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2024 MSSP success: How Milliman MedInsight VBC solutions help ACOs outperform national averages
Every summer, the Centers for Medicare & Medicaid Services (CMS) announces settlement results for the Medicare Shared Savings Program (MSSP), an update that Accountable Care Organization (ACO) leaders, analysts, and policy experts eagerly anticipate. The MSSP results are more than just numbers in a report; they reflect how well ACOs are delivering value-based care (VBC) … 2024 MSSP success: How Milliman MedInsight VBC solutions help ACOs outperform national averages
Success in value-based care with Milliman MedInsight VBC Platform + ACO Builder
In value-based care (VBC), the strength and effectiveness of the provider network play a major role in determining success under a risk-bearing contract. The right mix of providers can improve outcomes, reduce costs, and help achieve savings targets. The wrong mix can lead to missed quality measures, financial losses, and patient dissatisfaction. Historically, however, network … Success in value-based care with Milliman MedInsight VBC Platform + ACO Builder
Transforming value-based care performance with the MedInsight VBC Platform
Value-based care (VBC) shifts the focus from the quantity of healthcare services delivered to the quality and effectiveness of care provided. In this model, providers are rewarded for improving patient outcomes, enhancing care efficiency, and refining resource use. This shift matters because it aligns incentives with what truly benefits patients: better health, the right amount … Transforming value-based care performance with the MedInsight VBC Platform
Precision is key: How payers can unlock strategic insights from claims and clinical data integration
Today, payers face mounting pressure to deliver better outcomes, control the cost of care, and manage financial risk. Meeting these goals requires more than access to raw data—it demands actionable insights that support strategic, cost-effective decision-making. This is where the integration of clinical and claims data becomes transformative. By bridging the gap between clinical records … Precision is key: How payers can unlock strategic insights from claims and clinical data integration
How healthcare payers can grow their analytic capabilities while staying vigilant against data breach threats
Increasingly scalable, flexible, interoperable, cloud-based platforms supporting sophisticated analytic capabilities have created wide-ranging opportunities and profound insights for healthcare organizations, from improvements in quality of care to cost-saving efficiencies. But the sensitive health care data underlying such promising developments can also leave payer organizations at risk. Healthcare payers handle large volumes of sensitive patient information, … How healthcare payers can grow their analytic capabilities while staying vigilant against data breach threats
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Navigating value-based care in 2025: How to implement it successfully in your practice
The healthcare industry is changing rapidly, influenced by new regulations, higher consumer expectations, and increasing cost pressures. In addition, the Centers for Medicare & Medicaid Services (CMS) has a big goal: by 2030, all Medicare beneficiaries should be in value-based care (VBC) arrangements. This means we’re seeing a fast shift away from the traditional fee-for-service … Navigating value-based care in 2025: How to implement it successfully in your practice
Leading through change: 2025 Trends and 2026 strategies for healthcare analytics
Reflecting on 2025, the year has brought both exciting opportunities and complex challenges in healthcare analytics. Healthcare organizations have been under increasing pressure to manage policy changes, rising costs, and the ongoing transition to value-based care (VBC) while adopting new technologies and AI-driven applications. In this webinar, we will examine the key trends that have … Leading through change: 2025 Trends and 2026 strategies for healthcare analytics
Elevate your healthcare data stack: Insights for healthcare leaders
A guide for healthcare executives to ditch outdated “data moving truck” approaches Discover how forward-thinking healthcare organizations are transforming data and insight sharing—without relying on outdated, cumbersome “data moving truck” methods. In this webinar, MedInsight experts reveal modern strategies for secure, agile, and scalable information exchange tailored for healthcare leaders. Join us to learn how … Elevate your healthcare data stack: Insights for healthcare leaders
Executive data security briefing – 4 questions every healthcare leader should be asking in 2025
As healthcare breaches grow in scale and impact, data security has become a top boardroom priority—not just an IT concern. In this on-demand session, Milliman MedInsight experts break down what every healthcare executive should be asking when it comes to protecting sensitive data and choosing trusted partners. This webinar is designed for c-suite executives and … Executive data security briefing – 4 questions every healthcare leader should be asking in 2025
Data-driven strategies for effective pharmacy management — with a spotlight on GLP-1s
Pharmacy costs continue to climb each year, influenced by the introduction of innovative therapies, growing consumer demand, and changing federal regulations. For plan sponsors, the increased use of glucagon-like peptide-1 (GLP-1) medications presents ongoing financial challenges, especially as manufacturers pursue expanded indications for these drugs beyond diabetes and weight management. Join Milliman MedInsight experts as … Data-driven strategies for effective pharmacy management — with a spotlight on GLP-1s
Harnessing analytics and AI: A modern guide to risk adjustment
Value-based care (VBC) models are reshaping the delivery, measurement, and funding of healthcare at an accelerated pace, making precise risk-adjustment processes essential for ensuring that reimbursements and premiums accurately reflect actual care costs. Accurate risk adjustment creates a fair and sustainable link between healthcare costs and provider compensation in risk-sharing arrangements. To succeed requires careful … Harnessing analytics and AI: A modern guide to risk adjustment
