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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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CMS Pathways to Success: Highlights of Final Rule Changes
Practical Analytic Approaches to Healthcare Challenges On December 31st, 2018, the Centers for Medicare and Medicaid Services (CMS) issued a final rule change to the current Medicare Shared Savings Program (MSSP) structure called “Pathways to Success”. While this rule looks to accomplish additional goals, the main focus is to transition Accountable Care Organizations (ACOs) into … CMS Pathways to Success: Highlights of Final Rule Changes
Virginia Center for Health Innovation receives $2.2 Million grant to tackle healthcare waste through collaboration with Milliman MedInsight
Seattle – March 15, 2019 – Earlier this week, at the University of Michigan’s Value-Based Insurance Design Summit, Virginia’s Secretary of Health and Human Resources, Dr. Daniel Carey, announced that the non-profit Virginia Center for Health Innovation (VCHI) had secured support from Arnold Ventures through a $2.2 M grant to launch a statewide pilot to … Virginia Center for Health Innovation receives $2.2 Million grant to tackle healthcare waste through collaboration with Milliman MedInsight
Congress asked nine questions about single payer. Here are 27 answers.
In recent weeks, single-payer healthcare proposals have begun to emerge in Congress. While much of the attention during the single-payer discussion has been on specific proposals, Milliman has tried to take a broader view—via questions from a Congressman. On January 8, 2019, Rep. John Yarmuth (D-Ky.), the Chairman of the House Budget Committee, sent a … Congress asked nine questions about single payer. Here are 27 answers.
Milliman MedInsight ranked best in KLAS for payer quality analytics
Seattle – March 4, 2019 – MedInsight, Milliman, Inc.’s highly regarded platform for data warehousing and healthcare analytics, was named number one in the 2019 Best in KLAS: Software and Services report for Payer Quality Analytics. KLAS, a research firm focused on the healthcare IT market since 1996, awarded this honor in recognition of MedInsight’s … Milliman MedInsight ranked best in KLAS for payer quality analytics
Milliman MedInsight launches new MedInsight Payer Solution
Seattle – February 22, 2019 – MedInsight, Milliman, Inc.’s highly regarded platform for data warehousing and healthcare analytics, recently launched the newest release of its flagship product: the MedInsight Solutions. Recognizing that different types of users have different needs and priorities, the new MedInsight Solutions offer custom tailored versions of the MedInsight platform. The transformation … Milliman MedInsight launches new MedInsight Payer Solution
The Value in Retrospective Data & Reporting in Provider Analytics
Practical Analytic Approaches to Healthcare Challenges Technology continues to advance almost daily and data sources and real-time data access are rapidly expanding in healthcare. These advances, combined with the shift from fee-for-service to value based reimbursement, mean healthcare analytics and reporting are changing too, and access to timely data is critical. But do all these … The Value in Retrospective Data & Reporting in Provider Analytics
