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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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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
Milliman MedInsight ranked best in KLAS for payer quality analytics for third year in a row
Seattle, WA – February 18, 2021 – MedInsight, Milliman, Inc.’s highly regarded platform for data warehousing and healthcare analytics, ranked number one in the 2021 Best in KLAS: Software and Services report for Payer Quality Analytics. MedInsight receives this honor for the third year in a row. KLAS, a research firm focused on the healthcare … Milliman MedInsight ranked best in KLAS for payer quality analytics for third year in a row
MedInsight achieves HITRUST CSF® Certification to mitigate risk and enhance security posture
Seattle, WA – February 3, 2021 – MedInsight executives announced today the MedInsight Solution has achieved Certified status for information security by HITRUST. HITRUST CSF Certification recognizes that MedInsight, the industry leading healthcare analytics ecosystem from Milliman, adheres to the highest standards for healthcare data security and privacy. “Over 300 healthcare organizations trust MedInsight with … MedInsight achieves HITRUST CSF® Certification to mitigate risk and enhance security posture
Milliman acquires Torch Insight, expanding industry’s leading portfolio of SAAS health market intelligence solutions
Seattle, WA —August 18, 2020—Milliman, Inc. today announced the acquisition of Torch Insight® from Leavitt Partners, LLC. This acquisition will combine Torch Insight’s powerful market–centered data and analytics with MedInsight, Milliman’s flagship healthcare analytics ecosystem. Torch Insight brings Milliman decades of healthcare policy expertise and healthcare analytic experience backed by Leavitt Partners – recognized experts … Milliman acquires Torch Insight, expanding industry’s leading portfolio of SAAS health market intelligence solutions
Doing Predictive Analytics with Python: Podcast Series
Practical Analytic Approaches to Healthcare Challenges Python is a very popular coding language for doing predictive modeling and data science. We have been discussing python as part of our ongoing Predictive Analytics podcast series for the Society of Actuaries. Four episodes are available for listening now: Episode 1: This is the first of a few podcasts … Doing Predictive Analytics with Python: Podcast Series
