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Navigating population health with clarity: Dr. Kodama’s expert tips for success in value-based healthcare
The shift toward value-based care (VBC) is transforming how services are delivered, focusing on improving patient outcomes and engagement while reducing costs. Success in this model depends on understanding your population, managing their health proactively, and coordinating care effectively. Meet Dr. Christopher Kodama, Chief Medical Officer at Milliman MedInsight. With a clinical background in pediatric … Navigating population health with clarity: Dr. Kodama’s expert tips for success in value-based healthcare
CMS 2025 RADV audit expansion: Key changes and what they mean to MA plans
In a significant move announced on May 21, 2025, the Centers for Medicare & Medicaid Services (CMS) revealed plans to initiate annual Risk Adjustment Data Validation (RADV) audits for all Medicare Advantage (MA) plans. In this memo, CMS Administrator, Dr. Mehmet Oz, is quoted as saying “We are committed to crushing fraud, waste and abuse … CMS 2025 RADV audit expansion: Key changes and what they mean to MA plans
Measuring the unseen: Differentiation in health system services
Some health systems offer comprehensive services, while others are narrower in scope. Understanding service differentiation gives organizations important strategic insight. In this whitepaper, our goal is to illustrate one approach organizations may leverage in thinking about and quantifying a health system’s differentiation in its various markets.
Introducing our new eBook: The intersection of clinical data integration and value-based care: Strategies for success
As healthcare pivots towards value-based care (VBC), providers face intricate challenges centered on enhancing patient outcomes while managing costs effectively. This shift demands not only a change in approach but also a sophisticated integration of healthcare data to drive meaningful improvements. At the heart of VBC lies the seamless integration of Electronic Health Record (EHR) … Introducing our new eBook: <em>The intersection of clinical data integration and value-based care: Strategies for success</em>
The intersection of clinical data integration and value-based care: Strategies for success
Electronic Health Record (EHR) systems have transformed healthcare by simplifying access to patient data. Their true value emerges when clinical EHR data is integrated with medical claims data, enabling better care coordination, improved quality, and lower costs—key goals of value-based care. Yet, integration remains challenging due to system fragmentation, data silos, inconsistencies, and delays, all … The intersection of clinical data integration and value-based care: Strategies for success
Sustaining payer success: Key themes from Becker’s Payer Issues Roundtable
In an era shaped by unpredictable shifts in the healthcare landscape, innovative approaches took center stage at Becker’s Payer Issues Roundtable Spring 2025. For those sessions highlighting data insights through advanced analytics, the necessity of quality data is undeniable. Multiple speakers pointed out that maintaining a competitive advantage depends on proactive planning supported by sophisticated … Sustaining payer success: Key themes from Becker’s Payer Issues Roundtable
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Simplify Complex Value-Based Care Data with MedInsight’s VBC Contracts Application
Managing value-based care contracts is complex. MedInsight’s VBC Contracts application simplifies the process by turning healthcare data into actionable insights—helping both payers and providers improve outcomes, reduce costs, and boost contract performance. Learn how predictive analytics, financial reconciliation, and integrated data sources can power smarter decisions in value-based care.
Navigating population health with clarity: Dr. Kodama’s expert tips for success in value-based healthcare
The shift toward value-based care (VBC) is transforming how services are delivered, focusing on improving patient outcomes and engagement while reducing costs. Success in this model depends on understanding your population, managing their health proactively, and coordinating care effectively. Meet Dr. Christopher Kodama, Chief Medical Officer at Milliman MedInsight. With a clinical background in pediatric … Navigating population health with clarity: Dr. Kodama’s expert tips for success in value-based healthcare
Milliman MedInsight names Dr. Christopher Kodama as Chief Medical Officer
Seattle, WA – July 31, 2025 – Milliman MedInsight®, a division of Milliman and a leading provider of healthcare data and analytics software, has named Dr. Christopher Kodama as Chief Medical Officer. Dr. Kodama brings more than 25 years of experience in clinical practice, executive leadership, and healthcare innovation to the Milliman MedInsight leadership team. … Milliman MedInsight names Dr. Christopher Kodama as Chief Medical Officer
CMS 2025 RADV audit expansion: Key changes and what they mean to MA plans
In a significant move announced on May 21, 2025, the Centers for Medicare & Medicaid Services (CMS) revealed plans to initiate annual Risk Adjustment Data Validation (RADV) audits for all Medicare Advantage (MA) plans. In this memo, CMS Administrator, Dr. Mehmet Oz, is quoted as saying “We are committed to crushing fraud, waste and abuse … CMS 2025 RADV audit expansion: Key changes and what they mean to MA plans
Build the right data stack: How to integrate clinical and claims data for actionable intelligence
Best practices for processing clinical and claims data to support modern analytical and reporting needs Healthcare organizations are increasingly challenged to extract value from vast and varied data sources, especially as clinical and claims data become central to decision-making, regulatory compliance, and value-based care initiatives. Yet, the complexities of processing, integrating, and standardizing these data … Build the right data stack: How to integrate clinical and claims data for actionable intelligence
NAHDO Virtual Conference Fall 2025
Milliman MedInsight at the National Association of Health Data Organizations (NAHDO) Virtual Conference Milliman MedInsight will attend the National Association of Health Data Organizations (NAHDO) Virtual Conference as we support their nationwide effort to improve the collection, analysis, and use of healthcare data for market analysis, policy development, and research. As a long-standing advocate for … NAHDO Virtual Conference Fall 2025
