’s needed, with clear override at every step.

Evidence

Results and proof flow back.

Every outcome and record returns to leadership and into the next case, so the loop gets smarter each run.

Built by operators

A shared journey that began in 1997.

David Brailer and Vish Sankaran have spent nearly three decades fixing how healthcare runs, from national policy to operations at scale. medem is their latest work together.

David J. Brailer

David J. Brailer, MD, PhD

Co-founder, Executive Chairman and CEO

Vish Sankaran

Vish Sankaran

Co-founder and President

1997 – 2004

CareScience

Making healthcare data operational.

David J. Brailer
David J. Brailer, MD, PhD
Founder and CEO,
CareScience
Vish Sankaran
Vish Sankaran
CTO and Product
Operations

2004 – 2007

National Health IT

Foundations for connected healthcare.

David J. Brailer
David J. Brailer, MD, PhD
First National Coordinator
for Health IT
Vish Sankaran
Vish Sankaran
Technology Lead,
ONC

2007 – 2011

One System, Two Routes

Capital and leadership. Public infrastructure.

David J. Brailer
David J. Brailer, MD, PhD
Founder and CEO,
Health Evolution
Vish Sankaran
Vish Sankaran
Chief Federal Health Architect, OMB / White House

2012–2024

Strategy to Execution

Boardroom, operating floor, and the person’s journey.

David J. Brailer
David J. Brailer, MD, PhD
Founder and CEO, Health Evolution

EVP, Chief Health & Transformation Officer, CIGNA
Vish Sankaran
Vish Sankaran
COO and CTO, Caremore / Elevance Health

Global Chief Innovation Officer, Walgreens Boots Alliance

Their paths diverged and rejoined.
The mission never changed.

orchestrating healthcare

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