Learn more about MedInsight in our latest resources
Featured Resources
2024 MSSP success: How Milliman MedInsight VBC solutions help ACOs outperform national averages
Every summer, the Centers for Medicare & Medicaid Services (CMS) announces settlement results for the Medicare Shared Savings Program (MSSP), an update that Accountable Care Organization (ACO) leaders, analysts, and policy experts eagerly anticipate. The MSSP results are more than just numbers in a report; they reflect how well ACOs are delivering value-based care (VBC) … 2024 MSSP success: How Milliman MedInsight VBC solutions help ACOs outperform national averages
Success in value-based care with Milliman MedInsight VBC Platform + ACO Builder
In value-based care (VBC), the strength and effectiveness of the provider network play a major role in determining success under a risk-bearing contract. The right mix of providers can improve outcomes, reduce costs, and help achieve savings targets. The wrong mix can lead to missed quality measures, financial losses, and patient dissatisfaction. Historically, however, network … Success in value-based care with Milliman MedInsight VBC Platform + ACO Builder
Transforming value-based care performance with the MedInsight VBC Platform
Value-based care (VBC) shifts the focus from the quantity of healthcare services delivered to the quality and effectiveness of care provided. In this model, providers are rewarded for improving patient outcomes, enhancing care efficiency, and refining resource use. This shift matters because it aligns incentives with what truly benefits patients: better health, the right amount … Transforming value-based care performance with the MedInsight VBC Platform
Precision is key: How payers can unlock strategic insights from claims and clinical data integration
Today, payers face mounting pressure to deliver better outcomes, control the cost of care, and manage financial risk. Meeting these goals requires more than access to raw data—it demands actionable insights that support strategic, cost-effective decision-making. This is where the integration of clinical and claims data becomes transformative. By bridging the gap between clinical records … Precision is key: How payers can unlock strategic insights from claims and clinical data integration
How healthcare payers can grow their analytic capabilities while staying vigilant against data breach threats
Increasingly scalable, flexible, interoperable, cloud-based platforms supporting sophisticated analytic capabilities have created wide-ranging opportunities and profound insights for healthcare organizations, from improvements in quality of care to cost-saving efficiencies. But the sensitive health care data underlying such promising developments can also leave payer organizations at risk. Healthcare payers handle large volumes of sensitive patient information, … How healthcare payers can grow their analytic capabilities while staying vigilant against data breach threats
Browse our full library of resources
All resources
Value-Based Care: How CFOs can mitigate financial risk with analytics
The imperative for value-based care (VBC) is undeniable. Having access to robust analytics is no longer just a benefit, but an absolute necessity. Escalating U.S. healthcare costs persist as a significant concern for organizations, placing a substantial burden on chief financial officers (CFOs) to address and manage this challenge effectively. To effectively navigate the path … Value-Based Care: How CFOs can mitigate financial risk with analytics
SEHP: Maximizing the power of integrated data with the Innovation Portal
Southeastern Health Partners (SEHP) – a clinically integrated network consisting of four healthcare systems, including 13 hospitals and 3,600 providers – sets its continuous improvement goals high. The Greenville, South Carolina-based organization is already recognized by the Centers for Medicare & Medicaid Services for consistently ranking among the most efficient Accountable Care Organizations. Even so, … SEHP: Maximizing the power of integrated data with the Innovation Portal
Q&A: Cost optimization and analytics, a payer’s top priorities
Payers face a multitude of challenges as they navigate an increasingly complex healthcare ecosystem. From improving member engagement to maximizing technology investments, pressures continue to mount. However, one challenge stands out among the rest – the relentless rise in healthcare costs. According to a recent study conducted by EY-Parthenon and KLAS Research, cost management ranks … Q&A: Cost optimization and analytics, a payer’s top priorities
CFIN: Scaling value-based care with a proven data and analytics platform
With a population of over 250,000 lives spanning eight hospitals and nearly two dozen counties, a Northwest-based clinically and financially integrated network (CFIN) wanted to take the next step in its evolution as a pioneering driver of value-based care (VBC). With a business model incorporating partnerships with both commercial and public health plans and a … CFIN: Scaling value-based care with a proven data and analytics platform
Payer strategies for optimizing provider networks
Join us as we delve into the dynamic realm of healthcare payer strategies aimed at optimizing provider networks for peak efficiency. Learn from industry experts about proven strategies, public and private normative data sets, innovative technologies, and best practices that empower payers to streamline and enhance their provider networks. Gain insights into fostering collaboration, improving … Payer strategies for optimizing provider networks
How does clinical data integration drive value-based care? Lessons learned from leading health systems
Join us as we unravel the significance of clinical data integration, drawing insights from leading health systems that have successfully harnessed both claims and clinical data to advance their value-based care priorities. Discover the lessons learned and best practices in leveraging integrated data for informed decision-making, improved patient outcomes, and enhanced value-based care strategies. Whether … How does clinical data integration drive value-based care? Lessons learned from leading health systems
