The MedInsight Value-Based Care (VBC) Platform unites clinical, claims, and operational data so ACOs can improve quality, lower costs, minimize financial risk, and meet CMS requirements – backed by 25+ years of healthcare expertise.
ACO success requires timely, integrated, and actionable intelligence
Challenges that slow interventions and erode margins:
- Fragmented, disparate data sources
- Limited visibility into care gaps and coordination
- Inadequate network management and insights into provider performance
- Increasing CMS and payer requirements
- Uncertain financial risk and performance
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One platform, built for every stage of your value-based care journey
Whether your organization is just starting with bundled payments or managing complex multi-contract risk arrangements, the MedInsight VBC Platform adapts to meet your needs. Our modular applications deliver actionable insights, streamline workflows, and guide smarter decisions – wherever you are on your path to better outcomes, stronger savings, and lower risk.
Our suite of value-based care solutions:
- MedInsight Bundles: Gain experience in value-based care with lower-risk models. Track episode costs, benchmark performance, and identify improvement opportunities using bundled payment-specific analytics.
- ACO Builder: Model contracts, forecast financial outcomes, and select the best-performing providers using comprehensive Medicare claims data and performance benchmarks.
- VBC Insights: Access unified dashboards, track quality measures, and monitor cost drivers in near real-time. Prioritize care management with patient stratification and provider profiling.
- VBC Analytics: Perform deep benchmarking, root-cause analysis, and customizable reporting to guide strategic decisions. Designed for both advanced analysts and everyday users.
- VBC Contracts: Centralize all value-based payment agreements. Model contract performance, set targets, and track progress with interactive dashboards to align operational and financial goals.
- Innovation Portal: Democratize data access across your organization. Explore enriched claims data, deploy AI/ML models, and uncover new opportunities for efficiency and quality improvement.
Proven impact across leading ACOs
- SEHP: Faster dashboard delivery, earlier interventions, improved outcomes
- Northwest Network: Unified data, stronger provider trust, measurable cost savings
- Advanced Health: Improved 11 of 14 measures, earned 100% quality funding
- Large Nonprofit System: Saved $250k annually, reduced readmissions
- DVACO: Standardized 150 monthly claim files, improved care delivery
- Virginia Health Innovation Partnership: Identified $586M in waste, targeted low-value care
Why ACOs choose MedInsight
- 95% customer retention rate
- 80% of MedInsight customers earned shared savings in 2024 (33 of 41), compared to 75% nationally (359 of 476)
- 25+ years of healthcare and actuarial experience
- Backed by Milliman’s long-standing expertise in healthcare and risk management
- Industry-leading MedInsight Performance Benchmarking Suite
- Advanced contract modeling and tailored risk modeling for optimal results
- Designed for diverse users – from analysts to executives
- AI-ready platform
Unlock the full potential of your ACO data
Learn how the MedInsight VBC Platform transforms raw healthcare data into actionable intelligence that drives quality improvements, cost savings, and compliance success.
From advanced modeling to performance benchmarking, MedInsight equips your team with the tools and insights to thrive in value-based care.
