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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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Exploring the provider landscape in Sickle Cell Disease through a gene therapy lens
Sickle Cell Disease (SCD) is one of the most common genetic disorders in the world. The disease has significant impacts on quality of life and life expectancy for racial and ethnic minorities in the United States. Breakthrough, potentially curative gene therapy treatments have recently been developed and approved but remain costly and difficult to provide … Exploring the provider landscape in Sickle Cell Disease through a gene therapy lens
Increased spending on low-value care during the COVID-19 pandemic in Virginia
The U.S. spends more money on healthcare than other countries without commensurate improvement in health outcomes. Part of this wasteful spending is attributed to low-value care, services for clinical scenarios that lack evidence and therefore do not benefit health, raise costs, and sometimes cause patient harm. Examples are cardiovascular screening tests for asymptomatic low-risk patients … Increased spending on low-value care during the COVID-19 pandemic in Virginia
The power of insight: Enhancing VBC contract management and outcomes with analytics
The transition towards value-based care (VBC) is rapidly reshaping the healthcare landscape. While this shift holds immense promise for improving patient outcomes and reducing costs, it also presents a unique set of challenges that demand careful consideration for successful contract negotiations and management. In this blog post Milliman MedInsight product manager, Umang Gupta, explains the … The power of insight: Enhancing VBC contract management and outcomes with analytics
EHR Data Integration
Value-based care models are placing greater emphasis on the effective integration of traditionally separate data sets: claims data and clinical data.
Milliman MedInsight introduces next-generation health cloud for improved performance and scalability
Leveraging top-tier analytics and methodologies, Milliman MedInsight offers a sophisticated, AI-enabled Health Cloud designed to enhance efficiencies and outcomes SEATTLE – SEPT. 23, 2024 – Milliman MedInsight, a leading provider of healthcare data and analytics, unveiled today its next-generation data lake and data warehouse architecture that enables healthcare organizations to fully utilize their data and … Milliman MedInsight introduces next-generation health cloud for improved performance and scalability
Changing patterns in telehealth
Although face-to-face interactions have always been the mainstay of the United States healthcare system, since the emergence of SARS-CoV-2 telehealth has been recognized as an equally useful method for healthcare delivery for some common services. To compare utilization and cost implications of telehealth visits with face-to-face visits before and during the COVID-19 pandemic this whitepaper … Changing patterns in telehealth
