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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
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
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Milliman MedInsight powers 2026 value-based care with ONC eCQM certification and next-generation clinical data integration
Seattle, WA — January 20, 2026 — Milliman MedInsight® (MedInsight), a leading healthcare data and analytics division of Milliman, is entering 2026 with accelerating momentum in value-based care. Milliman MedInsight has earned Office of the National Coordinator for Health Information Technology (ONC) certification for electronic Clinical Quality Measures (eCQM) under the Health IT Certification Program. … Milliman MedInsight powers 2026 value-based care with ONC eCQM certification and next-generation clinical data integration
Q&A: How data analytics can drive improved outcomes and efficiency in maternity care
Across the healthcare system, improving outcomes while managing the total cost of care remains a critical challenge—especially in maternal health. Maternal mortality rates, comorbid conditions, and persistent disparities have placed increased focus on the quality, accessibility, and effectiveness of maternity care. As organizations work to deliver safer pregnancies and healthier births, understanding the drivers of … Q&A: How data analytics can drive improved outcomes and efficiency in maternity care
Optimizing provider networks: Strategies for access, compliance, and performance
Building a strong, compliant provider network is more important, and more complex than ever. Join our webinar to see how the new Milliman Network Optimizer helps health plans, health systems, and regulators streamline network management, ensure access and adequacy, and drive better outcomes for patients. In this session, you’ll learn how to: Unlock insights from … Optimizing provider networks: Strategies for access, compliance, and performance
Looking ahead: Preparing for key HEDIS 2026 updates
The National Committee for Quality Assurance (NCQA) has announced several upcoming changes to the Healthcare Effectiveness Data and Information Set (HEDIS®)1, which will impact how organizations measure and report quality of care.2 These updates are designed to enhance accuracy, reflect new clinical guidelines, and address emerging health priorities—but they also require compliance, data management, and … Looking ahead: Preparing for key HEDIS 2026 updates
CMS 2026 Physician Fee Schedule Final Rule accelerates shift to value and risk in Medicare
As CMS unveils its 2026 final rule, the agency is doubling down on value-based care, making two-sided financial risk the organizing principle for Medicare payment and signaling a decisive shift in how performance and accountability will be measured and rewarded. These new policies have far-reaching implications for providers, health systems, and payers. Two-sided risk becomes … CMS 2026 Physician Fee Schedule Final Rule accelerates shift to value and risk in Medicare
In case you missed it: Top webinars of 2025
Milliman MedInsight webinars this year have drawn from a broad array of healthcare analytics experience and expertise. From healthcare executives embarking on ambitious strategies for improving care delivery across diverse networks to analytics engineers sharing best practices for modernizing data infrastructure, we covered it all in 2025. Here is an overview of our most watched … In case you missed it: Top webinars of 2025
