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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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Milliman MedInsight selected for Epic’s new Value-Based Performance Management module
Seattle, WA — Sep. 14, 2022 — Milliman MedInsight announces a new strategic relationship with Epic, the most widely-used electronic health records system in the U.S., to offer advanced analytics to Epic customers. By integrating Milliman MedInsight’s industry-leading methodologies into its new Value-Based Performance Management module, Epic customers will be able to leverage the unparalleled … Milliman MedInsight selected for Epic’s new Value-Based Performance Management module
State to launch healthcare price transparency tool
SANTA FE – August 10, 2022 – The New Mexico Department of Health (DOH) is a step closer to its goal of establishing an extensive new health insurance claims database designed to help monitor the growth of costs, improve quality, and make healthcare prices charged by providers and insurers across the state more accessible and … State to launch healthcare price transparency tool
Milliman MedInsight named 2022 best in KLAS for payer quality analytics with the introduction of cloud-based digital integration
Seattle, WA – February 17, 2022 – MedInsight, Milliman, Inc.’s highly regarded platform for data warehousing and healthcare analytics, was named the number one provider solution for Payer Quality Analytics in the 2022 Best in KLAS: Software and Services report. KLAS, a research firm focused on the healthcare IT market since 1996, publishes the Best in KLAS … Milliman MedInsight named 2022 best in KLAS for payer quality analytics with the introduction of cloud-based digital integration
Reporting Framework for Value Based Care
As the cost of healthcare continues to rise, both payers and providers continue the “triple aim” of delivering effective quality care while managing their costs. Value based care (VBC), or value based reimbursements, has emerged as an effective mechanism for achieving this goal. In fact, based on estimates developed by National Business Group on Health, … Reporting Framework for Value Based Care
Chronic Condition Analysis: Selecting a Diagnostic Grouper
With over 77,000 codes, ICD10 diagnosis codes provide a much needed level of granularity for clinicians to use in caring for patients, but they are not particularly useful for large scale analytics. As a result, analysts have developed many different diagnostic groupers to group ICD10 codes into meaningful categories for analysis. Several are available within … Chronic Condition Analysis: Selecting a Diagnostic Grouper
Data Confidence for ACOs
Incomplete Provider Data Provider level analysis is extremely important for ACOs. ACOs need to know which providers both within and outside the ACO network are providing services to patients attributed to the ACO. This is important not only to work towards bringing a larger percentage of services in-network (leakage management), but also for quality and … Data Confidence for ACOs
