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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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Assessing the impact of COVID-19 on risk contracts
During this time of national uncertainty, health care providers are fully engrossed in maintaining daily operations and ensuring continuity of care for their patients amid the COVID-19 crisis. COVID-19 creates a myriad of uncertainties for Accountable Care Organizations (ACOs), which can seem overwhelming. Understanding the economic and clinical impact of COVID-19 requires innovative and flexible … Assessing the impact of COVID-19 on risk contracts
THMA Fall 2025 Value-Based Strategy Collaborative
Milliman MedInsight is excited to take part in The Health Management Academy’s Fall Value-Based Strategy Collaborative—an exclusive forum for senior health system executives driving the next wave of value-based care (VBC), population health, and payer-provider innovation. We’ll be engaging with leaders such as Chief Population Health Officers, SVPs of Value-Based Care Strategy, Chief Managed Care … THMA Fall 2025 Value-Based Strategy Collaborative
Advancements in quantifying low-value care opportunity: Reducing harmful cascades of care
Cascades of care refer to a succession of medical services that are often fueled by the desire to avoid even the smallest risk of a serious condition. They can follow from incidental or marginal findings on screening and diagnostic tests, some of which are themselves of low-value. Cascades of care are common and can be … Advancements in quantifying low-value care opportunity: Reducing harmful cascades of care
Milliman MedInsight launches Strategic Alliance Program to help healthcare organizations thrive in a competitive market
Seattle, WA – June 7, 2023 – Milliman MedInsight, Inc., a leading provider of healthcare data and analytics, is proud to announce the launch of the MedInsight Strategic Alliance Program to help organizations boost the value and scalability of their offerings. This program represents a significant step forward in the healthcare industry, as it aims … Milliman MedInsight launches Strategic Alliance Program to help healthcare organizations thrive in a competitive market
Why adherence matters in diabetes
Medication adherence is important for pharmaceutical therapy to be effective in patients with chronic diseases, including diabetes. Medication adherence in diabetics is associated with lower risk for hospitalizations, lower healthcare costs, and lower mortality. Various publications have reported positive correlations for patient demographics, such as older age, male sex, higher education level, and higher income, … Why adherence matters in diabetes
Milliman MedInsight ranked best in KLAS for payer quality analytics for the fifth year in a row
Seattle, WA — Feb. 2, 2023 — Milliman MedInsight’s leading platform for data warehousing and healthcare analytics was recognized as the Best in Payer Quality Analytics in the 2023 Best in KLAS: Software and Services report. KLAS, a research firm focused on the healthcare IT market since 1996, publishes the Best in KLAS report annually, … Milliman MedInsight ranked best in KLAS for payer quality analytics for the fifth year in a row
