Learn more about MedInsight in our latest resources
Featured Resources
From readiness to reality: What TEAM’s first year is really testing
In January 2026, CMS’s Transforming Episode Accountability Model (TEAM) moved from policy to practice. For hospitals in mandatory regions, TEAM is no longer something to prepare for on paper; it is live, operational, and beginning to influence how episode performance is evaluated clinically, financially, and operationally. Many organizations are entering 2026 with a measured posture. … From readiness to reality: What TEAM’s first year is really testing
Medicare Advantage 2026: Breaking down the new risk model and its impact in plain terms
The Centers for Medicare & Medicaid Services (CMS) introduced CMS-HCC Version 28 (V28) in 2024 as the next evolution of Medicare Advantage (MA) risk adjustment. For many organizations, the “new CMS-HCC model” felt more theoretical than operational, something plans were preparing for but not fully experiencing. That changes in 2026, when V28 becomes operational at … Medicare Advantage 2026: Breaking down the new risk model and its impact in plain terms
How CareFirst BlueCross BlueShield modernized analytics to cut cost of care
Health plans are walking a tightrope. On one side, utilization is climbing and breakthrough therapies, while clinically promising, are reshaping cost curves. On the other hand, members, employers, and providers expect more convenience, transparency, and value. The mandate is clear: deliver better outcomes and experiences without sacrificing affordability. Meeting that mandate requires more than more … How CareFirst BlueCross BlueShield modernized analytics to cut cost of care
Physician performance enablement: Engaging providers with actionable insights for ACO success
Many organizations now have access to more data than ever before, yet they often struggle to transform this information into practical actions that lead to real improvements in population health. Physicians play a vital role in this process and should be involved early when turning data into meaningful insights that are practical, effective, and aligned … Physician performance enablement: Engaging providers with actionable insights for ACO success
HIMSS26: From data foundations to operational execution in healthcare AI
The HIMSS Global Health Conference and Exhibition has long served as a signal for where healthcare technology is headed. This year’s conference, attended by more than 24,000 healthcare leaders, reflected an industry that has moved past curiosity and into a more demanding phase of transformation. Artificial intelligence (AI), interoperability, and digital infrastructure remained central topics … HIMSS26: From data foundations to operational execution in healthcare AI
Executive Report: Beyond transformation talk: What value-based care organizations need from analytics
Across organizations of all types and sizes, value-based care leaders describe a common tension. Most say their current technology investments align with clinical and business goals, yet budget constraints, data integration hurdles, and persistent interoperability gaps constrain execution. The Milliman MedInsight executive report explores how value-based care organizations use analytics to address rising financial pressure, … Executive Report: Beyond transformation talk: What value-based care organizations need from analytics
Browse our full library of resources
All resources
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
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
