The challenge
Overcoming data silos
Extracting meaningful insights from disparate data sources within a health plan can be a complex and time-consuming endeavor. Siloed processes and fragmented data often lead to inefficiencies and missed opportunities. As the healthcare landscape becomes increasingly intricate, organization-wide alignment has evolved from a competitive edge to an absolute necessity.
The Solution
Milliman MedInsight Payer Insights aligns organization-wide for optimal efficiency and smarter decisions
As an integral part of the Milliman MedInsight® Payer Platform, this application enables your organization to:
- Empower your decision-making with user-driven, customized key indicators that streamline access to critical data insights, ensuring you stay ahead in a dynamic healthcare landscape.
- Unlock comprehensive analytics to optimize your Medical Loss Ratio (MLR), manage member churn effectively, and enhance service delivery to drive superior performance across your business lines.
- Achieve operational excellence by leveraging benchmarks to pinpoint actionable opportunities, enabling strategic utilization analysis and substantial savings across your healthcare operations.
- Gain foresight into claims development with detailed analysis and ensure robust financial maturity assessments and reserve evaluations to safeguard against future claims liabilities.
Payer Insights features
Single source of truth
Establish a centralized repository by providing reliable data and insights to your financial, clinical and operational stakeholders to enhance collaboration and informed decision-making across your organization.
High-quality data & benchmarks
Confidently compare your performance to tailored benchmarks that account for risk and demographic factors at the service category level to assess your standings accurately.
Complexity made simple
Streamline access to common but difficult questions by delivering advanced reports that account for technical, clinical, and data algorithm intricacies behind the scenes.
Speed to insights
Accelerate your ability to monitor cost drivers, quality of care, and utilization and cost trends over time with intuitive dashboards and reporting views to enhance operational efficiency.
User-driven dynamic views
Cut deeper into critical insights by leveraging pre-built dynamic drills and filters that align with existing custom data dimensions.
Increased transparency & trust
Enable top-line leaders to confidently make informed decisions using the same information as analysts by ensuring consistency, accuracy, and user-friendly access to critical insights.
Payer Insights in action
Insights dashboard
Advantages to help you stay ahead of the competition
Single source of truth
Payer Insights consolidates and normalizes claims and healthcare data, establishing a uniform, comprehensive view for users across the organization.
Reliable data and quality assurance
Through robust validation processes and rigorous quality checks in the Data Confidence Model, Payer Insights ensures decision-makers can rely on precise and dependable data.
Ease of use and adaptability
Designed with a user-friendly interface, Payer Insights meets the needs of both information consumers and data analysts, enabling seamless navigation—even for those with limited technical expertise.
Best in KLAS for the sixth year
Milliman 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.
Relevant resources
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
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
From data to strategy: Scaling payer analytics for growth
In a highly competitive payer market, the ability to transform raw data into actionable insights is more critical than ever. Rising healthcare costs, regulatory changes and transformative technology continue to reshape operational priorities. Creating collaborative ecosystems across the enterprise is vital to an organization’s success. Join us for a webinar hosted by Milliman MedInsight, the … From data to strategy: Scaling payer analytics for growth
Accelerate data to insights: the enterprise analytics approach for health plans
Health plans today face an endless variety of challenges, from local and regional competition to the rise of “payviders” and the array of other innovative payment models. It is a complex landscape even before considering the challenges posed by continuously rising costs. In this ebook, we explore the challenges and the opportunities for innovation that … Accelerate data to insights: the enterprise analytics approach for health plans
How payers can take employer group reporting to the next level
eBook Highlights Healthcare costs in the U.S. are continuing to rise and are expected to increase significantly in the years to come Employers need data-driven solutions to manage their healthcare costs and to ensure their benefit offerings are both affordable and competitive Data-driven insights provide health plans and TPAs with insights they can use to … How payers can take employer group reporting to the next level