Overview

AgentFoundry is Medecision’s healthcare-native agentic AI platform designed to empower health plans, providers, and administrators to configure, manage, and deploy intelligent AI agents that automate clinical, operational, and administrative workflows. The platform delivers scalable, governed artificial intelligence that enhances productivity, reduces administrative burden, and supports complex healthcare workflows with pre-built and customizable agent capabilities. Built for enterprise healthcare use, AgentFoundry integrates robust data management, governance and security frameworks, pre-trained healthcare AI models, and easy configurability to deliver trusted, personalized automation and insights across care management, utilization management, quality improvement, and risk adjustment processes.

Features and Capabilities

• **Core Platform Capabilities: **The platform includes a configurable AI agent framework that enables administrators to build and customize AI agents without deep technical expertise. It integrates an AI governance model with risk controls, enterprise-grade data management, unified data fabric and APIs, and HIPAA-compliant security policies.
• **Agent Library – Clinical & Operational Automation: **AgentFoundry offers a comprehensive library of pre-built AI agents that automate a range of healthcare workflows, including evidence-based care plan generation, call transcript analysis to identify care opportunities, program recommendations based on clinical and claims data, and consolidated medical summaries that support informed decisions.
• **Administrative Enhancement Agents: **The platform includes intelligent agents for prior authorization review, document completeness validation, gap closure prioritization, and risk adjustment coding to reduce manual review time, increase coding accuracy, and improve quality scores and reimbursement accuracy.
• **Governance, Compliance & Trust: **AgentFoundry provides a structured governance framework to ensure safe, ethical, and compliant use of agentic AI. This includes risk control frameworks, security and privacy policies, and healthcare-specific pre-trained models that support regulated environments.