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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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Contract management mastery: What you need to succeed in value-based care contracts
Dive into the intricacies of effective contract management tailored specifically for value-based care arrangements. Industry experts will guide you through essential strategies, best practices, and critical insights to navigate the complexities of value-based contracts successfully. Whether you’re a healthcare professional, administrator, or involved in contract negotiations, this webinar equips you with the knowledge and skills … Contract management mastery: What you need to succeed in value-based care contracts
Navigating the future of healthcare: AI trends and predictions for payers and providers
Join us for an insightful webinar featuring a panel of industry experts as they delve into the transformative impact of Artificial Intelligence (AI) in healthcare analytics for both payers and providers. Explore real-world applications, cutting-edge technologies, and the evolving role of AI in optimizing patient care, operational efficiency, and decision-making within the healthcare ecosystem. Gain … Navigating the future of healthcare: AI trends and predictions for payers and providers
Provider Registry
Milliman MedInsight’s Provider Registry seamlessly consolidates provider data into a unified, up-to-date, and easily accessible dataset.
Surviving and thriving under the persistent movement to value-based care arrangements
Value-based care (VBC) arrangements between payers and providers continue to grow, fueled by the Center for Medicare and Medicaid’s (CMS’) ambitious goal of achieving 100% accountable care for Medicare beneficiaries by 2030. To be successful under these arrangements, provider organizations need to understand the VBC landscape and the levers they have available to achieve successful … Surviving and thriving under the persistent movement to value-based care arrangements
3 best practices to maximize employer group reporting value
In today’s ever-changing healthcare landscape, the ability to quantify the value that health plans deliver has become crucial. A recent study conducted by EY-Parthenon and KLAS Research highlights that more than 70 percent of payers are prioritizing cost optimization as a top strategic goal.1 As health plans face increasing pressure to manage costs and demonstrate … 3 best practices to maximize employer group reporting value
eBook: How payers can navigate the hurricane of healthcare data
With healthcare data accruing or flooding in at a rate that has been compared to a hurricane, payers who can navigate the rising tide of digital information will reap unprecedented opportunities for innovation and efficiency. Data-driven decision making, fueled by everything from electronic medical records to wearable devices that collect healthcare information directly from members, … eBook: How payers can navigate the hurricane of healthcare data
