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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 wins 2025 Best in KLAS for Data Analytics Platform (Payer)
The Milliman MedInsight Payer Platform achieves top ranking with enhanced data analytics and clinical-claims interoperability SEATTLE, WA – Feb. 18, 2025 – Milliman MedInsight® (MedInsight), a leading healthcare data and analytics division of Milliman, has been awarded 2025 Best in KLAS® for Data Analytics Platform (Payer). KLAS Research, known for its independent evaluations of healthcare technology, … Milliman MedInsight wins 2025 Best in KLAS for Data Analytics Platform (Payer)
Health system’s VBC analytics expert on the value of partnering with Milliman MedInsight
As SSM Health grew from a single state healthcare system to one that covers four states across the Midwest, its data needs grew proportionately. Darrin Dahl, SSM Health’s product owner for value-based care and finance, describes how the organization’s eight-year partnership with Milliman MedInsight has helped build the data infrastructure SSM needs to manage nearly … Health system’s VBC analytics expert on the value of partnering with Milliman MedInsight
Exploring low-value care use through an SDOH lens
Recognizing that low-value care is shaped by the broader healthcare environment and influenced by socioeconomic factors impacting care, Milliman MedInsight developed a model to explore the connections between low-value care and social determinants of health. The goal is to offer the healthcare industry actionable insights to enhance quality, efficiency, equity, and outcomes. In this blog … Exploring low-value care use through an SDOH lens
VBC contract modeling and management for profitability, efficiency, and better outcomes
Value-based care is a transformative approach with enormous potential for both improved patient outcomes and financial sustainability, but success requires a careful and complex alignment of incentives between payers and providers. For value-based care (VBC) to succeed, negotiations must begin with reliable performance metrics. Without a deep understanding of your financial performance, you cannot create … VBC contract modeling and management for profitability, efficiency, and better outcomes
The transformative impact of AI in healthcare analytics
Join us for an insightful webinar featuring industry experts as they explore the evolving role of Artificial Intelligence (AI) in reshaping healthcare analytics for payers and providers. This session builds on our February 2024 discussion, providing key updates on how AI continues to advance healthcare analytics and how Milliman MedInsight continues to integrate AI to … The transformative impact of AI in healthcare analytics
Challenges of childhood burden of cystic fibrosis
Cystic fibrosis (CF) is a genetic disorder that causes problems with breathing and digestion. CF affects about 35,000 people in the United States, with nearly half aged less than 18 years. Approximately half of the US patients with CF are covered by publicly funded programs for people with low incomes. In this study, we summarize … Challenges of childhood burden of cystic fibrosis
