Claims data aggregation, integration, and management

Benefits of data aggregation, integration and management via our Data Confidence Model

  • Continuous data quality monitoring throughout data acquisition, loading and processing
  • Automated file intake system
  • Automated file field and quality checks
  • Comprehensive data quality audit system with more than 100 tests
  • A processing manager assigned to each client to facilitate processing, manage longitudinal reconciliation and coordinate publishing of refreshed data to client facing servers

The ability to gather and integrate claims data from multiple sources in a meaningful way is a critical tool for assessing the performance of your healthcare organization against benchmark performance and identifying opportunities to improve care, reduce risk and cost, and drive more efficient utilization.

Building the enterprise analytic platform capable of doing all that, however, while also ensuring and maintaining the quality and integrity of the data, can be a heavy lift for a healthcare organization without the technical resources and experience needed to build, curate and manage disparate sources of claims data. Cleaning and organizing all of that data can consume as much as 80 percent of a data scientist’s time.

Unlocking the power of claims data to drive improvement and innovation is too important to rely on ad hoc efforts.

At Milliman MedInsight, claims data aggregation, integration and management is a core competency, supported by the power of our revolutionary data architecture, the Milliman MedInsight Health Cloud, and the industry-leading Milliman MedInsight Data Confidence Model.

The Milliman MedInsight Health Cloud is a foundational system for data hosting and analytic reporting that streamlines the path from data collection to data analysis with cutting-edge, cloud-native technology. As the most comprehensive, flexible and scalable business solution available for addressing the complexities of healthcare data, the Health Cloud incorporates Milliman’s renowned actuarial and clinical methodologies to deliver reliable insights for cost and utilization analysis, value-based care performance measurements and population health management.

The Milliman MedInsight Data Confidence Model, lives within the Milliman MedInsight Health Cloud, and is a structured process for ensuring data quality via ongoing quality audits that include over 100 tests for identifying gaps, ensuring referential integrity between files and establishing the data confidence that is the foundation of reliable and thorough data-based decision-making.

With powerful tools from Milliman MedInsight for aggregating, integrating and managing your data, your healthcare organization can leverage valuable insights, improve decision-making and drive operational efficiencies that move you closer to your goals.

When you have the tools and processes you need to ensure the integrity and usability of claims data, you have the means of tackling goals that can drive transformational change. Milliman MedInsight data integrity tools and support drive more than efficiency; they provide understanding of your processes and financial performance at every level and across every stakeholder group.

The Milliman MedInsight difference

With decades of experience and industry leading tools, expertise and support, Milliman MedInsight helps healthcare industry organizations unlock the power of their data. Our tools and processes for aggregating and curating claims data enable are backed by the power of the Data Confidence Model for assessing, ensuring and maintaining data quality.

Enhancing data integrity with MedInsight’s
Data Confidence Model

Building an In-house Data Analytics Platform