New eBook: Harnessing analytics and AI: A modern guide to risk adjustment

By MedInsight

17 June 2025

Reliable risk adjustment processes are a critical factor in the success of value-based care, but harnessing the array of data needed to align healthcare costs and provider compensation can be a challenging undertaking.

With a growing number of patients enrolled in VBC programs, including the more than 33 million patients enrolled in Medicare Advantage (MA), healthcare payers need increasingly sophisticated risk adjustment to ensure that reimbursements and premiums accurately reflect healthcare costs.

It’s a process heavily dependent on the seamless integration of diverse sources of healthcare data and a robust analytics platform for making sense of it.

Our newest eBook, Harnessing analytics and AI: A modern guide to risk adjustment, outlines the most common challenges in risk adjustment as well as best practices for risk adjustment success. Here’s an overview of what you’ll learn:

Risk adjustment eBook highlights

  • The role of payers and providers in ensuring the smooth exchange of health data, performance tracking, and feedback that supports better outcomes and improved population health
  • The most common challenges impacting risk adjustment success
  • Key components of an effective risk adjustment platform
  • Best practices for ensuring collaboration between payers and providers to close care gaps, identify intervention opportunities, and track performance metrics
  • How the Milliman MedInsight Risk Adjustment Platform leverages AI-enabled workflows and predictive analytics to identify risk factors and opportunities

Risk adjustment is a complex and multilayered process, but by leveraging advanced technology platforms and best practices, it can yield the insights needed to improve patient health outcome and reduce costs.

The Milliman MedInsight Risk Adjustment Platform

The Milliman MedInsight Risk Adjustment Platform empowers your risk adjustment practices with a robust, comprehensive and enterprise-wide solution.

Whether you need a customized set-up or a ready-to-go implementation, the platform provides the support you need to refine your risk-adjustment strategies with adaptable tools for:

  • Data acquisition
  • Enhancing risk data
  • Performing advanced analytics
  • Generating detailed reports
  • Simplifying coding workflows

The Milliman MedInsight difference

Learn more about the Milliman MedInsight Risk Adjustment Suite, including the Risk Adjustment Platform, by downloading our eBook, or contact a member of our team to learn how we can help put your organization on the path to unmatched risk adjustment accuracy and insights.

Download the eBook

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