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Looking ahead: Preparing for key HEDIS 2026 updates
The National Committee for Quality Assurance (NCQA) has announced several upcoming changes to the Healthcare Effectiveness Data and Information Set (HEDIS®)1, which will impact how organizations measure and report quality of care.2 These updates are designed to enhance accuracy, reflect new clinical guidelines, and address emerging health priorities—but they also require compliance, data management, and … Looking ahead: Preparing for key HEDIS 2026 updates
CMS 2026 Physician Fee Schedule Final Rule accelerates shift to value and risk in Medicare
As CMS unveils its 2026 final rule, the agency is doubling down on value-based care, making two-sided financial risk the organizing principle for Medicare payment and signaling a decisive shift in how performance and accountability will be measured and rewarded. These new policies have far-reaching implications for providers, health systems, and payers. Two-sided risk becomes … CMS 2026 Physician Fee Schedule Final Rule accelerates shift to value and risk in Medicare
In case you missed it: Top webinars of 2025
Milliman MedInsight webinars this year have drawn from a broad array of healthcare analytics experience and expertise. From healthcare executives embarking on ambitious strategies for improving care delivery across diverse networks to analytics engineers sharing best practices for modernizing data infrastructure, we covered it all in 2025. Here is an overview of our most watched … In case you missed it: Top webinars of 2025
2025’s breakout whitepapers: The ideas that led the conversation
In 2025, a year in which the industry continued to expand on the promise and potential of the seismic shift toward value-based care, our most widely read whitepapers focused on analytics driving strategic growth and cost savings. Milliman MedInsight whitepapers have explored everything from the cost and efficacy of specific drugs to the changing patterns … 2025’s breakout whitepapers: The ideas that led the conversation
Best of 2025: Top healthcare analytics insights shaping the year ahead
As healthcare organizations grapple with rising costs, evolving regulations, and the shift toward value-based models, analytics has emerged as the foundational pillar for transformation. Throughout 2025, three themes emerged: value-based care (VBC), AI-driven analytics, and payer analytics innovation. We rounded up the following top posts from the year to offer guidance, industry data, thought leadership, … Best of 2025: Top healthcare analytics insights shaping the year ahead
Beyond compliance: Turning CMS’s TEAM Model into a competitive advantage
In January 2026, the Centers for Medicare & Medicaid Services (CMS) will launch the Transforming Episode Accountability Model (TEAM), requiring many hospitals to participate in bundled payment programs for select surgical episodes. This is more than a reimbursement change, it’s a readiness test for value-based care. TEAM will challenge hospitals to achieve tighter financial, clinical, … Beyond compliance: Turning CMS’s TEAM Model into a competitive advantage
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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
Milliman MedInsight ACO clients achieve $658 million in savings, outperforming national averages in the 2024 Medicare Shared Savings Program
Seattle, WA — Thursday, Oct. 2 — Milliman MedInsight® (MedInsight), a leading healthcare data and analytics division of Milliman, announced that its Accountable Care Organization (ACO) clients delivered exceptional results in the 2024 Medicare Shared Savings Program (MSSP), according to preliminary data released by the Centers for Medicare & Medicaid Services (CMS). In 2024, MedInsight … Milliman MedInsight ACO clients achieve $658 million in savings, outperforming national averages in the 2024 Medicare Shared Savings Program
Optimizing outcomes: Leveraging analytics for provider performance in value-based care
In a recent webinar discussion, Milliman MedInsight and Genesys PHO explored how healthcare organizations can use performance analytics to strengthen value-based care (VBC) initiatives. The panel included Francesca Hammerstrom, General Manager of Value-Based Care at Milliman MedInsight; Dr. Christopher Kodama, Chief Medical Officer at Milliman MedInsight; Samantha Lewis, Director of Healthcare Business and Population Health … Optimizing outcomes: Leveraging analytics for provider performance in value-based care
