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
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
Independent Health: Next-generation employer group reporting
Key sections: Action Results Looking ahead Download the story From its roots in a University of Buffalo graduate school project to its unique preventive care model, Independent Health Inc. has always taken an innovative approach to its role as a provider of health plans to approximately 380,000 residents of western New York. With a mission … Independent Health: Next-generation employer group reporting
The best of 2024: Exploring digital transformation, Gen AI and VBC
In the rapidly transforming landscape of healthcare analytics, it is difficult to predict what a new year will bring. However, looking back, it is clear that developments around digital transformation, generative AI (Gen AI) and value-based-care (VBC) have continued to stay top of mind for both payer and provider organizations. The past year has seen … The best of 2024: Exploring digital transformation, Gen AI and VBC
Streamlining provider profiling with focused reference data
In healthcare markets across the country, reliable and descriptive data is critical for stakeholders to make informed, strategic decisions. A robust source of claims and encounter data are perhaps the most flexible and comprehensive sources of market information one might use, and adaptable to almost any strategic need. However, such large resources are not accessible … Streamlining provider profiling with focused reference data
