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Rochester Top 100: Company builds fast by filling unmet needs

Rochester Business Journal
February 12, 2016

For agencies that provide support to developmentally disabled individuals, some system to accurately track preferences, individual needs and medical histories is a basic requirement.

Such recordkeeping is needed to help agencies better manage the care they dispense, show funders that they are in compliance with state and federal regulations, and to coordinate care their clients might also be getting from other non-profits or government organizations.

In the early 2000s when MediSked LLC President Douglas Golub and co-founder Thomas Hogan, who were then Rochester Institute of Technology graduate students working as consultants for a local human service agency, began to research software vendors that might provide such functions, they were surprised to come up empty.

“We thought somebody must be doing it. We were amazed that nobody was,” Golub said.

They started developing software to help caregivers manage client data and schedule appointments. In 2005, they started MediSked, creating a Web-based software package that also helped provider agencies with client management and tracking, regulatory compliance, as well as administrative chores such as payroll and other human services functions.

Really big agencies can afford to develop and manage their own systems to perform such functions, Golub said.

But locally and around the country, there are thousands of smaller provider agencies that lack the wherewithal to develop and maintain such systems. Few vendors, if any, were stepping up to meet the need.

As a filler of a largely unmet need, Golub said, MediSked found a ready customer base and grew quickly, winning clients across the country. It serves some 150 agencies, providing Web-based software tailored for human-service agencies.

From its start as a company staffed by Golub and Hogan, MediSked has grown to a roughly 40-employee firm. It now serves managed care companies as well as provider agencies, Golub said. It also has software that connects cooperating provider agencies to each other and links provider agencies to managed care payers.

Some four years after starting the firm, Golub left MediSked to work for Microsoft Corp., spending several years at the Seattle-based software giant.

Though he initially did not plan to come back to MediSked, Golub returned after four years, tempting some Microsoft co-workers to switch to MediSked. His Microsoft experience has helped make him a better manager of his own smaller firm, Golub believes.

Few other companies have written software to help Arc organizations and other non-profits serving the developmentally disabled meet their specific needs, Golub said. None have developed as complete a suite of products or cast as wide a geographic net as MediSked, he added.

Some regionally operating vendors are doing similar work, but none have been at it as long as MediSked, Golub said.

Golub believes his firm’s long experience, field-tested product line and multistate reach put it in a unique position to profit now.

Both the federal Centers for Medicare and Medicaid Services and states, including New York, are in the process of transitioning Medicaid from government-run programs to privately run managed care.

Jan Abelseth is an official of an organization that is working with New York State Office for People with Developmental Disabilities and CMS to develop a managed care plan for developmentally disabled individuals who are eligible for both Medicaid and Medicare and benefits.

The program, Fully Integrated Duals Advantage-Individuals with Developmental Disabilities, is expected to launch this spring. The New York program will be the first of its type in the nation and could serve as a template for other states.

MediSked has been an invaluable partner for the program, Abelseth said.

“We have an idea; they make it better,” she said. “They are on the cutting edge of care coordination for people with IDD.”

The Rochester Top 100 program is presented by the Greater Rochester Chamber of Commerce and KPMG LLP. Launched in 1987, it recognizes the fastest-growing private companies in Greater Rochester. The 2016 Rochester Top 100 event will be held Nov. 2. For more information, go to

MediSked LLC
Provider of human services software for home care and human service provider agencies
Year founded: 2005
2015 ranking: 50
Top executive: Douglas Golub, president
Current employment: 39
Headquarters: 850 University Ave.

2/12/2016 (c) 2016 Rochester Business Journal. To obtain permission to reprint this article, call 585-546-8303 or email

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