MedExpert is a health care technology company headquartered in Redwood City, California, that provides an innovative health delivery model to health care purchasers and providers.
MedExpert provides a Total Population Direct Decision Support (TP-DDS) initiative to improve the health and welfare of members and to decrease health care costs. MedExpert meets the Centers for Medicare & Medicaid Services (CMS) requirements for a Decision Support Organization (DSO) to provide TP-DDS.
MedExpert integrates and leverages an advanced technological platform including a proprietary artificial intelligence (AI) based decision support system; an intelligent telephonic/electronic system; and a predictive medical record system to directly assist members through a spectrum of total population health initiatives. MedExpert’s Quality Medical Management System (QMMS™) integrates: care coordination, case management, second-generation utilization management, lifestyle management, home health management, and population incentivized health programs. MedExpert designs, develops, and implements data analytic systems for both purchasers and providers.