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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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MedInsight Employer Group Insights – The new standard for health plans in employer group analytics
Health plans and providers are consistently faced with the challenge of clearly demonstrating their value to their employer group clients. Answering this question requires not just a single metric, but a solid understanding of many health narratives which are occurring across an increasingly complex system. Value – both past, present, and future – is realized … MedInsight Employer Group Insights – The new standard for health plans in employer group analytics
The drive to value-based results with MedInsight
Join us to learn how St. Luke’s Health System is using MedInsight to identify opportunities and drive outcomes in its value-based goal of reducing the cost of care and improving the health outcomes of its population. Milliman and St. Luke’s Finance leaders will discuss how MedInsight not only supports the organizational priorities of knowing your … The drive to value-based results with MedInsight
Direct Primary Care: A unique healthcare solution for employers – Background, key benefit considerations, industry offerings, and analytic challenges
The Direct Primary Care (DPC) practice model is relatively new and still evolving; there is no single definition of what constitutes a DPC practice. In 2020, the Society of Actuaries commissioned Milliman to develop a study characterizing the DPC model and evaluating certain claims made about its effectiveness. As the DPC model continues to grow, … Direct Primary Care: A unique healthcare solution for employers – Background, key benefit considerations, industry offerings, and analytic challenges
Direct Contracting: Evaluating opportunities for employers and providers to achieve better healthcare outcomes
For employers sponsoring health insurance benefits for their employees, maintaining competitive benefits packages is key to attracting and retaining top talent. And in the face of perpetual medical and prescription drug trends, employers are seeking out directing contracting strategies that would allow them to maintain competitive benefits, while also reducing costs and enhancing employee satisfaction. … Direct Contracting: Evaluating opportunities for employers and providers to achieve better healthcare outcomes
Defining your organization’s path in analytics: Creating an analytics Center of Excellence
What is an Analytics Center of Excellence? It is a framework for thinking about data and creating a culture built around defined goals and agreed-upon outcomes. Healthcare organizations are in need of timely insights, effective storytelling, data literacy training, trust, disciplined data infrastructure, scalable data modeling, and simple tools. MedInsight’s Will Fox and Melody Craff … Defining your organization’s path in analytics: Creating an analytics Center of Excellence
Deeper dive into continuing education with Milliman MedInsight
A chance to look inside the comprehensive program developed by MedInsight Education Services. We focus on scenario-based training pertaining to specific roles – integrating on-demand e-learning with interactive coaching from instructors as well as discussion forums, use cases, and analytic activities. The next phase includes courses on important topics in advanced health analytics and population … Deeper dive into continuing education with Milliman MedInsight
