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Featured Resources
Becker’s Payer Issues Roundtable Recap: Key insights for health plan leaders
At this year’s Becker’s Payer Issues Roundtable, one message came through consistently: the challenge for payer organizations isn’t new ideas. They need execution that measurably bends trend while keeping decisions defensible in a more scrutinized environment. Across markets, leaders described a world of tighter margins, higher acuity, member disruption, and growing expectations that plans will … Becker’s Payer Issues Roundtable Recap: Key insights for health plan leaders
From readiness to reality: What TEAM’s first year is really testing
In January 2026, CMS’s Transforming Episode Accountability Model (TEAM) moved from policy to practice. For hospitals in mandatory regions, TEAM is no longer something to prepare for on paper; it is live, operational, and beginning to influence how episode performance is evaluated clinically, financially, and operationally. Many organizations are entering 2026 with a measured posture. … From readiness to reality: What TEAM’s first year is really testing
Medicare Advantage 2026: Breaking down the new risk model and its impact in plain terms
The Centers for Medicare & Medicaid Services (CMS) introduced CMS-HCC Version 28 (V28) in 2024 as the next evolution of Medicare Advantage (MA) risk adjustment. For many organizations, the “new CMS-HCC model” felt more theoretical than operational, something plans were preparing for but not fully experiencing. That changes in 2026, when V28 becomes operational at … Medicare Advantage 2026: Breaking down the new risk model and its impact in plain terms
How CareFirst BlueCross BlueShield modernized analytics to cut cost of care
Health plans are walking a tightrope. On one side, utilization is climbing and breakthrough therapies, while clinically promising, are reshaping cost curves. On the other hand, members, employers, and providers expect more convenience, transparency, and value. The mandate is clear: deliver better outcomes and experiences without sacrificing affordability. Meeting that mandate requires more than more … How CareFirst BlueCross BlueShield modernized analytics to cut cost of care
Physician performance enablement: Engaging providers with actionable insights for ACO success
Many organizations now have access to more data than ever before, yet they often struggle to transform this information into practical actions that lead to real improvements in population health. Physicians play a vital role in this process and should be involved early when turning data into meaningful insights that are practical, effective, and aligned … Physician performance enablement: Engaging providers with actionable insights for ACO success
HIMSS26: From data foundations to operational execution in healthcare AI
The HIMSS Global Health Conference and Exhibition has long served as a signal for where healthcare technology is headed. This year’s conference, attended by more than 24,000 healthcare leaders, reflected an industry that has moved past curiosity and into a more demanding phase of transformation. Artificial intelligence (AI), interoperability, and digital infrastructure remained central topics … HIMSS26: From data foundations to operational execution in healthcare AI
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Learn how Covenant Health and Scripps ACO use claims-based analytics to manage risk contracts
If you are just beginning to or are already managing multiple risk contracts, high quality data aggregation is essential. Using claims data is key to assessing your ACO’s financial performance against the benchmark target, identifying opportunities for improvement, and achieving your shared savings goals. Another key to success is measuring the performance of the ACO … Learn how Covenant Health and Scripps ACO use claims-based analytics to manage risk contracts
Knowing your population – risk scores and risk stratification
In a world of value-based care, the ability to stratify patients by risk is vital to achieving improved health outcomes, lower costs, and better patient experience. In this webinar, we will discuss insights and features of key risk scoring methods. Additionally, with permission from some of our clients, we will share example stories about their … Knowing your population – risk scores and risk stratification
Improving clinical documentation for risk adjustment
In this webinar you will learn how to improve clinical documentation for risk adjustment using MedInsight’s Conditions to Consider. The product identifies and leverages similarities between patients within a population to ensure appropriate patient morbidity in risk-based contracts, and assists in medical case finding initiatives. Using machine learning analytics, Conditions to Consider identifies potential gaps … Improving clinical documentation for risk adjustment
Hospital contracting modernization at Blue Cross Blue Shield of Kansas City
Learn how Blue Cross and Blue Shield of Kansas City are using MedInsight GlobalRVUs and Medicare Lite to benchmark hospital value, improve the contract structure, simplify negotiations, and reduce administrative costs for both payers and providers. Speakers Randy Oursler DVP, Chief Actuary, Blue Cross and Blue Shield of Kansas City Managing Director, Torch Insight Charlie … Hospital contracting modernization at Blue Cross Blue Shield of Kansas City
Group and member retention strategies post-COVID
Health insurance providers want to ensure their benefit plans meet employee expectations and remain price and feature competitive. In addition to responding to emerging issues like remote workforces, mental health needs, and pandemic-driven financial stresses, how can payers be on the right side of disruption caused by COVID-19? Speakers in this session will highlight strategies … Group and member retention strategies post-COVID
HLTH 2025
Empowering Healthcare Heroes: Accelerate Innovation and Impact with Milliman MedInsight Every legend begins with a bold vision—and at HLTH 2025 in Las Vegas, you’re invited to become part of healthcare’s next heroic chapter. This year’s HLTH theme, “Heroes and Legends,” celebrates those who are pioneering change and shaping the future of healthcare. Join Milliman MedInsight … HLTH 2025
