Supporting the healthcare ecosystem with analytics, insights, and data

Unlock the power of your data: MedInsight advanced analytics and contextualized insights empower healthcare payers, providers, purchasers, and consultants.

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MedInsight Healthcare Data Analytics

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 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 applications

Contracts

Contracts

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.

AI

AI

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.

Group Reporting

Group reporting

Show your plan’s value by sharing detailed account and group reporting with employers and third-parties to enable better decisions and increase plan renewals.

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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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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Testimonials

Best in KLAS Payer Analytics

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.

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Blogs

An ocean of data & a desert of insight: transforming healthcare payer data into strategic insights

From claims to EMRs to lab and third-party data, healthcare payers have more data than ever at their fingertips – over 2.3 zettabytes per year...
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How the pandemic sparked a digital transformation in healthcare data analytics

The COVID-19 pandemic revolutionized the way healthcare organizations transform data into timely information, reporting and decision-making. When the pandemic first hit, the general approach to...
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Practice patterns of antibiotics prescriptions for URI

Antibiotics are prescribed at more than 100 million adult ambulatory care visits annually, and 41% of these prescriptions are for respiratory conditions. In the United...
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