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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
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Data Confidence Model
In the dynamic landscape of healthcare analytics, accuracy, reliability, and understanding of data are paramount.
Milliman MedInsight announces solution availability in Microsoft Azure Marketplace
Seattle, WA – March 5, 2024 – Milliman MedInsight, a leading provider of healthcare data and analytics, has made its industry-leading Payer and Provider software available on Microsoft Azure. Working with Microsoft in the healthcare industry enables Milliman MedInsight with a greater ability to offer clients powerful solutions that take aim at cost-reduction and enhancing … Milliman MedInsight announces solution availability in Microsoft Azure Marketplace
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
