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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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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
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
