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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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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
Strategic approaches to social determinants of health: Prioritizing impactful data for population health
Join us as we explore innovative strategies to address social determinants of health (SDoH), emphasizing the prioritization of impactful data for effective population health management. Discover how strategic approaches can enhance healthcare outcomes by addressing the root causes that impact communities. Industry experts will guide you through actionable insights, data-driven solutions, and best practices to … Strategic approaches to social determinants of health: Prioritizing impactful data for population health
Payer market outlook
Join industry experts as they analyze the current landscape and forecast emerging trends that will shape the payer market. Explore key factors influencing payer strategies, regulatory shifts, and technological advancements that are redefining the payer-provider dynamic. Whether you are a payer representative, healthcare professional, or industry enthusiast, this webinar provides a comprehensive overview of the … Payer market outlook
Contract management mastery: What you need to succeed in value-based care contracts
Dive into the intricacies of effective contract management tailored specifically for value-based care arrangements. Industry experts will guide you through essential strategies, best practices, and critical insights to navigate the complexities of value-based contracts successfully. Whether you’re a healthcare professional, administrator, or involved in contract negotiations, this webinar equips you with the knowledge and skills … Contract management mastery: What you need to succeed in value-based care contracts
Navigating the future of healthcare: AI trends and predictions for payers and providers
Join us for an insightful webinar featuring a panel of industry experts as they delve into the transformative impact of Artificial Intelligence (AI) in healthcare analytics for both payers and providers. Explore real-world applications, cutting-edge technologies, and the evolving role of AI in optimizing patient care, operational efficiency, and decision-making within the healthcare ecosystem. Gain … Navigating the future of healthcare: AI trends and predictions for payers and providers
