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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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Nonprofit health system: Improve patient outcomes by “looking outside the silo”
When one of the South’s largest not-for-profit healthcare systems recently searched for a new healthcare data analytics solution, a key goal was establishing a consistent methodology for identifying and solving problem areas. A previous attempt with another data aggregator and vendor had stalled: a messy implementation process had dragged on for years, and even worse, … Nonprofit health system: Improve patient outcomes by “looking outside the silo”
How to ensure effective & agile healthcare decision-making
Between what’s publicly available and what your organization has captured, there’s no shortage of healthcare data – but is it current? Can you trust it? Can you identify conclusions and trends within it? Most importantly, can you make meaningful decisions and take impactful actions with confidence based on your healthcare data? Making more timely, well-informed … How to ensure effective & agile healthcare decision-making
THMA Spring 2024 CFO Forum
MedInsight is thrilled to be joining this exclusive networking event for Chief Financial Officers from the nation’s Leading Health Systems (LHS) and the industry’s most innovative companies. Key discussion topics include: Next Generation Specialty Pharmacy – Payer access, patient care, and maximizing financial benefit Innovations in Value-Based Care – How are LHS changing the way … THMA Spring 2024 CFO Forum
HIMSS 2024
Join MedInsight at HIMSS 2024 at Booth #981 MedInsight will be attending HIMSS 2024, a gathering of 40,000+ professionals feeling the energy of a digital generation poised to make a difference in healthcare. Join 1,000+ healthcare information and technology companies exhibiting in Orlando and explore thousands of products and services, startups, thought leadership sessions and … HIMSS 2024
Step up your data-driven healthcare capabilities with the MedInsight Strategic Alliance Program
Improving the quality of patient care, after all, is the end game of everything we do at Milliman MedInsight. And while we bring decades of insight and experience to the effort, revolutionizing the future of healthcare is bigger than any single enterprise. It will require an ecosystem of strategic and technology alliances. That is a … Step up your data-driven healthcare capabilities with the MedInsight Strategic Alliance Program
Becker’s Spring 2024 Payer Issues Roundtable
MedInsight is heading to Becker’s Spring Payer Issues Roundtable At Becker’s Healthcare’s Spring Payer Issues Roundtable, connect with top executives from insurance companies and health systems at this event focused on the future of care delivery. Attendees can learn about new types of health plans, hospital at home, behavioral health, price transparency and more.
