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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
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Performance benchmarking with the power of Milliman MedInsight research, reliability, and expertise
To improve your performance in a competitive healthcare marketplace, you have to know exactly where you stand. You need tools that let you drill deep into the factors driving costs, utilization and trends. Milliman MedInsight benchmarking tools, built on a database of 95 million members, 4 billion claim lines annually, and more than 75 years … Performance benchmarking with the power of Milliman MedInsight research, reliability, and expertise
Integrated risk adjustment solutions: Enhancing reimbursement and patient care
Accurate risk adjustment is essential for fair reimbursement and optimal patient care in value-based care. However, issues like inaccurate risk scoring, poor HCC documentation and coding, and undocumented or untreated conditions can create a large burden for both payers and providers, leading to expensive and time-consuming processes. In this webinar, Milliman MedInsight will explore innovative … Integrated risk adjustment solutions: Enhancing reimbursement and patient care
2024 Insights: Key trends reshaping healthcare analytics
As we prepare for the new year, the healthcare industry has been propelled forward by remarkable advancements in Generative AI (Gen AI), value-based care (VBC), and the electronic health record (EHR) data integration. While the overall goal of improving patient care has remained on track over the years, the introduction of Gen AI is revolutionizing … 2024 Insights: Key trends reshaping healthcare analytics
MSSP ACOs using Milliman MedInsight achieved over $549.3M of earned savings in 2023 under CMS Medicare Shared Savings Program
SEATTLE – DEC. 10, 2024 – Milliman MedInsight, a leading provider of healthcare data and analytics, is pleased to share the remarkable success of its Accountable Care Organization (ACO) clients for the 2023 Medicare Shared Savings Program (MSSP). Key highlights of 2023 performance results for Milliman MedInsight clients: Milliman MedInsight clients lead the way: Milliman MedInsight … MSSP ACOs using Milliman MedInsight achieved over $549.3M of earned savings in 2023 under CMS Medicare Shared Savings Program
Mastering value-based care contracts: Strategies for success
Discover the keys to mastering value-based care contracts in this informative webinar! Join industry experts as they delve into effective strategies for contract negotiations, year-round performance tracking, and actionable approaches to streamline contract management in value-based arrangements. In addition, gain valuable insights into measuring and comparing performance across multiple contracts to ensure alignment with your … Mastering value-based care contracts: Strategies for success
Supercharging healthcare analysis with robust provider data
Organizations in and around the healthcare industry are clamoring for more data and more data-driven insights to guide their decisions. At their core, many of these decisions rely on an understanding of the overall healthcare system. Understanding the healthcare system in turn requires an understanding of healthcare providers working in the system, as well as … Supercharging healthcare analysis with robust provider data
