1998
1998
MedInsight History
Our journey of innovation and impact
For over 25 years, Milliman MedInsight’s participation in the world of healthcare analytics has centered on our cutting-edge tools and solutions that are revolutionizing the industry. Milliman MedInsight understands that success in healthcare requires collaboration across the entire ecosystem, from payers and providers to ACOs, purchasers, and consultants. With a strong foundation in actuarial science and extensive expertise in healthcare, Milliman MedInsight is dedicated to empowering payers and providers.
How Milliman MedInsight makes a difference in the market:
Milliman MedInsight Data Confidence Model
Ensure credible, high quality data, with speed to interpretation
Industry-leading Milliman MedInsight Benchmarks
Better evaluate what is driving cost, utilization, and trends within your population
Consultants
Milliman’s long history in actuarial science gives us a leg-up with unbiased research and expertise in risk assessment and healthcare management
Actionable savings
Identify, implement, and measure within a specific timeframe and immediate follow-up steps to act upon
Curated reporting
Tailored and specific reports to our clients needs across all healthcare markets
Data aggregation including EHR
Support better care coordination, health outcomes tracking, and decision-making with comprehensive integrated data
Relevant resources
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Becker’s Payer Issues Roundtable 2025: Charting Medicare Advantage growth
In April, the Becker’s Payer Issues Roundtable 2025 gathered industry leaders to examine the key challenges facing payers, including the impact of changing regulations and the future of Medicare Advantage (MA). Marcos Dachary, Principal and Chief Market Strategist and General Manager of Payer Solutions at Milliman MedInsight, participated in a panel discussion to explore topics … Becker’s Payer Issues Roundtable 2025: Charting Medicare Advantage growth
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Payer analytics in focus: Emerging trends
Last year, our payer articles focused on accelerating digital transformation, increasing transparency and trust in value-based care, and strengthening data foundations. As we move into 2025, we draw on a recent Milliman MedInsight survey of payer customers to offer key insights for payer executives and analytics teams. This article explores the hurdles payers face—from data … Payer analytics in focus: Emerging trends
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Next-level risk adjustment: Empowering patient outcomes and financial efficiency
Risk adjustment relies on a long list of health and demographic data points to estimate the cost of patient care across a specific population. Getting it right is critical for ensuring that reimbursements accurately reflect the cost of value-based care. As the data picture becomes more complete, the promise of risk adjustment processes to deliver … Next-level risk adjustment: Empowering patient outcomes and financial efficiency
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Building transparency: Best practices for optimizing value-based performance reporting
Transparency plays a crucial role in value-based performance (VBP) reporting. It ensures accountability and trust between health plans and healthcare providers. In a system where outcomes matter, clear reporting fosters better decision-making and collaboration, increasing stakeholders’ commitment to quality care. In this blog post, Milliman MedInsight Marketing Director Sarah Quinn explains the role of technology … Building transparency: Best practices for optimizing value-based performance reporting
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The road ahead: The importance of reliable data in the AI era
After attending HIMSS25, the Milliman MedInsight team has deepened our appreciation for the true value of data. As artificial intelligence (AI) becomes increasingly ingrained in healthcare technology, ensuring the quality and reliability of the data it processes is essential. The path forward is clear: embrace responsible data practices or risk falling behind. We recently sat … The road ahead: The importance of reliable data in the AI era
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What is next for risk adjustment? Key moments from RISE National 2025
The RISE National 2025 conference made one thing clear: advanced technologies like artificial intelligence (AI) are not just refining risk adjustment strategies—they are dramatically accelerating insights and deliverables. The event emphasized the urgent need for interoperability and smooth data integration, in tandem with innovative measures aimed at minimizing provider abrasion within value-based care (VBC) frameworks. … What is next for risk adjustment? Key moments from RISE National 2025
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HIMSS25: Key trends in navigating uncertainty, interoperability, AI, and cybersecurity
The HIMSS Global Health Conference and Exhibition (HIMSS) has long been a hub for forward-thinking discussions and innovations in healthcare technology. This year, Milliman MedInsight was thrilled to return to HIMSS for the second year in a row. HIMSS stands out as a premier event in healthcare technology, drawing over 28,000 healthcare leaders from 88 … HIMSS25: Key trends in navigating uncertainty, interoperability, AI, and cybersecurity
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Whitepaper
The importance of clear provider groupings in healthcare service analysis
Any organization operating in the healthcare space will almost inevitably find itself at some point making use of a market share or service concentration analysis. There are any number of ways one might potentially approach the analysis, each with attendant questions. Armed with clear definitions and a thoughtful approach to quantifying one’s findings, one can … The importance of clear provider groupings in healthcare service analysis
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AI-driven healthcare analytics: What to expect in 2025
As healthcare technology advances rapidly, artificial intelligence (AI) and generative AI (Gen AI) are making significant strides in improving operational efficiencies in both care delivery and financing. From automating routine tasks to enhancing the precision and speed of data analysis, AI and Gen AI are paving the way for a more efficient and patient-centric healthcare … AI-driven healthcare analytics: What to expect in 2025
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Whitepaper
Cascading impact of unnecessary or low-value care services
Research suggests that almost 30 percent of all healthcare in the United States is unnecessary or wasteful. In this whitepaper, we explore the unintended consequences of unnecessary medical testing and treatment and offer suggestions for patients and clinicians to reduce the potential for these harms without compromising care. The Milliman MedInsight® Health Waste Calculator is … Cascading impact of unnecessary or low-value care services
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Case Study
Genesys PHO: Optimizing patient risk stratification and clinical outreach
Genesys PHO, a Michigan-based physician hospital organization and partnership between primary care physicians and investors Ascension and Henry Ford, serves about 120,000 patients. Recently, the organization began working to improve outcomes using risk stratification to improve provider performance. Working with analysts and leveraging the risk stratification tools in the Milliman MedInsight VBC platform, nurses embedded … Genesys PHO: Optimizing patient risk stratification and clinical outreach
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