1998
1998
MedInsight History
Our journey of innovation and impact
For over 25 years, Milliman MedInsight’s participation in the world of healthcare analytics has centered on our cutting-edge tools and solutions that are revolutionizing the industry. Milliman MedInsight understands that success in healthcare requires collaboration across the entire ecosystem, from payers and providers to ACOs, purchasers, and consultants. With a strong foundation in actuarial science and extensive expertise in healthcare, Milliman MedInsight is dedicated to empowering payers and providers.
How Milliman MedInsight makes a difference in the market:
Milliman MedInsight Data Confidence Model
Ensure credible, high quality data, with speed to interpretation
Industry-leading Milliman MedInsight Benchmarks
Better evaluate what is driving cost, utilization, and trends within your population
Consultants
Milliman’s long history in actuarial science gives us a leg-up with unbiased research and expertise in risk assessment and healthcare management
Actionable savings
Identify, implement, and measure within a specific timeframe and immediate follow-up steps to act upon
Curated reporting
Tailored and specific reports to our clients needs across all healthcare markets
Data aggregation including EHR
Support better care coordination, health outcomes tracking, and decision-making with comprehensive integrated data
Relevant resources
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The decade of full risk starts now: Four workflows separate ACOs ready for it
The conditions for value-based care (VBC) have just shifted, as stronger financial results, improved data usability, and new long-term CMS incentives reshape what it takes for Accountable Care Organizations (ACOs) to compete and succeed. ACOs have had access to Centers for Medicare & Medicaid Services (CMS) claims data for years. What has made the difference … The decade of full risk starts now: Four workflows separate ACOs ready for it
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Healthcare payer analytics: Challenges, findings, and next steps
Health plans are investing heavily in analytics and artificial intelligence (AI) but are they getting the results they need? That was the central question at Milliman MedInsight’s June 18th webinar: Data-Driven Payer Strategies: Survey Insights and Solutions. Presenters Marcos Dachary (Milliman MedInsight Principal, Chief Market Strategist and General Manager of Payer Solutions), Lauren Piacentini (Milliman … Healthcare payer analytics: Challenges, findings, and next steps
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Case Study
MA Plan identifies hidden cost drivers and recovers millions through deeper inpatient cost transparency
When a Midwest provider of MA plans was facing mounting costs that its legacy analytics capabilities could not explain, the organization sought help with analyzing utilization costs by facility, market and product, and surfacing trends and insights that could identify cost-saving opportunities. Without the ability to drill down into cost drivers, the unjustifiably high acuity … MA Plan identifies hidden cost drivers and recovers millions through deeper inpatient cost transparency
Case Study
Case Study
Research hospital executes a challenging shift to more cost-effective clinical care
When one of the country’s flagship research hospitals sought to shift from high-cost academic work to more cost-effective and sustainable clinical care, the organization began a restructuring designed to improve clinical and financial outcomes in its population of approximately 645,000 at-risk patients, with a focus on the Medicare Shared Savings Program (MSSP) and Medicaid. To … Research hospital executes a challenging shift to more cost-effective clinical care
Case Study
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New report shows how healthcare payers are using analytics and AI to drive impact
Healthcare payers are making big investments in analytics, AI, and digital transformation with the goal of translating data into bottom line efficiencies and improved member experiences. For many payers, however, system integration, staffing, and improved data quality are needed to fully translate analytics investments into the operational gains they are seeking. Those are among the … New report shows how healthcare payers are using analytics and AI to drive impact
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Beyond the model: How leading organizations will win under CMS LEAD RFA
A recap of our May 7 webinar If you missed our live session, “How leading organizations will win under CMS LEAD RFA,” don’t worry. My colleague Jonah Broulette, Principal and Consulting Actuary at Milliman, and I walked our audience through what’s actually new in CMS’s LEAD model, how it stacks up against MSSP, and the … Beyond the model: How leading organizations will win under CMS LEAD RFA
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eBook
Learn how payers are using analytics and AI to drive impact: Insights and trends
Health plans of all sizes recognize that strong analytics capabilities are essential to future success. In particular, analytics support reliable evaluation of cost and utilization patterns, quality and outcome measures, and risk adjustment. However, major challenges remain, integrating new technology with legacy systems and addressing limited and analytic resources. The Milliman MedInsight Executive Report explores … Learn how payers are using analytics and AI to drive impact: Insights and trends
eBook
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New report offers a glimpse into how VBC organizations view the role of analytics in their clinical and business goals
With benchmarks tightening and growing pressure to maximize cost and utilization efficiency under the value-based care model, healthcare provider organizations of all sizes are turning to analytics for answers. As part of our 2025 Provider Market Survey, Milliman MedInsight sought input from provider organizations on their analytics priorities and challenges as well as their vision … New report offers a glimpse into how VBC organizations view the role of analytics in their clinical and business goals
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Whitepaper
CMS’s new ACO LEAD model
The Centers for Medicare & Medicaid Services’ (CMS) Long-term Enhanced Accountable Care Organization (ACO) Design (LEAD) model presents a significant opportunity to improve care coordination, financial alignment, and outcomes for individuals dually eligible for Medicare and Medicaid. This paper summarizes key themes and strategic considerations from Milliman’s analysis of the LEAD model, highlighting potential implications … CMS’s new ACO LEAD model
Whitepaper
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From insight to action: Operationalizing physician performance in value-based care
In Part 1 of this series, Physician performance enablement: Engaging providers with actionable insights for ACO success, we explored the foundational elements required to build physician engagement in value-based care (VBC). Engagement creates shared understanding and alignment, but it is only the starting point. Organizations that consistently succeed in VBC move beyond engagement to physician … From insight to action: Operationalizing physician performance in value-based care
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Becker’s Payer Issues Roundtable Recap: Key insights for health plan leaders
At this year’s Becker’s Payer Issues Roundtable, one message came through consistently: the challenge for payer organizations isn’t new ideas. They need execution that measurably bends trend while keeping decisions defensible in a more scrutinized environment. Across markets, leaders described a world of tighter margins, higher acuity, member disruption, and growing expectations that plans will … Becker’s Payer Issues Roundtable Recap: Key insights for health plan leaders
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From readiness to reality: What TEAM’s first year is really testing
In January 2026, CMS’s Transforming Episode Accountability Model (TEAM) moved from policy to practice. For hospitals in mandatory regions, TEAM is no longer something to prepare for on paper; it is live, operational, and beginning to influence how episode performance is evaluated clinically, financially, and operationally. Many organizations are entering 2026 with a measured posture. … From readiness to reality: What TEAM’s first year is really testing
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