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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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NAHDO 2025 Annual Conference and Networking Sessions
Milliman MedInsight is proud to participate in the 2025 National Association of Health Data Organizations (NAHDO) Annual Conference, where national leaders in healthcare data, analytics, and policy come together to shape the future of health information. This year’s in-person event will bring together health data professionals, policymakers, researchers, and public health leaders to explore the … NAHDO 2025 Annual Conference and Networking Sessions
THMA Spring 2025 Value-Based Strategy Collaborative
Milliman MedInsight is proud to join the Health Management Academy’s Spring Value-Based Strategy Collaborative—an exclusive gathering of leading health system executives advancing population health, value-based care (VBC), and payer strategies. We’ll be connecting with top executives including Chief Population Health Officers, SVPs of Value-Based Care Strategy, Chief Managed Care Officers and more. Learn more about … THMA Spring 2025 Value-Based Strategy Collaborative
MedInsight Certification and Learning Program
Healthcare is an increasingly complex business. There is an everyday need to cut through an enormous volume of data and deliver information to improve overall patient health and business performance.
How payers can take employer group reporting to the next level
eBook Highlights Healthcare costs in the U.S. are continuing to rise and are expected to increase significantly in the years to come Employers need data-driven solutions to manage their healthcare costs and to ensure their benefit offerings are both affordable and competitive Data-driven insights provide health plans and TPAs with insights they can use to … How payers can take employer group reporting to the next level
