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AI in healthcare analytics: Milliman MedInsight’s approach to delivering trusted answers at speed and scale
Organizations are under growing pressure to make faster, more confident decisions in an increasingly complex healthcare environment. As healthcare continues shifting to value-based care, administrative tasks and data volumes are both growing. Although many leaders see artificial intelligence (AI) as a possible solution, it also brings new challenges. Without access to accurate data, a strong … AI in healthcare analytics: Milliman MedInsight’s approach to delivering trusted answers at speed and scale
Value-based care requires value-based operations: A framework for operational alignment
In healthcare, value-based care (VBC) is more than a familiar phrase. It represents a commitment to better patient outcomes and more thoughtful use of resources. Yet as the industry shifts from fee-for-service (FFS) reimbursement to value-based contracts, a significant gap persists. We often focus on contract design, aligned incentives, shared savings, and risk-bearing arrangements. But … Value-based care requires value-based operations: A framework for operational alignment
Beyond the diagnosis: The financial toll of cancer amid chronic conditions
Cancer is a leading cause of death worldwide, accounting for nearly 10 million deaths in 2020, or nearly one in six deaths. In the United States, the percentage of adults who have ever been diagnosed with cancer is 10.3% in 2024 and cancer is the number two cause of death across all chronic conditions. Cancer … Beyond the diagnosis: The financial toll of cancer amid chronic conditions
Optimizing the Total Cost of Care with payer analytics
Health plans now operate in a far more complex environment than in past years. With economic uncertainty, shifting market forces, and regulatory changes, there is increasing pressure for health plans to do more than just maintain performance; they must deliver real, measurable value. To succeed in managing the Total Cost of Care (TCOC), health plans … Optimizing the Total Cost of Care with payer analytics
Bridging the gaps: Ensuring provider network adequacy with the Milliman Network Optimizer
Building a provider network that meets adequacy standards is no small feat for healthcare organizations. As regulatory requirements evolve and patient needs diversify, ensuring beneficiaries have timely access to the right providers becomes increasingly complex. Organizations must navigate a maze of compliance benchmarks, analyze vast and often fragmented data, and address gaps across multiple specialties … Bridging the gaps: Ensuring provider network adequacy with the Milliman Network Optimizer
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New eBook: Harnessing analytics and AI: A modern guide to risk adjustment
Reliable risk adjustment processes are a critical factor in the success of value-based care, but harnessing the array of data needed to align healthcare costs and provider compensation can be a challenging undertaking. With a growing number of patients enrolled in VBC programs, including the more than 33 million patients enrolled in Medicare Advantage (MA), … New eBook: Harnessing analytics and AI: A modern guide to risk adjustment
Payer Insights
The Milliman MedInsight Payer Insights application provides health plans with an integrated enterprise framework that enhances speed to insight through intuitive dashboards and reports, enabling quick monitoring of cost drivers, quality of care, and utilization trends.
Milliman MedInsight unveils expanded Payer Platform capabilities to drive operational excellence
Seattle, WA – June 17, 2025 – Milliman MedInsight® (MedInsight), a leading healthcare data and analytics software provider and division of Milliman, announced today the expansion of its Payer Platform with the launch of the new Payer Insights application. Powered by the Milliman MedInsight Health Cloud, Payer Insights goes beyond traditional analytics by providing health … Milliman MedInsight unveils expanded Payer Platform capabilities to drive operational excellence
Navigating value-based care in 2025: How to implement it successfully in your practice
The healthcare industry is changing rapidly, influenced by new regulations, higher consumer expectations, and increasing cost pressures. In addition, the Centers for Medicare & Medicaid Services (CMS) has a big goal: by 2030, all Medicare beneficiaries should be in value-based care (VBC) arrangements. This means we’re seeing a fast shift away from the traditional fee-for-service … Navigating value-based care in 2025: How to implement it successfully in your practice
Elevate your healthcare data stack: Insights for healthcare leaders
A guide for healthcare executives to ditch outdated “data moving truck” approaches Discover how forward-thinking healthcare organizations are transforming data and insight sharing—without relying on outdated, cumbersome “data moving truck” methods. In this webinar, MedInsight experts reveal modern strategies for secure, agile, and scalable information exchange tailored for healthcare leaders. Join us to learn how … Elevate your healthcare data stack: Insights for healthcare leaders
Executive data security briefing – 4 questions every healthcare leader should be asking in 2025
As healthcare breaches grow in scale and impact, data security has become a top boardroom priority—not just an IT concern. In this on-demand session, Milliman MedInsight experts break down what every healthcare executive should be asking when it comes to protecting sensitive data and choosing trusted partners. This webinar is designed for c-suite executives and … Executive data security briefing – 4 questions every healthcare leader should be asking in 2025
