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AI in healthcare analytics: Milliman MedInsight’s approach to delivering trusted answers at speed and scale
Organizations are under growing pressure to make faster, more confident decisions in an increasingly complex healthcare environment. As healthcare continues shifting to value-based care, administrative tasks and data volumes are both growing. Although many leaders see artificial intelligence (AI) as a possible solution, it also brings new challenges. Without access to accurate data, a strong … AI in healthcare analytics: Milliman MedInsight’s approach to delivering trusted answers at speed and scale
Value-based care requires value-based operations: A framework for operational alignment
In healthcare, value-based care (VBC) is more than a familiar phrase. It represents a commitment to better patient outcomes and more thoughtful use of resources. Yet as the industry shifts from fee-for-service (FFS) reimbursement to value-based contracts, a significant gap persists. We often focus on contract design, aligned incentives, shared savings, and risk-bearing arrangements. But … Value-based care requires value-based operations: A framework for operational alignment
Beyond the diagnosis: The financial toll of cancer amid chronic conditions
Cancer is a leading cause of death worldwide, accounting for nearly 10 million deaths in 2020, or nearly one in six deaths. In the United States, the percentage of adults who have ever been diagnosed with cancer is 10.3% in 2024 and cancer is the number two cause of death across all chronic conditions. Cancer … Beyond the diagnosis: The financial toll of cancer amid chronic conditions
Optimizing the Total Cost of Care with payer analytics
Health plans now operate in a far more complex environment than in past years. With economic uncertainty, shifting market forces, and regulatory changes, there is increasing pressure for health plans to do more than just maintain performance; they must deliver real, measurable value. To succeed in managing the Total Cost of Care (TCOC), health plans … Optimizing the Total Cost of Care with payer analytics
Bridging the gaps: Ensuring provider network adequacy with the Milliman Network Optimizer
Building a provider network that meets adequacy standards is no small feat for healthcare organizations. As regulatory requirements evolve and patient needs diversify, ensuring beneficiaries have timely access to the right providers becomes increasingly complex. Organizations must navigate a maze of compliance benchmarks, analyze vast and often fragmented data, and address gaps across multiple specialties … Bridging the gaps: Ensuring provider network adequacy with the Milliman Network Optimizer
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Virginia Health: Measuring waste to improve care
The challenge The Choosing Wisely® campaign’s success has renewed interest towards reducing low-value healthcare services, classified as “unnecessary care” in the healthcare industry. The Virginia Center for Health Innovation and Virginia Health Information were looking to translate the Choosing Wisely campaign into quantifiable results for their insured population. They partnered with Milliman’s healthcare analytics software … Virginia Health: Measuring waste to improve care
How to create a data analytics center of excellence in healthcare
There’s no shortage of data in healthcare with several thousand exabytes of unstructured and semi-structured data generated annually. How do you transform this data into better healthcare insights to power better decision-making, reduce risks, and leverage opportunities for improvement and growth? The answer: create a healthcare data analytics center of excellence. This whitepaper outlines best … How to create a data analytics center of excellence in healthcare
ATRIO: From insight to impact
ATRIO Health Plans is an organization owned by several providers in and around Salem, Oregon. It has almost 30,000 members, and 90% are Medicare enrollees. The challenge As with every health plan, ATRIO is constantly looking for ways to improve patient care and the bottom line. The approach When ATRIO made the strategic decision to … ATRIO: From insight to impact
What’s new in the MedInsight benchmark portfolio: guiding our client’s challenges in population health, financial analysis, and network management
MedInsight has long been an industry leader in benchmarking capability. In 2020, we have partnered to greater extents than ever before with our clients to leverage our long line of population-based benchmarks, notably the world famous well managed actuarial model and our Guideline Analytics partnership with MCG. Additionally, in 2020 MedInsight greatly expanded its portfolio … What’s new in the MedInsight benchmark portfolio: guiding our client’s challenges in population health, financial analysis, and network management
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
