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Preparing for HEDIS 2025 with an integrated risk adjustment solution
Are you ready for HEDIS 2025? Streamline your workflows with an integrated risk adjustment solution Every year, the National Committee for Quality Assurance (NCQA) publishes a detailed list of updates, additions, and deletions for the Healthcare Effectiveness Data and Information Set (HEDIS®).1As one of the most critical sets of performance measures in the healthcare industry, … Preparing for HEDIS 2025 with an integrated risk adjustment solution
Exploring low-value care use through an SDOH lens
Recognizing that low-value care is shaped by the broader healthcare environment and influenced by socioeconomic factors impacting care, Milliman MedInsight developed a model to explore the connections between low-value care and social determinants of health. The goal is to offer the healthcare industry actionable insights to enhance quality, efficiency, equity, and outcomes. In this blog … Exploring low-value care use through an SDOH lens
VBC contract modeling and management for profitability, efficiency, and better outcomes
Value-based care is a transformative approach with enormous potential for both improved patient outcomes and financial sustainability, but success requires a careful and complex alignment of incentives between payers and providers. For value-based care (VBC) to succeed, negotiations must begin with reliable performance metrics. Without a deep understanding of your financial performance, you cannot create … VBC contract modeling and management for profitability, efficiency, and better outcomes
Challenges of childhood burden of cystic fibrosis
Cystic fibrosis (CF) is a genetic disorder that causes problems with breathing and digestion. CF affects about 35,000 people in the United States, with nearly half aged less than 18 years. Approximately half of the US patients with CF are covered by publicly funded programs for people with low incomes. In this study, we summarize … Challenges of childhood burden of cystic fibrosis
Independent Health: Next-generation employer group reporting
Key sections: Action Results Looking ahead Download the story From its roots in a University of Buffalo graduate school project to its unique preventive care model, Independent Health Inc. has always taken an innovative approach to its role as a provider of health plans to approximately 380,000 residents of western New York. With a mission … Independent Health: Next-generation employer group reporting
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Risk Adjustment Platform
For value-based care success, accurate risk adjustment is essential for fair reimbursement and optimal patient care.
From data to strategy: Scaling payer analytics for growth
In a highly competitive payer market, the ability to transform raw data into actionable insights is more critical than ever. Rising healthcare costs, regulatory changes and transformative technology continue to reshape operational priorities. Creating collaborative ecosystems across the enterprise is vital to an organization’s success. Join our webinar to learn how scaling payer analytics can … From data to strategy: Scaling payer analytics for growth
Preparing for HEDIS 2025 with an integrated risk adjustment solution
Are you ready for HEDIS 2025? Streamline your workflows with an integrated risk adjustment solution Every year, the National Committee for Quality Assurance (NCQA) publishes a detailed list of updates, additions, and deletions for the Healthcare Effectiveness Data and Information Set (HEDIS®).1As one of the most critical sets of performance measures in the healthcare industry, … Preparing for HEDIS 2025 with an integrated risk adjustment solution
Milliman MedInsight wins 2025 Best in KLAS for Data Analytics Platform (Payer)
The Milliman MedInsight Payer Platform achieves top ranking with enhanced data analytics and clinical-claims interoperability SEATTLE, WA – Feb. 18, 2025 – Milliman MedInsight® (MedInsight), a leading healthcare data and analytics division of Milliman, has been awarded 2025 Best in KLAS® for Data Analytics Platform (Payer). KLAS Research, known for its independent evaluations of healthcare technology, … Milliman MedInsight wins 2025 Best in KLAS for Data Analytics Platform (Payer)
Milliman HealthVision360 2025
Milliman HealthVision360: Shaping the Future of Healthcare Together Milliman HealthVision360 is designed with one purpose—to empower our clients with the tools and strategies needed to drive meaningful change in healthcare. At Milliman, we bring together over 75 years of expertise in health consulting, data analytics, innovative technology, and problem-solving to help you navigate today’s most … Milliman HealthVision360 2025
Health system’s VBC analytics expert on the value of partnering with Milliman MedInsight
As SSM Health grew from a single state healthcare system to one that covers four states across the Midwest, its data needs grew proportionately. Darrin Dahl, SSM Health’s product owner for value-based care and finance, describes how the organization’s eight-year partnership with Milliman MedInsight has helped build the data infrastructure SSM needs to manage nearly … Health system’s VBC analytics expert on the value of partnering with Milliman MedInsight