Rising Medical Solutions

Rising Medical Solutions

Medical cost containment and care management

Overview

Rising Medical Solutions provides medical cost containment and care management services for workers’ compensation, auto, liability, and group health markets, serving carriers, TPAs, self-insured employers, and public entities. Its bill review process uses fee schedules, discounts, nurse audits, provider negotiations, and fraud detection to lower claim costs—achieving over 60% in savings—while its broader offerings support the full medical care continuum through its VISION™ platform, a single-sign-on system for medical management. The company also publishes the annual Workers’ Compensation Benchmarking Study to share insights on claims management. Its goal is to reduce costs, improve care outcomes, and streamline the medical care and claims process for all participants.

About Rising Medical Solutions

Simplify's Rating
Why Rising Medical Solutions is rated
B-
Rated B on Competitive Edge
Rated B on Growth Potential
Rated C on Differentiation

Industries

Data & Analytics

Consulting

Healthcare

Company Size

51-200

Company Stage

N/A

Total Funding

N/A

Headquarters

Chicago, Illinois

Founded

1999

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Simplify's Take

What believers are saying

  • Preferred Disability Management expands field, catastrophic, and telephonic case management coverage.
  • John Paolacci's 2024 COO hire targets product optimization and Medicare compliance growth.
  • Guidewire's 2026 ClaimCenter accelerator showcases Rising's embedded distribution with carriers.

What critics are saying

  • Massive layoffs rumors on Glassdoor signal internal instability and execution strain.
  • MyMatrixx and other larger rivals pressure Rising with stronger scale and brand recognition.
  • If CMS MSP reporting rules shift slower than expected, Rising's growth engine stalls.

What makes Rising Medical Solutions unique

  • VISION earned HITRUST r2 certification in March 2026, strengthening security credibility.
  • Rising combines managed care, Medicare compliance, and Section 111 reporting under one platform.
  • David Dubrof joined in October 2025 to accelerate client acquisition and market expansion.

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Benefits

Flexible Work Hours

Remote Work Options

401(k) Company Match

Phone/Internet Stipend

Company News

WorkCompWire
Oct 8th, 2025
David Dubrof Joins Rising Medical Solutions as Chief Growth Officer

Chicago, IL - Rising Medical Solutions (Rising) recently announced the appointment of David Dubrof as Chief Growth Officer.

WorkCompWire
Aug 6th, 2025
Rising Medical Solutions Publishes 12th Annual Workers' Comp Benchmarking Study

Chicago, IL - Rising Medical Solutions today announced the release of its 12th annual Workers' Compensation Benchmarking Study Report.

PR Newswire
Jun 19th, 2024
Rising Medical Solutions Appoints Industry Veteran John Paolacci As Chief Operating Officer

CHICAGO, June 19, 2024 /PRNewswire/ -- Longtime managed care executive John Paolacci has joined Rising Medical Solutions (Rising) as the firm's Chief Operating Officer. In this role, John will be responsible for continuous product optimization through customer delivery for all of Rising's medical cost containment and medical care management services. Additionally, John will oversee the company's Medicare compliance solutions, including its Section 111 reporting, a service line poised for growth given the Centers for Medicare and Medicaid Services impending changes to Medicare Set Aside reporting requirements.John brings 30 years of industry knowledge and operations expertise to his new position, having held senior leadership roles in the delivery of claims management, medical bill review, medical care management, PPO and ancillary networks, and Medicare Secondary Payer services to the workers' compensation, auto, and healthcare markets. Prior to joining Rising, John served as Chief Claims Officer at Valenz Health, leading the company's payment integrity and network division."Rising has the best medical management platform I've seen in the industry and the company clearly understands the critical role technology and artificial intelligence play in maximizing efficiencies and savings for clients," says Paolacci. "Equally impressive is Rising's investment in creating a dynamic culture that encourages ingenuity at every level of the organization. I look forward to being part of a team that is passionate about all aspects of the employee and customer experience."Adds Rising CEO Jason Beans, "John's vast experience with technology-fueled service models, ability to drive product innovation, and commitment to continuous performance improvement make him ideally suited to lead our suite of managed care and settlement support solutions

GodisaGeek
May 24th, 2024
Granblue Fantasy Versus: Rising adds Beatrix with new update

Granblue Fantasy Versus: Rising has released a brand new update which adds new character Beatrix to the mix as well as additional content.

Animation Magazine
Apr 22nd, 2024
Netflix to Offer Sneak Peeks at 'Wallace & Gromit,' 'Twilight of the Gods,' 'Spellbound' and 'Ultraman: Rising' World Premiere at Annecy

Plus the world premiere of the family adventure based on the iconic Japanese character, Ultraman: Rising, from director Shannon Tindle and co-director John Aoshima.

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