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Next-level risk adjustment: Empowering patient outcomes and financial efficiency
Risk adjustment relies on a long list of health and demographic data points to estimate the cost of patient care across a specific population. Getting it right is critical for ensuring that reimbursements accurately reflect the cost of value-based care. As the data picture becomes more complete, the promise of risk adjustment processes to deliver … Next-level risk adjustment: Empowering patient outcomes and financial efficiency

Building transparency: Best practices for optimizing value-based performance reporting
Transparency plays a crucial role in value-based performance (VBP) reporting. It ensures accountability and trust between health plans and healthcare providers. In a system where outcomes matter, clear reporting fosters better decision-making and collaboration, increasing stakeholders’ commitment to quality care. In this blog post, Milliman MedInsight Marketing Director Sarah Quinn explains the role of technology … Building transparency: Best practices for optimizing value-based performance reporting

The road ahead: The importance of reliable data in the AI era
After attending HIMSS25, the Milliman MedInsight team has deepened our appreciation for the true value of data. As artificial intelligence (AI) becomes increasingly ingrained in healthcare technology, ensuring the quality and reliability of the data it processes is essential. The path forward is clear: embrace responsible data practices or risk falling behind. We recently sat … The road ahead: The importance of reliable data in the AI era

What is next for risk adjustment? Key moments from RISE National 2025
The RISE National 2025 conference made one thing clear: advanced technologies like artificial intelligence (AI) are not just refining risk adjustment strategies—they are dramatically accelerating insights and deliverables. The event emphasized the urgent need for interoperability and smooth data integration, in tandem with innovative measures aimed at minimizing provider abrasion within value-based care (VBC) frameworks. … What is next for risk adjustment? Key moments from RISE National 2025

HIMSS25: Key trends in navigating uncertainty, interoperability, AI, and cybersecurity
The HIMSS Global Health Conference and Exhibition (HIMSS) has long been a hub for forward-thinking discussions and innovations in healthcare technology. This year, Milliman MedInsight was thrilled to return to HIMSS for the second year in a row. HIMSS stands out as a premier event in healthcare technology, drawing over 28,000 healthcare leaders from 88 … HIMSS25: Key trends in navigating uncertainty, interoperability, AI, and cybersecurity

How Milliman MedInsight helped Advanced Health integrate EHR data for state reporting
In this video, Advanced Health Director of Social Determinants of Health, Amanda McCarthy, describes how partnership with Milliman MedInsight helped the organization through a rocky transition to incorporating EHR clinical data into the quality measure reporting required for state funding. As a coordinated care organization (CCO) Advanced Health’s mission depends on its ability to accurately … How Milliman MedInsight helped Advanced Health integrate EHR data for state reporting