Learn more about MedInsight in our latest resources
Featured Resources
2024 MSSP success: How Milliman MedInsight VBC solutions help ACOs outperform national averages
Every summer, the Centers for Medicare & Medicaid Services (CMS) announces settlement results for the Medicare Shared Savings Program (MSSP), an update that Accountable Care Organization (ACO) leaders, analysts, and policy experts eagerly anticipate. The MSSP results are more than just numbers in a report; they reflect how well ACOs are delivering value-based care (VBC) … 2024 MSSP success: How Milliman MedInsight VBC solutions help ACOs outperform national averages
Success in value-based care with Milliman MedInsight VBC Platform + ACO Builder
In value-based care (VBC), the strength and effectiveness of the provider network play a major role in determining success under a risk-bearing contract. The right mix of providers can improve outcomes, reduce costs, and help achieve savings targets. The wrong mix can lead to missed quality measures, financial losses, and patient dissatisfaction. Historically, however, network … Success in value-based care with Milliman MedInsight VBC Platform + ACO Builder
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
Browse our full library of resources
All resources
Top 5 ways to leverage Milliman data assets for strategic healthcare market analysis
What are the critical considerations and data challenges related to understanding your local healthcare markets? Join us for a conversation with healthcare market analytics and management experts from Milliman to learn more about: Identifying competitive advantages in local markets Evaluating your strategic positioning in the market Conducting effective network evaluation Developing data-driven market expansion strategies … Top 5 ways to leverage Milliman data assets for strategic healthcare market analysis
Telehealth expansion and other creative strategies for caring for patients during COVID-19 – stories from two clients
In this webinar, leaders from Avera Health Plans, Inc., Avera eCare, and the Care Coordination Institute share strategies they have deployed to provide care for patients outside of traditional healthcare settings in response to the COVID-19 pandemic. This includes dramatically expanding telehealth utilization, monitoring chronic conditions through at-home or drive-through strategies, reconfiguring call center functions, … Telehealth expansion and other creative strategies for caring for patients during COVID-19 – stories from two clients
Pandemic induced medical loss ratio opportunities
Medical expenditures in the US were down steeply in 2020 due to deferred and forgone care associated with the COVID-19 pandemic, leading to historically low medical loss ratios (MLR) for insurers. For insurers, who must comply with state and federal minimum MLR regulations or pay costly rebates and remittances, this state of affairs brings with … Pandemic induced medical loss ratio opportunities
Medical action planning at Ochsner Health Network
Join us to learn how Ochsner Health uses Cost and Utilization analysis to measure performance and identify opportunities to lower the cost of care. Ochsner will share how they have leveraged MedInsight to understand cost drivers and engage their providers and healthcare systems in actionable ways, by bringing together all payer data to standardize reporting … Medical action planning at Ochsner Health Network
Learn how Covenant Health and Scripps ACO use claims-based analytics to manage risk contracts
If you are just beginning to or are already managing multiple risk contracts, high quality data aggregation is essential. Using claims data is key to assessing your ACO’s financial performance against the benchmark target, identifying opportunities for improvement, and achieving your shared savings goals. Another key to success is measuring the performance of the ACO … Learn how Covenant Health and Scripps ACO use claims-based analytics to manage risk contracts
Knowing your population – risk scores and risk stratification
In a world of value-based care, the ability to stratify patients by risk is vital to achieving improved health outcomes, lower costs, and better patient experience. In this webinar, we will discuss insights and features of key risk scoring methods. Additionally, with permission from some of our clients, we will share example stories about their … Knowing your population – risk scores and risk stratification
