Learn more about MedInsight in our latest resources
Featured Resources
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
Browse our full library of resources
All resources
Chronic kidney disease: Impact of disease progression on healthcare expenditure
Chronic kidney disease (CKD) is a widespread condition that affects millions of people in the United States, an estimated 37 million people. However, due to its asymptomatic nature in the early stages, many individuals are unaware they have CKD until it reaches an advanced stage. This silent epidemic not only poses a threat to public … Chronic kidney disease: Impact of disease progression on healthcare expenditure
Milliman MedInsight Perspective: Driving digital transformation in health plans
Digital transformation in healthcare is not just about adopting newer, faster technologies. It is about fundamentally changing how healthcare is coordinated and delivered. To advance quality, affordable care, health plans must be able to quickly make sense of the vast amount of data available today. This includes integrating data such as claims, clinical records, and … Milliman MedInsight Perspective: Driving digital transformation in health plans
Milliman MedInsight unveils next generation Payer Platform for advanced healthcare analytics
Seattle, WA – June 4, 2024 – Milliman MedInsight®, a leading healthcare analytics and solutions provider, announced today the expansion of its Payer Platform. This comprehensive enterprise analytic solution harnesses Milliman’s renowned models, methodologies, and data interoperability and introduces expanded analytics capabilities to meet the unique needs of the payer/health insurance market. “We are fully … Milliman MedInsight unveils next generation Payer Platform for advanced healthcare analytics
From complexity to clarity: The role of enterprise payer analytics
Health plans today face an endless variety of challenges, from local and regional competition to the rise of “payviders” and the array of other innovative payment models. It is a complex landscape even before considering the challenges posed by continuously rising costs. In this ebook, we explore the challenges and the opportunities for innovation that … From complexity to clarity: The role of enterprise payer analytics
Diabetes prevalence, cost, and healthcare resource utilization trend in the U.S.
With the prevalence of diabetes in the U.S. forecast to increase 54% by 2030 and patients with diabetes living longer as the result of improved disease management, the healthcare system must grapple with the increased cost of care associated with this condition. Using MedInsight’s CCHG (Chronic Condition Hierarchical Grouper), this study provides a glimpse into … Diabetes prevalence, cost, and healthcare resource utilization trend in the U.S.
Charting the future: Strategies for healthcare CFOs
Healthcare Chief Financial Officers (CFOs) are increasingly finding themselves at the helm of strategic decision-making that goes beyond financial management. Recent issues, such workforce retention and future uncertainty, are compelling CFOs to adopt new strategies and undergo a profound transformation. Although healthcare systems have made strides towards achieving financial stability, it is evident that profit … Charting the future: Strategies for healthcare CFOs
