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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
The road ahead: The importance of reliable data in the AI era
After attending HIMSS25, the Milliman MedInsight team has deepened our appreciation for the true value of data. As artificial intelligence (AI) becomes increasingly ingrained in healthcare technology, ensuring the quality and reliability of the data it processes is essential. The path forward is clear: embrace responsible data practices or risk falling behind. We recently sat … The road ahead: The importance of reliable data in the AI era
What is next for risk adjustment? Key moments from RISE National 2025
The RISE National 2025 conference made one thing clear: advanced technologies like artificial intelligence (AI) are not just refining risk adjustment strategies—they are dramatically accelerating insights and deliverables. The event emphasized the urgent need for interoperability and smooth data integration, in tandem with innovative measures aimed at minimizing provider abrasion within value-based care (VBC) frameworks. … What is next for risk adjustment? Key moments from RISE National 2025
HIMSS25: Key trends in navigating uncertainty, interoperability, AI, and cybersecurity
The HIMSS Global Health Conference and Exhibition (HIMSS) has long been a hub for forward-thinking discussions and innovations in healthcare technology. This year, Milliman MedInsight was thrilled to return to HIMSS for the second year in a row. HIMSS stands out as a premier event in healthcare technology, drawing over 28,000 healthcare leaders from 88 … HIMSS25: Key trends in navigating uncertainty, interoperability, AI, and cybersecurity
The importance of clear provider groupings in healthcare service analysis
Any organization operating in the healthcare space will almost inevitably find itself at some point making use of a market share or service concentration analysis. There are any number of ways one might potentially approach the analysis, each with attendant questions. Armed with clear definitions and a thoughtful approach to quantifying one’s findings, one can … The importance of clear provider groupings in healthcare service analysis
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How a Michigan PHO uses Milliman MedInsight for population health metrics and value-based care
In this video, the manager of population health and analytics for a Michigan contract provider serving a population mostly living below the poverty line describes how Milliman MedInsight analytics drives the work she does to ensure the best care for the organization’s members. By leveraging MedInsight MARA risk scores and Health Cost Guidelines (HCGs), the … How a Michigan PHO uses Milliman MedInsight for population health metrics and value-based care
Advanced Health uses clinical data and Milliman MedInsight to boost performance and close care gaps
In this video, Advanced Health’s Director of Social Determinants of Health, Amanda McCarthy, describes how collaboration with Milliman MedInsight enables the organization to leverage population health data to better serve its population. As a Medicaid clinical care organization (CCO) serving a diverse population on the southern Oregon coast, Advanced Health uses Milliman MedInsight monthly reports … Advanced Health uses clinical data and Milliman MedInsight to boost performance and close care gaps
How Milliman MedInsight streamlines data governance for Mass General Brigham
In this video, the head of financial planning for Mass General Brigham, Sharon Wolf, describes how working with Milliman MedInsight helped the organization overcome the challenges of messy data with streamlined data governance and a single source of truth. The results left Mass General Brigham with a reliable and accessible source of data and reporting … How Milliman MedInsight streamlines data governance for Mass General Brigham
The importance of clear provider groupings in healthcare service analysis
Any organization operating in the healthcare space will almost inevitably find itself at some point making use of a market share or service concentration analysis. There are any number of ways one might potentially approach the analysis, each with attendant questions. Armed with clear definitions and a thoughtful approach to quantifying one’s findings, one can … The importance of clear provider groupings in healthcare service analysis
Milliman MedInsight launches comprehensive Risk Adjustment Platform for enhanced performance
New Risk Adjustment Platform boosts accuracy and efficiency, enhancing patient outcomes, plan performance, and revenue SEATTLE, WA – March 10, 2025 – Milliman MedInsight® (MedInsight), a leading provider of healthcare data and analytics, announced today the launch of a comprehensive, end-to-end risk adjustment workflow solution. The new Milliman MedInsight® Risk Adjustment Platform leverages industry expertise … Milliman MedInsight launches comprehensive Risk Adjustment Platform for enhanced performance
AI-driven healthcare analytics: What to expect in 2025
As healthcare technology advances rapidly, artificial intelligence (AI) and generative AI (Gen AI) are making significant strides in improving operational efficiencies in both care delivery and financing. From automating routine tasks to enhancing the precision and speed of data analysis, AI and Gen AI are paving the way for a more efficient and patient-centric healthcare … AI-driven healthcare analytics: What to expect in 2025