25+ years of trusted data and insights

Certification and Learning Program

The MedInsight Certification and Learning Program is designed to help healthcare professionals at every level of analytics experience strengthen their skills, expand their expertise, and drive greater impact.

Cancer is a leading cause of death worldwide, accounting for nearly 10 million deaths in 2020, or nearly one in six deaths. In the United States, the percentage of adults who have ever been diagnosed with cancer is 10.3% in 2024 and cancer is the number two cause of death across all chronic conditions. Cancer … Beyond the diagnosis: The financial toll of cancer amid chronic conditions

Beyond the diagnosis: The financial toll of cancer amid chronic conditions

Health plans now operate in a far more complex environment than in past years. With economic uncertainty, shifting market forces, and regulatory changes, there is increasing pressure for health plans to do more than just maintain performance; they must deliver real, measurable value. To succeed in managing the Total Cost of Care (TCOC), health plans … Optimizing the Total Cost of Care with payer analytics

Optimizing the Total Cost of Care with payer analytics

Building a provider network that meets adequacy standards is no small feat for healthcare organizations. As regulatory requirements evolve and patient needs diversify, ensuring beneficiaries have timely access to the right providers becomes increasingly complex. Organizations must navigate a maze of compliance benchmarks, analyze vast and often fragmented data, and address gaps across multiple specialties … Bridging the gaps: Ensuring provider network adequacy with the Milliman Network Optimizer

Bridging the gaps: Ensuring provider network adequacy with the Milliman Network Optimizer

Timely access to healthcare services is an important enabler of positive health outcomes. Access to care remains a significant challenge in the United States where, historically, approximately 16% of adults Americans have reported long wait times and difficulty getting appointments for routine care as soon as needed. Demand for healthcare services has grown over the … Provider network optimization – Finding value in the details

Provider network optimization – Finding value in the details

Network Optimizer

The Milliman Network Optimizer empowers healthcare organizations and regulators to build and manage high-performing networks with confidence.

Breaking the cycle: Analyzing avoidable ER trips and what can be done about them

This study examines patterns and drivers of Emergency Department utilization in the United States by applying the NYU Emergency Department Algorithm to a large, multi-year claims dataset to identify potentially avoidable visits and populations that could benefit from targeted care management interventions.

Across the healthcare system, improving outcomes while managing the total cost of care remains a critical challenge—especially in maternal health. Maternal mortality rates, comorbid conditions, and persistent disparities have placed increased focus on the quality, accessibility, and effectiveness of maternity care. As organizations work to deliver safer pregnancies and healthier births, understanding the drivers of … Q&A: How data analytics can drive improved outcomes and efficiency in maternity care

Q&A: How data analytics can drive improved outcomes and efficiency in maternity care

The National Committee for Quality Assurance (NCQA) has announced several upcoming changes to the Healthcare Effectiveness Data and Information Set (HEDIS®)1, which will impact how organizations measure and report quality of care.2 These updates are designed to enhance accuracy, reflect new clinical guidelines, and address emerging health priorities—but they also require compliance, data management, and … Looking ahead: Preparing for key HEDIS 2026 updates

Looking ahead: Preparing for key HEDIS 2026 updates

As CMS unveils its 2026 final rule, the agency is doubling down on value-based care, making two-sided financial risk the organizing principle for Medicare payment and signaling a decisive shift in how performance and accountability will be measured and rewarded. These new policies have far-reaching implications for providers, health systems, and payers. Two-sided risk becomes … CMS 2026 Physician Fee Schedule Final Rule accelerates shift to value and risk in Medicare

CMS 2026 Physician Fee Schedule Final Rule accelerates shift to value and risk in Medicare

Milliman MedInsight webinars this year have drawn from a broad array of healthcare analytics experience and expertise. From healthcare executives embarking on ambitious strategies for improving care delivery across diverse networks to analytics engineers sharing best practices for modernizing data infrastructure, we covered it all in 2025. Here is an overview of our most watched … In case you missed it: Top webinars of 2025

In case you missed it: Top webinars of 2025

In 2025, a year in which the industry continued to expand on the promise and potential of the seismic shift toward value-based care, our most widely read whitepapers focused on analytics driving strategic growth and cost savings. Milliman MedInsight whitepapers have explored everything from the cost and efficacy of specific drugs to the changing patterns … 2025’s breakout whitepapers: The ideas that led the conversation

2025’s breakout whitepapers: The ideas that led the conversation