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Who MedInsight serves
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
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
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
Proactively monitor key healthcare trends to ensure that reimbursement rates are set appropriately and managed Medicaid plans are performing with a powerful analytics platform
Extend your analytics capability to identify care delivery, cost savings, and financial risk reduction opportunities with the MedInsight VBC Platform.Learn more
Harness payer-focused capabilities such as benchmarking cost and utilization metrics, population health management, employer group reporting, and more.Learn more
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.Let's talk
Identify quality of care improvements, savings opportunities, and ways to lower financial risk – and visually communicate them to stakeholders through the MedInsight reporting interface.
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.
View financial performance across contracts so you can analyze the likelihood of success by contract, set individual contract targets, and track performance over the year.
Apply artificial intelligence (AI) and machine learning (ML) models to your data for better insights, faster; you can also access our Emerging Experience dataset via AI.
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.Learn more
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.Learn more
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.Learn more
Best in KLAS for the fifth consecutive year
MedInsight’s platform for healthcare analytics and data warehousing and was once again recognized as the Best in Payer Quality Analytics in the 2023 Best in KLAS: Software and Services report. Best in KLAS awards are determined following extensive evaluations and conversations with thousands of healthcare providers.Learn more