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Low-Value Care: A perspective to tackle this global concern
Over the years, wasteful healthcare spending associated with low-value care has become a concern not only in the United States but also around the world. This whitepaper discusses the global nature of this concern and explores an approach to measure and intercept healthcare waste associated with low-value care.
Emergency department super utilizers: More than meets the eye…
In this whitepaper, we will discuss Chronic Condition Hierarchical Groups (CCHGs) as a unique patient-centered methodology for enhancing population health management based on patient and chronic condition information. To understand the prevalence and pattern of super-utilizers, we used the Milliman MedInsight CCHGs on a proprietary dataset (consisting of predominantly commercial health insurance claims) containing approximately … Emergency department super utilizers: More than meets the eye…
Elevating value-based care beyond claims data with EHR insights
Value-based care (VBC) plays a pivotal role in driving quality improvement, enhancing patient satisfaction, and ensuring the sustainability of healthcare systems by delivering better outcomes at lower costs. However, the efficacy of VBC initiatives heavily relies on robust data analytics for planning, monitoring, and evaluating healthcare delivery. This whitepaper will explore opportunities in such analytics … Elevating value-based care beyond claims data with EHR insights
Roses and thorns: The nuanced landscape of healthcare provider data
As the saying goes, all healthcare is local. In the United States at least, this is due in large part to the diverse array of providers and provider organizations across different local healthcare markets. No two provider organizations are the same, and the landscape is constantly changing as mergers and acquisitions, venture capital funding, and … Roses and thorns: The nuanced landscape of healthcare provider data
Achieving analytic maturity: Case studies in data governance, quality, and literacy
In today’s data-driven world, having a strong grasp of data analytics is essential for organizations to leverage their data effectively and drive data-informed decision-making. This article presents a collection of case studies, each highlighting the journey of a different organization towards analytic maturity, facilitated by the expertise of MedInsight’s Strategic Services team. Through the stories … Achieving analytic maturity: Case studies in data governance, quality, and literacy
Understanding the impact of social determinants of health
In recent years, social determinants of health (SDoH) have increasingly become a central topic of discussion among healthcare professionals and policymakers. These determinants encompass a broad range of social and environmental factors that affect individual and community well-being. But understanding their impact is not just about identifying what they are; it is about using data … Understanding the impact of social determinants of health
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Achieving analytic maturity: Case studies in data governance, quality, and literacy
In today’s data-driven world, having a strong grasp of data analytics is essential for organizations to leverage their data effectively and drive data-informed decision-making. This article presents a collection of case studies, each highlighting the journey of a different organization towards analytic maturity, facilitated by the expertise of MedInsight’s Strategic Services team. Through the stories … Achieving analytic maturity: Case studies in data governance, quality, and literacy
Understanding the impact of social determinants of health
In recent years, social determinants of health (SDoH) have increasingly become a central topic of discussion among healthcare professionals and policymakers. These determinants encompass a broad range of social and environmental factors that affect individual and community well-being. But understanding their impact is not just about identifying what they are; it is about using data … Understanding the impact of social determinants of health
Building an in-house data analytics platform
Building an in-house data analytics platform is not a simple undertaking. From anticipating the future needs of your organization to understanding how to curate and accurately make use of your data, the challenges can be overwhelming. Learn from Milliman MedInsight’s Senior VP of Client Success, Ryan Andersen, about how you can save years of development … Building an in-house data analytics platform
The pivotal role of EHR integration in value-based care
The journey towards value-based care (VBC) is becoming more dependent on a key capability: the seamless integration of electronic health records (EHRs) with claims data. This clinical integration enables healthcare organizations to gain a more complete understanding of patient care and outcomes, providing the extensive insight needed to propel forward. Alone, neither clinical nor claims … The pivotal role of EHR integration in value-based care
Insights from AHIP 2024: Value-based care, AI, and more
AHIP 2024 in Las Vegas brought together key stakeholders in the health insurance industry, covering the spectrum of critical payer challenges and opportunities. We explored significant insights gained from our participation at AHIP, focusing on topics such as interoperability in healthcare delivery, value-based care, and the integration of artificial intelligence. Embracing modernization through technology One … Insights from AHIP 2024: Value-based care, AI, and more
Enhancing data integrity with MedInsight’s Data Confidence Model
In this video, MedInsight Vice President of Client Success Derrick Johnson describes how MedInsight’s Data Confidence Model works to ensure high-quality, credible data – with rigorous intake processes, careful aggregation of disparate sources, a thorough system of audits and referential integrity checks to ensure accuracy and identify gaps, and ongoing client support.