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Becker’s Payer Issues Roundtable 2025: Charting Medicare Advantage growth
In April, the Becker’s Payer Issues Roundtable 2025 gathered industry leaders to examine the key challenges facing payers, including the impact of changing regulations and the future of Medicare Advantage (MA). Marcos Dachary, Principal and Chief Market Strategist and General Manager of Payer Solutions at Milliman MedInsight, participated in a panel discussion to explore topics … Becker’s Payer Issues Roundtable 2025: Charting Medicare Advantage growth
Payer analytics in focus: Emerging trends
Last year, our payer articles focused on accelerating digital transformation, increasing transparency and trust in value-based care, and strengthening data foundations. As we move into 2025, we draw on a recent Milliman MedInsight survey of payer customers to offer key insights for payer executives and analytics teams. This article explores the hurdles payers face—from data … Payer analytics in focus: Emerging trends
Next-level risk adjustment: Empowering patient outcomes and financial efficiency
Risk adjustment relies on a long list of health and demographic data points to estimate the cost of patient care across a specific population. Getting it right is critical for ensuring that reimbursements accurately reflect the cost of value-based care. As the data picture becomes more complete, the promise of risk adjustment processes to deliver … Next-level risk adjustment: Empowering patient outcomes and financial efficiency
Building transparency: Best practices for optimizing value-based performance reporting
Transparency plays a crucial role in value-based performance (VBP) reporting. It ensures accountability and trust between health plans and healthcare providers. In a system where outcomes matter, clear reporting fosters better decision-making and collaboration, increasing stakeholders’ commitment to quality care. In this blog post, Milliman MedInsight Marketing Director Sarah Quinn explains the role of technology … Building transparency: Best practices for optimizing value-based performance reporting
The road ahead: The importance of reliable data in the AI era
After attending HIMSS25, the Milliman MedInsight team has deepened our appreciation for the true value of data. As artificial intelligence (AI) becomes increasingly ingrained in healthcare technology, ensuring the quality and reliability of the data it processes is essential. The path forward is clear: embrace responsible data practices or risk falling behind. We recently sat … The road ahead: The importance of reliable data in the AI era
What is next for risk adjustment? Key moments from RISE National 2025
The RISE National 2025 conference made one thing clear: advanced technologies like artificial intelligence (AI) are not just refining risk adjustment strategies—they are dramatically accelerating insights and deliverables. The event emphasized the urgent need for interoperability and smooth data integration, in tandem with innovative measures aimed at minimizing provider abrasion within value-based care (VBC) frameworks. … What is next for risk adjustment? Key moments from RISE National 2025
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How Milliman MedInsight streamlines data governance for Mass General Brigham
In this video, the head of financial planning for Mass General Brigham, Sharon Wolf, describes how working with Milliman MedInsight helped the organization overcome the challenges of messy data with streamlined data governance and a single source of truth. The results left Mass General Brigham with a reliable and accessible source of data and reporting … How Milliman MedInsight streamlines data governance for Mass General Brigham
The importance of clear provider groupings in healthcare service analysis
Any organization operating in the healthcare space will almost inevitably find itself at some point making use of a market share or service concentration analysis. There are any number of ways one might potentially approach the analysis, each with attendant questions. Armed with clear definitions and a thoughtful approach to quantifying one’s findings, one can … The importance of clear provider groupings in healthcare service analysis
Milliman MedInsight launches comprehensive Risk Adjustment Platform for enhanced performance
New Risk Adjustment Platform boosts accuracy and efficiency, enhancing patient outcomes, plan performance, and revenue SEATTLE, WA – March 10, 2025 – Milliman MedInsight® (MedInsight), a leading provider of healthcare data and analytics, announced today the launch of a comprehensive, end-to-end risk adjustment workflow solution. The new Milliman MedInsight® Risk Adjustment Platform leverages industry expertise … Milliman MedInsight launches comprehensive Risk Adjustment Platform for enhanced performance
AI-driven healthcare analytics: What to expect in 2025
As healthcare technology advances rapidly, artificial intelligence (AI) and generative AI (Gen AI) are making significant strides in improving operational efficiencies in both care delivery and financing. From automating routine tasks to enhancing the precision and speed of data analysis, AI and Gen AI are paving the way for a more efficient and patient-centric healthcare … AI-driven healthcare analytics: What to expect in 2025
Cascading impact of unnecessary or low-value care services
Research suggests that almost 30 percent of all healthcare in the United States is unnecessary or wasteful. In this whitepaper, we explore the unintended consequences of unnecessary medical testing and treatment and offer suggestions for patients and clinicians to reduce the potential for these harms without compromising care. The Milliman MedInsight® Health Waste Calculator is … Cascading impact of unnecessary or low-value care services
Milliman MedInsight releases Value-Based Care Platform with advanced EHR integration and contract management capabilities
Upgraded platform empowers ACOs with comprehensive data insights and predictive analytics for optimal care delivery and financial performance SEATTLE, WA – Feb. 25, 2025 – Milliman MedInsight® (MedInsight), a leading healthcare data and analytics division of Milliman, introduces its upgraded Value-Based Care (VBC) Platform®. Built on the Milliman MedInsight Health Cloud, the VBC Platform is … Milliman MedInsight releases Value-Based Care Platform with advanced EHR integration and contract management capabilities