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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
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3 best practices to maximize employer group reporting value
In today’s ever-changing healthcare landscape, the ability to quantify the value that health plans deliver has become crucial. A recent study conducted by EY-Parthenon and KLAS Research highlights that more than 70 percent of payers are prioritizing cost optimization as a top strategic goal.1 As health plans face increasing pressure to manage costs and demonstrate … 3 best practices to maximize employer group reporting value
eBook: How payers can navigate the hurricane of healthcare data
With healthcare data accruing or flooding in at a rate that has been compared to a hurricane, payers who can navigate the rising tide of digital information will reap unprecedented opportunities for innovation and efficiency. Data-driven decision making, fueled by everything from electronic medical records to wearable devices that collect healthcare information directly from members, … eBook: How payers can navigate the hurricane of healthcare data
2024 Outlook: Five key analytic capabilities shaping VBC
The healthcare industry is undergoing a transformation, largely driven by value-based care (VBC), artificial intelligence (AI), and digital transformation. These trends, which gained significant momentum in 2023, will continue to shape the healthcare industry in 2024 and beyond. As organizations aim to improve efficiencies and the delivery of care, the increasing use of analytics emerges … 2024 Outlook: Five key analytic capabilities shaping VBC
Leading the way in value-based care: Best practices for mitigating risk
The healthcare landscape is rapidly evolving to one in which value and accountable care are the predominant measures for delivering high-quality, affordable care. It is an evolution that has been underway for more than a decade, but recent years – and the demands of an aging population – have brought transformation at a rapidly growing … Leading the way in value-based care: Best practices for mitigating risk
Advanced Health: Holistic population health improvement integrating claims and clinical data
Oregon-based Advanced Health is a coordinated care organization (CCO) – the state’s version of an accountable care organization (ACO) – that takes an innovative approach to the care of its 26,000 members. Serving two counties where 14-17% of residents live in poverty, according to U.S. Census data, Advanced Health manages a population with complex medical … Advanced Health: Holistic population health improvement integrating claims and clinical data
A survey of provider information in medical claims data
Clean data is critical for analytical work of all kinds, and healthcare claims data is no exception. In this whitepaper published by Milliman MedInsight, Senior Data Scientist Brian Merkey PhD, discusses the relevance of clean data for one narrow element in the healthcare data ecosystem: provider information in medical claims datasets. This work shares the … A survey of provider information in medical claims data
