Value-based care analytics for ACOs

Extend your analytics capability to identify care delivery, savings, and financial risk reduction opportunities with the MedInsight VBC Platform.

MedInsight Healthcare ACO Data Analytics

MedInsight VBC Platform users

Data Analysts

Data analysts

Support your team with an intuitive, flexible analytics, and reporting platform so you can explore aggregated payer data quickly that integrates with your SQL and business intelligence (BI) tools.

Data Scientists

Data scientists

Identify actionable insights that lead to improved care and lower cost with flexible analytics options that allow you to engage with aggregated payer claims data using R, Python, Scala, and SQL.

Financial Users

Financial users

Get visual reporting to view financial performance across contracts, manage network leakage, identify savings, streamline patient reconciliation, and reduce financial risk.

Information Consumers

Care managers

Identify care gaps and opportunities to right-size utilization, improve health outcomes, and increase savings while reducing low-value care, waste, and other costs.

Accelerate VBC decisions with MIKE

Accelerate VBC decision-making with MIKE, the MedInsight Knowledge Engine, an AI-powered assistant that delivers trusted answers grounded in MedInsight content, analytics, and workflows.

MedInsight overview

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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Key capabilities for ACOs

Financial Analysis

Financial analysis

  • Analyze risk contract terms.
  • Understand areas of reduced revenue due to converting services from FFS to risk financials.
  • Set budgets and targets for savings.
  • Monitor progress.
Utilization

Right-size utilization

  • Convert financial budgets and savings targets to utilization rates and unit cost requirements.
  • Identify areas of excess utilization and cost.
  • Develop targeted interventions to drive savings.
Patient Management

Patient management

  • Stratify and risk patients for targeted outreach by care coordinators.
  • Identify and close quality and risk coding gaps.
Physician Engagement

Physician engagement

  • Measure and report physician partner performance.
  • Evaluate the broader network of physician partners and non-partners.

Testimonials

Blogs

Mitigating the impact of high-cost claimants: A payer analytics approach to total cost of care

It has long been understood that a relatively small portion of any covered population accounts for a disproportionately large share of healthcare spending. A 2025...
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Why VBC still fails for mature organizations: What actually separates high performers

Value-based care (VBC) has moved well beyond experimentation. For many healthcare organizations, value-based contracts now represent a significant share of revenue, risk exposure, and strategic...
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CJR-X starts October 2027. The hospitals that win are starting now

CMS has proposed the first nationwide expansion of an episode-based payment model, and by its own account the largest such model in Medicare’s history: a...
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