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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
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Improving clinical documentation for risk adjustment
In this webinar you will learn how to improve clinical documentation for risk adjustment using MedInsight’s Conditions to Consider. The product identifies and leverages similarities between patients within a population to ensure appropriate patient morbidity in risk-based contracts, and assists in medical case finding initiatives. Using machine learning analytics, Conditions to Consider identifies potential gaps … Improving clinical documentation for risk adjustment
Hospital contracting modernization at Blue Cross Blue Shield of Kansas City
Learn how Blue Cross and Blue Shield of Kansas City are using MedInsight GlobalRVUs and Medicare Lite to benchmark hospital value, improve the contract structure, simplify negotiations, and reduce administrative costs for both payers and providers. Speakers Randy Oursler DVP, Chief Actuary, Blue Cross and Blue Shield of Kansas City Managing Director, Torch Insight Charlie … Hospital contracting modernization at Blue Cross Blue Shield of Kansas City
Group and member retention strategies post-COVID
Health insurance providers want to ensure their benefit plans meet employee expectations and remain price and feature competitive. In addition to responding to emerging issues like remote workforces, mental health needs, and pandemic-driven financial stresses, how can payers be on the right side of disruption caused by COVID-19? Speakers in this session will highlight strategies … Group and member retention strategies post-COVID
HLTH 2025
Empowering Healthcare Heroes: Accelerate Innovation and Impact with Milliman MedInsight Every legend begins with a bold vision—and at HLTH 2025 in Las Vegas, you’re invited to become part of healthcare’s next heroic chapter. This year’s HLTH theme, “Heroes and Legends,” celebrates those who are pioneering change and shaping the future of healthcare. Join Milliman MedInsight … HLTH 2025
MedInsight Employer Group Insights – The new standard for health plans in employer group analytics
Health plans and providers are consistently faced with the challenge of clearly demonstrating their value to their employer group clients. Answering this question requires not just a single metric, but a solid understanding of many health narratives which are occurring across an increasingly complex system. Value – both past, present, and future – is realized … MedInsight Employer Group Insights – The new standard for health plans in employer group analytics
The drive to value-based results with MedInsight
Join us to learn how St. Luke’s Health System is using MedInsight to identify opportunities and drive outcomes in its value-based goal of reducing the cost of care and improving the health outcomes of its population. Milliman and St. Luke’s Finance leaders will discuss how MedInsight not only supports the organizational priorities of knowing your … The drive to value-based results with MedInsight
