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Featured Resources
2024 MSSP success: How Milliman MedInsight VBC solutions help ACOs outperform national averages
Every summer, the Centers for Medicare & Medicaid Services (CMS) announces settlement results for the Medicare Shared Savings Program (MSSP), an update that Accountable Care Organization (ACO) leaders, analysts, and policy experts eagerly anticipate. The MSSP results are more than just numbers in a report; they reflect how well ACOs are delivering value-based care (VBC) … 2024 MSSP success: How Milliman MedInsight VBC solutions help ACOs outperform national averages
Success in value-based care with Milliman MedInsight VBC Platform + ACO Builder
In value-based care (VBC), the strength and effectiveness of the provider network play a major role in determining success under a risk-bearing contract. The right mix of providers can improve outcomes, reduce costs, and help achieve savings targets. The wrong mix can lead to missed quality measures, financial losses, and patient dissatisfaction. Historically, however, network … Success in value-based care with Milliman MedInsight VBC Platform + ACO Builder
Transforming value-based care performance with the MedInsight VBC Platform
Value-based care (VBC) shifts the focus from the quantity of healthcare services delivered to the quality and effectiveness of care provided. In this model, providers are rewarded for improving patient outcomes, enhancing care efficiency, and refining resource use. This shift matters because it aligns incentives with what truly benefits patients: better health, the right amount … Transforming value-based care performance with the MedInsight VBC Platform
Precision is key: How payers can unlock strategic insights from claims and clinical data integration
Today, payers face mounting pressure to deliver better outcomes, control the cost of care, and manage financial risk. Meeting these goals requires more than access to raw data—it demands actionable insights that support strategic, cost-effective decision-making. This is where the integration of clinical and claims data becomes transformative. By bridging the gap between clinical records … Precision is key: How payers can unlock strategic insights from claims and clinical data integration
How healthcare payers can grow their analytic capabilities while staying vigilant against data breach threats
Increasingly scalable, flexible, interoperable, cloud-based platforms supporting sophisticated analytic capabilities have created wide-ranging opportunities and profound insights for healthcare organizations, from improvements in quality of care to cost-saving efficiencies. But the sensitive health care data underlying such promising developments can also leave payer organizations at risk. Healthcare payers handle large volumes of sensitive patient information, … How healthcare payers can grow their analytic capabilities while staying vigilant against data breach threats
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Cascading impact of unnecessary or low-value care services
Research suggests that almost 30 percent of all healthcare in the United States is unnecessary or wasteful. In this whitepaper, we explore the unintended consequences of unnecessary medical testing and treatment and offer suggestions for patients and clinicians to reduce the potential for these harms without compromising care. The Milliman MedInsight® Health Waste Calculator is … Cascading impact of unnecessary or low-value care services
Milliman MedInsight releases Value-Based Care Platform with advanced EHR integration and contract management capabilities
Upgraded platform empowers ACOs with comprehensive data insights and predictive analytics for optimal care delivery and financial performance SEATTLE, WA – Feb. 25, 2025 – Milliman MedInsight® (MedInsight), a leading healthcare data and analytics division of Milliman, introduces its upgraded Value-Based Care (VBC) Platform®. Built on the Milliman MedInsight Health Cloud, the VBC Platform is … Milliman MedInsight releases Value-Based Care Platform with advanced EHR integration and contract management capabilities
Genesys PHO: Optimizing patient risk stratification and clinical outreach
Genesys PHO, a Michigan-based physician hospital organization and partnership between primary care physicians and investors Ascension and Henry Ford, serves about 120,000 patients. Recently, the organization began working to improve outcomes using risk stratification to improve provider performance. Working with analysts and leveraging the risk stratification tools in the Milliman MedInsight VBC Platform, nurses embedded … Genesys PHO: Optimizing patient risk stratification and clinical outreach
Milliman MedInsight Brochure
In today’s ever-evolving healthcare landscape, delivering affordable, high-quality care remains a top priority.
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 us for a webinar hosted by Milliman MedInsight, the … From data to strategy: Scaling payer analytics for growth
