Learn more about MedInsight in our latest resources
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
Browse our full library of resources
All resources
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
Communicating with Patients with Hearing Loss
Practical Analytic Approaches to Healthcare Challenges Poor compliance with healthcare provider advice for health and wellness actions is a growing issue. For older patients, hearing loss may contribute to lack of adherence with provider guidance. BACKGROUND The U.S. Census Bureau projects that by 2035, there will be 78 million people who are age 65 and … Communicating with Patients with Hearing Loss
ACO Rule Change: Impact of Proposed Rule on Track 1 and New MSSP ACOs/The BASIC Track
Practical Analytic Approaches to Healthcare Challenges The new rule proposed by the Centers for Medicare & Medicaid Services (CMS) on August 9, 2018 would result in significant changes to the way the Medicare Shared Savings Program (MSSP) works for new Accountable Care Organizations (ACOs) and those currently in a one-sided risk model. Under the current … ACO Rule Change: Impact of Proposed Rule on Track 1 and New MSSP ACOs/The BASIC Track
