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Featured Resources
AI in healthcare analytics: Milliman MedInsight’s approach to delivering trusted answers at speed and scale
Organizations are under growing pressure to make faster, more confident decisions in an increasingly complex healthcare environment. As healthcare continues shifting to value-based care, administrative tasks and data volumes are both growing. Although many leaders see artificial intelligence (AI) as a possible solution, it also brings new challenges. Without access to accurate data, a strong … AI in healthcare analytics: Milliman MedInsight’s approach to delivering trusted answers at speed and scale
Value-based care requires value-based operations: A framework for operational alignment
In healthcare, value-based care (VBC) is more than a familiar phrase. It represents a commitment to better patient outcomes and more thoughtful use of resources. Yet as the industry shifts from fee-for-service (FFS) reimbursement to value-based contracts, a significant gap persists. We often focus on contract design, aligned incentives, shared savings, and risk-bearing arrangements. But … Value-based care requires value-based operations: A framework for operational alignment
Beyond the diagnosis: The financial toll of cancer amid chronic conditions
Cancer is a leading cause of death worldwide, accounting for nearly 10 million deaths in 2020, or nearly one in six deaths. In the United States, the percentage of adults who have ever been diagnosed with cancer is 10.3% in 2024 and cancer is the number two cause of death across all chronic conditions. Cancer … Beyond the diagnosis: The financial toll of cancer amid chronic conditions
Optimizing the Total Cost of Care with payer analytics
Health plans now operate in a far more complex environment than in past years. With economic uncertainty, shifting market forces, and regulatory changes, there is increasing pressure for health plans to do more than just maintain performance; they must deliver real, measurable value. To succeed in managing the Total Cost of Care (TCOC), health plans … Optimizing the Total Cost of Care with payer analytics
Bridging the gaps: Ensuring provider network adequacy with the Milliman Network Optimizer
Building a provider network that meets adequacy standards is no small feat for healthcare organizations. As regulatory requirements evolve and patient needs diversify, ensuring beneficiaries have timely access to the right providers becomes increasingly complex. Organizations must navigate a maze of compliance benchmarks, analyze vast and often fragmented data, and address gaps across multiple specialties … Bridging the gaps: Ensuring provider network adequacy with the Milliman Network Optimizer
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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
Provider Registry
Milliman MedInsight’s Provider Registry seamlessly consolidates provider data into a unified, up-to-date, and easily accessible dataset.
Surviving and thriving under the persistent movement to value-based care arrangements
Value-based care (VBC) arrangements between payers and providers continue to grow, fueled by the Center for Medicare and Medicaid’s (CMS’) ambitious goal of achieving 100% accountable care for Medicare beneficiaries by 2030. To be successful under these arrangements, provider organizations need to understand the VBC landscape and the levers they have available to achieve successful … Surviving and thriving under the persistent movement to value-based care arrangements
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
