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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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Direct Contracting: Evaluating opportunities for employers and providers to achieve better healthcare outcomes
For employers sponsoring health insurance benefits for their employees, maintaining competitive benefits packages is key to attracting and retaining top talent. And in the face of perpetual medical and prescription drug trends, employers are seeking out directing contracting strategies that would allow them to maintain competitive benefits, while also reducing costs and enhancing employee satisfaction. … Direct Contracting: Evaluating opportunities for employers and providers to achieve better healthcare outcomes
Defining your organization’s path in analytics: Creating an analytics Center of Excellence
What is an Analytics Center of Excellence? It is a framework for thinking about data and creating a culture built around defined goals and agreed-upon outcomes. Healthcare organizations are in need of timely insights, effective storytelling, data literacy training, trust, disciplined data infrastructure, scalable data modeling, and simple tools. MedInsight’s Will Fox and Melody Craff … Defining your organization’s path in analytics: Creating an analytics Center of Excellence
Deeper dive into continuing education with Milliman MedInsight
A chance to look inside the comprehensive program developed by MedInsight Education Services. We focus on scenario-based training pertaining to specific roles – integrating on-demand e-learning with interactive coaching from instructors as well as discussion forums, use cases, and analytic activities. The next phase includes courses on important topics in advanced health analytics and population … Deeper dive into continuing education with Milliman MedInsight
COVID-19 impact on healthcare utilization, enrollment, and cost: Insights from emerging experience and modeling
In this webinar, we discuss initial insights from emerging claims experience and observe shifts in healthcare utilization and cost, including specific examples of analytic use cases. We also review Milliman MedInsight COVID-19 dashboards available for clients to analyze their own data. Additionally, we hear from actuarial experts about modeling the return of deferred care and … COVID-19 impact on healthcare utilization, enrollment, and cost: Insights from emerging experience and modeling
CMMI’s Direct Contracting model: Participation primer
Starting in CY2021, the Center for Medicare and Medicaid Innovation (CMMI) will be operating a new total cost of care model for Medicare FFS beneficiaries called Direct Contracting (DC). It is loosely modeled on CMMI’s Next Generation ACO model as well as the Center for Medicare and Medicaid Services’ (CMS’s) Medicare Shared Savings Program (MSSP). … CMMI’s Direct Contracting model: Participation primer
