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Harnessing analytics and AI: A modern guide to risk adjustment
Value-based care (VBC) models are reshaping the delivery, measurement, and funding of healthcare at an accelerated pace, making precise risk-adjustment processes essential for ensuring that reimbursements and premiums accurately reflect actual care costs. Accurate risk adjustment creates a fair and sustainable link between healthcare costs and provider compensation in risk-sharing arrangements. To succeed requires careful … Harnessing analytics and AI: A modern guide to risk adjustment
Top 3 takeaways from NAACOS Spring 2025 Conference
The NAACOS Spring Conference 2025, held April 22-24 in Baltimore, brought together a dynamic mix of healthcare professionals, policymakers, and innovators, dedicated to shaping the future of Accountable Care Organizations (ACOs). This year’s event underscored the need for health systems to address evolving challenges and advance value-based care (VBC) to enhance care quality, improve patient … Top 3 takeaways from NAACOS Spring 2025 Conference
Becker’s Payer Issues Roundtable 2025: Charting Medicare Advantage growth
In April, the Becker’s Payer Issues Roundtable 2025 gathered industry leaders to examine the key challenges facing payers, including the impact of changing regulations and the future of Medicare Advantage (MA). Marcos Dachary, Principal and Chief Market Strategist and General Manager of Payer Solutions at Milliman MedInsight, participated in a panel discussion to explore topics … Becker’s Payer Issues Roundtable 2025: Charting Medicare Advantage growth
Payer analytics in focus: Emerging trends
Last year, our payer articles focused on accelerating digital transformation, increasing transparency and trust in value-based care, and strengthening data foundations. As we move into 2025, we draw on a recent Milliman MedInsight survey of payer customers to offer key insights for payer executives and analytics teams. This article explores the hurdles payers face—from data … Payer analytics in focus: Emerging trends
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
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Charting the future: Strategies for healthcare CFOs
Healthcare Chief Financial Officers (CFOs) are increasingly finding themselves at the helm of strategic decision-making that goes beyond financial management. Recent issues, such workforce retention and future uncertainty, are compelling CFOs to adopt new strategies and undergo a profound transformation. Although healthcare systems have made strides towards achieving financial stability, it is evident that profit … Charting the future: Strategies for healthcare CFOs
MedInsight and the future of health IT at HIMSS 24
Join MedInsight leaders behind the scenes at the HIMSS Global Health Conference & Exhibition in Orlando, Florida, where they share their vision of the role that MedInsight will play in driving the future of healthcare analytics, from the investment in innovation and data management tools to support of the healthcare leaders who need to be … MedInsight and the future of health IT at HIMSS 24
Navigating the challenges: Key priorities for ACOs in the journey to value-based care
In recent years, Accountable Care Organizations (ACOs) have emerged as a recognized force in the shift from fee-for-service models to value-based care. By fostering coordinated collaboration among groups of physicians, hospitals, and other providers, ACOs present substantial opportunities for achieving better outcomes and cost savings. It also brings forth challenges for ACOs in keeping pace … Navigating the challenges: Key priorities for ACOs in the journey to value-based care
Navigating payers’ top challenges: 3 strategies for success
The healthcare industry is on the precipice of a transformative era. As payers increasingly face a multitude of complex challenges, they are finding themselves at a critical juncture. One where they must navigate these issues alongside innovative, and sometimes, uncharted territory (e.g., emerging technology). At the Becker’s Spring Payer Issues Roundtable, Milliman MedInsight (MedInsight) collaborated … Navigating payers’ top challenges: 3 strategies for success
How digital transformation drives value-based care
As the transition to value-based care continues to accelerate, health plans are driven to deliver value-centric services through digital transformation. This can facilitate a more connected ecosystem for building greater transparency, trust, and interoperability. In this ebook, learn about how digital transformation can be beneficial for value-based care and how MedInsight can help you with … How digital transformation drives value-based care
Generative AI in healthcare: Opportunities and challenges
The recent HIMSS24 conference in Orlando was abuzz with discussions on Generative AI (Gen AI) in healthcare. With its ability to streamline administrative processes, Gen AI is being hailed as a game-changer in various healthcare applications. However, as promising as it may be, there are questions about how to effectively implement and scale Gen AI … Generative AI in healthcare: Opportunities and challenges
