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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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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
Preparing for HEDIS 2025 with an integrated risk adjustment solution
Are you ready for HEDIS 2025? Streamline your workflows with an integrated risk adjustment solution Every year, the National Committee for Quality Assurance (NCQA) publishes a detailed list of updates, additions, and deletions for the Healthcare Effectiveness Data and Information Set (HEDIS®).1As one of the most critical sets of performance measures in the healthcare industry, … Preparing for HEDIS 2025 with an integrated risk adjustment solution
