MedInsight is trusted by:

    Who MedInsight serves

    Payers

    Payers

    Gain a new competitive advantage by aggregating and benchmarking claims, clinical, lab, and third-party data to reduce costs, hospital re-admissions, and improve overall patient care

    ACOs

    ACOs

    Extend your analytics capability without hiring by aggregating and normalizing patient claims and clinical data to identify care gaps, reduce network leakage, and minimize financial risks

    Employers

    Employers

    Understand your healthcare spend and gain insights for improving the quality of your benefits package to better serve and improve the health at-risk and all employee needs

    State Government

    State government

    Proactively monitor key healthcare trends to ensure that reimbursement rates are set appropriately and managed Medicaid plans are performing with a powerful analytics platform

    MedInsight platforms

    MedInsight VBC

    MedInsight

    Value-based Care

    Extend your analytics capability to identify care delivery, cost savings, and financial risk reduction opportunities with the MedInsight VBC Platform.

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    MedInsight Payer

    MedInsight

    Payer

    Harness payer-focused capabilities such as benchmarking cost and utilization metrics, population health management, employer group reporting, and more.

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    MedInsight Risk Adjustment

    MedInsight

    Risk Adjustment

    Improve clinical documentation and coding, risk scoring, and quality outcomes with an integrated, comprehensive, enterprise solution for risk management.

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    MedInsight platform overview video

    Trust your data and accurately price risk with MedInsight: relied on by over 300 payers and ACOs since 1997 to aggregate and enrich claims data with county-level benchmarks, risk adjusters, and groupers—all peer-reviewed as part of the MedInsight Data Confidence Model. Your data will be refreshed in days instead of weeks every month so you can identify insights that lead to improved health outcomes, lower cost, and reduced financial risk.

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    MedInsight components

    Insights

    Insights

    Identify quality of care improvements, savings opportunities, and ways to lower financial risk – and visually communicate them to stakeholders through the MedInsight reporting interface.

    Analytics

    Analytics

    Perform advanced, custom analysis on claims data that is aggregated across payers, enriched with groupers and metrics, and run through the MedInsight Data Confidence Model.

    MedInsight analytics products

    Performance Benchmarking Suite

    MedInsight Performance Benchmarking Suite empowers organizations to compare their performance against Milliman’s highly respected benchmarks. With comprehensive metrics and key performance indicators, organizations gain a clear understanding of their strengths, weaknesses, and areas for improvement.

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    Risk Adjustment Suite

    MedInsight Risk Adjustment Suite offers advanced algorithms and predictive modeling capabilities that optimize coding accuracy, identify documentation gaps, and ensure appropriate reimbursement.

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    Clinical Suite

    MedInsight Clinical Suite offers revolutionizes healthcare delivery by empowering organizations with advanced clinical analytics and decision support capabilities. This comprehensive suite enhances clinical decision-making, improves patient outcomes, and drives operational efficiency.

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    Identify how to unlock insights from your data

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    Testimonials

    Best in KLAS Payer Analytics

    Best in KLAS for the sixth year

    MedInsight’s platform for healthcare analytics and data warehousing was recognized as the Best in Payer Data Analytics Platforms in the 2025 Best in KLAS: Software and Services report. Best in KLAS awards are determined following extensive evaluations and conversations with thousands of healthcare providers.

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    Blogs

    2024 MSSP success: How Milliman MedInsight VBC solutions help ACOs outperform national averages

    Every summer, the Centers for Medicare & Medicaid Services (CMS) announces settlement results for the Medicare Shared Savings Program (MSSP), an update that Accountable Care...
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    Success in value-based care with Milliman MedInsight VBC Platform + ACO Builder

    In value-based care (VBC), the strength and effectiveness of the provider network play a major role in determining success under a risk-bearing contract. The right...
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    Transforming value-based care performance with the MedInsight VBC Platform

    Value-based care (VBC) shifts the focus from the quantity of healthcare services delivered to the quality and effectiveness of care provided. In this model, providers...
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