Start where you are
Nothing to rip out. medem layers over the systems and data you already have.
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.
Nothing to rip out. medem layers over the systems and data you already have.
You set how far it goes: surface the work, recommend the next step, or run it end to end.
Every step cuts manual work and leaves an auditable record, so each one makes the next more valuable.
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.
Utilization management · Care and case management · Payment integrity · Policy management
Health program performance ·
Cross-agency collaboration · Scenario planning
Patient access and support · Eligibility verification · Care and case management
Revenue integrity · Care coordination · Context-aware evidence
One layer. Four healthcare worlds.
Health Plan
Reads the note. Weighs the policy. Writes why.
Public Health
Takes the question. Chooses the evidence. Explains what it found.
Life Sciences
Traces the history. Infers the block. Points to the next step.
Providers
Reviews the chart. Decides if it’s enough. Names what’s missing.
How Medem Works
One governed loop, step by step. One vocabulary, start to finish.
Policy
medem operates inside them, every action stays within the direction leadership sets.
Context
The person, their history, benefits, and the rules that apply, pulled together across systems, nothing re-keyed.
Action
medem coordinates teams, updates systems, and moves each case toward resolution.
Human Review
medem hands off for approval, judgment, or care whenever it’s needed, with clear override at every step.
Evidence
Every outcome and record returns to leadership and into the next case, so the loop gets smarter each run.
Built by operators
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.
Co-founder, Executive Chairman and CEO
Co-founder and President
1997 – 2004
CareScience


2004 – 2007
National Health IT


2007 – 2011
One System, Two Routes


2012–2024
Strategy to Execution


Their paths diverged and rejoined.
The mission never changed.