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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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Scalable analytics for value-based care insights
Learn how you can use scalable analytics to drive quality-based outcomes, reduce costs and mitigate the financial risks of value-based care. MedInsight’s VBC Platform is designed to support ACOs in their transition to value-based care by streamlining analytical workflows and delivering data insights crucial for achieving success in value-based care initiatives. With enhanced data visualization, … Scalable analytics for value-based care insights
Maximizing the ROI of Value-Based Care Contracts
MedInsight support for ACOs includes tools that enable you to manage revenue and navigate risks. Learn how a full view of your financial performance across value-based care contracts can be leveraged for the ability to track and monitor risk-based contracts for better decision making, maximized ROI and deeper insights for improving reimbursement and competitiveness. Our … Maximizing the ROI of Value-Based Care Contracts
MedInsight Data Science Portal
Learn how you can unlock the power of your data for sophisticated queries, deeper insights and genuine innovation with the MedInsight Data Science Portal, a robust and flexible platform powered by AI and the deep expertise of the MedInsight team. Spend less time wrangling data sets and prepping data and more time mining the insights … MedInsight Data Science Portal
The Milliman MedInsight difference for reliable data-based health care insights
Trust your data and accurately price risk with Milliman MedInsight: relied on by over 300 payers and ACOs since 1997 to aggregate and enrich claims data with county-level benchmarks, risk adjusters, and groupers—all peer-reviewed as part of the MedInsight Data Confidence Model. Your data will be refreshed in days instead of weeks every month so … The Milliman MedInsight difference for reliable data-based health care insights
Navigating the Future: Key Themes from HIMSS24
The healthcare industry is on the verge of a transformative era, driven by technological advancements like generative AI (Gen AI). These innovations are revolutionizing the way data is utilized, opening up new possibilities for healthcare delivery and efficiency. It comes as no surprise that the HIMSS Global Health Conference and Exhibition centered around the theme … Navigating the Future: Key Themes from HIMSS24
Milliman MedInsight expert perspective: AI trends and predictions for payers and providers
The emergence of generative artificial intelligence (Gen AI) brings forth a powerful tool that has the potential to revolutionize the healthcare industry. With its ability to process unstructured healthcare data and transform the delivery of care, Gen AI holds immense promise for payers and healthcare systems alike. In a recent conversation with Iyibo Jack, Principal … Milliman MedInsight expert perspective: AI trends and predictions for payers and providers
