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Executive Report: Beyond transformation talk: What value-based care organizations need from analytics
Across organizations of all types and sizes, value-based care leaders describe a common tension. Most say their current technology investments align with clinical and business goals, yet budget constraints, data integration hurdles, and persistent interoperability gaps constrain execution. The Milliman MedInsight executive report explores how value-based care organizations use analytics to address rising financial pressure, … Executive Report: Beyond transformation talk: What value-based care organizations need from analytics
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
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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
Frameworks and considerations for COVID-19 related analyses
What is the impact of COVID-19 on patterns of healthcare utilization, healthcare costs, and population health? This brief provides an analytic guide to assist healthcare organizations with COVID-19 pandemic analytics.
The increasing relevance of risk scores on MSSP ACOs
Practical Analytic Approaches to Healthcare Challenges Medicare Advantage plans have long recognized the importance of coding to ensure accurate risk scores and clinical documentation. By contrast, Accountable Care Organizations (ACOs) participating in the Medicare Shared Savings Program (MSSP) often focus less on the implications of risk adjustment or assume they have little ability to affect … The increasing relevance of risk scores on MSSP ACOs
Telehealth Data Analytics: Adoption Trends & Value
Practical Analytic Approaches to Healthcare Challenges Telehealth is the use of electronic information and telecommunication technologies to support remote clinical healthcare, patient and professional health-related education, public health, and health administration. Currently millions of Americans are residing in areas with a shortage of primary healthcare providers and often experience delays to see a provider.[i] Telehealth … Telehealth Data Analytics: Adoption Trends & Value
Milliman MedInsight ranked best in KLAS for payer quality analytics for second year in a row
Seattle – January 31, 2020 – MedInsight, Milliman, Inc.’s highly regarded platform for data warehousing and healthcare analytics, ranked number one in the 2020 Best in KLAS: Software and Services report for Payer Quality and Risk Analytics. MedInsight receives this honor for the second year in a row. KLAS, a research firm focused on the … Milliman MedInsight ranked best in KLAS for payer quality analytics for second year in a row
Over Half of Emergency CT Scans of the Head for Dizziness Are Considered Wasteful
Practical Analytic Approaches to Healthcare Challenges Dizziness accounts for 3.3% of all Emergency Department (ED) visits annually. This corresponds to about 2.6 million ED visits per year in the United States.¹ A Computed Tomography (CT) scan of the head is one of the most frequently used diagnostic procedures for evaluation of dizziness in the ED, … Over Half of Emergency CT Scans of the Head for Dizziness Are Considered Wasteful
