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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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Q&A: How data analytics can drive improved outcomes and efficiency in maternity care
Across the healthcare system, improving outcomes while managing the total cost of care remains a critical challenge—especially in maternal health. Maternal mortality rates, comorbid conditions, and persistent disparities have placed increased focus on the quality, accessibility, and effectiveness of maternity care. As organizations work to deliver safer pregnancies and healthier births, understanding the drivers of … Q&A: How data analytics can drive improved outcomes and efficiency in maternity care
Optimizing provider networks: Strategies for access, compliance, and performance
Building a strong, compliant provider network is more important, and more complex than ever. Join our webinar to see how the new Milliman Network Optimizer helps health plans, health systems, and regulators streamline network management, ensure access and adequacy, and drive better outcomes for patients. In this session, you’ll learn how to: Unlock insights from … Optimizing provider networks: Strategies for access, compliance, and performance
Looking ahead: Preparing for key HEDIS 2026 updates
The National Committee for Quality Assurance (NCQA) has announced several upcoming changes to the Healthcare Effectiveness Data and Information Set (HEDIS®)1, which will impact how organizations measure and report quality of care.2 These updates are designed to enhance accuracy, reflect new clinical guidelines, and address emerging health priorities—but they also require compliance, data management, and … Looking ahead: Preparing for key HEDIS 2026 updates
CMS 2026 Physician Fee Schedule Final Rule accelerates shift to value and risk in Medicare
As CMS unveils its 2026 final rule, the agency is doubling down on value-based care, making two-sided financial risk the organizing principle for Medicare payment and signaling a decisive shift in how performance and accountability will be measured and rewarded. These new policies have far-reaching implications for providers, health systems, and payers. Two-sided risk becomes … CMS 2026 Physician Fee Schedule Final Rule accelerates shift to value and risk in Medicare
In case you missed it: Top webinars of 2025
Milliman MedInsight webinars this year have drawn from a broad array of healthcare analytics experience and expertise. From healthcare executives embarking on ambitious strategies for improving care delivery across diverse networks to analytics engineers sharing best practices for modernizing data infrastructure, we covered it all in 2025. Here is an overview of our most watched … In case you missed it: Top webinars of 2025
2025’s breakout whitepapers: The ideas that led the conversation
In 2025, a year in which the industry continued to expand on the promise and potential of the seismic shift toward value-based care, our most widely read whitepapers focused on analytics driving strategic growth and cost savings. Milliman MedInsight whitepapers have explored everything from the cost and efficacy of specific drugs to the changing patterns … 2025’s breakout whitepapers: The ideas that led the conversation
