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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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2019 Milliman Medical Index
Key findings of the 2019 MMI include: Healthcare costs are increasing at a slower rate, by historical standards. Back in the early 2000s, healthcare expenses for the MMI family of four were growing by 10% a year. Now, nearly 20 years later, growth rates are at record-low levels. We estimate that costs grew by only … 2019 Milliman Medical Index
Milliman MedInsight launches new machine-learning product: MedInsight Conditions to Consider
Seattle – July 24, 2019 – MedInsight, Milliman, Inc.’s highly regarded platform for data warehousing and healthcare analytics, has launched a new machine–learning product, MedInsight Conditions to Consider™, which uses collaborative filtering to highlight patterns in diagnoses. Many online retailers use collaborative filtering to help customers identify products that might be of interest to them. … Milliman MedInsight launches new machine-learning product: MedInsight Conditions to Consider
Drug Cost Trends 2015 to 2017 & The Top 20 Drugs
Practical Analytic Approaches to Healthcare Challenges The Centers for Medicare and Medicaid Services (CMS) identifies prescription drugs as one of the major components of U.S. national health expenditures, after hospital care and physician services.1 The US Assistant Secretary for Planning and Evaluation (ASPE ; principal advisor to the Secretary of the U.S. Department of Health … Drug Cost Trends 2015 to 2017 & The Top 20 Drugs
Antidepressant Monotherapy in Bipolar Disorder: Prescription Patterns
Practical Analytic Approaches to Healthcare Challenges Mental disorders are considered among the leading causes of ill health and disability worldwide. The United States spends an estimated $201 billion on mental disorders, making it the most costly medical condition in the country.1 Bipolar disorder is a common mental health condition, and the US has the highest … Antidepressant Monotherapy in Bipolar Disorder: Prescription Patterns
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
