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Featured Resources
Becker’s Payer Issues Roundtable 2025: Charting Medicare Advantage growth
In April, the Becker’s Payer Issues Roundtable 2025 gathered industry leaders to examine the key challenges facing payers, including the impact of changing regulations and the future of Medicare Advantage (MA). Marcos Dachary, Principal and Chief Market Strategist and General Manager of Payer Solutions at Milliman MedInsight, participated in a panel discussion to explore topics … Becker’s Payer Issues Roundtable 2025: Charting Medicare Advantage growth
Payer analytics in focus: Emerging trends
Last year, our payer articles focused on accelerating digital transformation, increasing transparency and trust in value-based care, and strengthening data foundations. As we move into 2025, we draw on a recent Milliman MedInsight survey of payer customers to offer key insights for payer executives and analytics teams. This article explores the hurdles payers face—from data … Payer analytics in focus: Emerging trends
Next-level risk adjustment: Empowering patient outcomes and financial efficiency
Risk adjustment relies on a long list of health and demographic data points to estimate the cost of patient care across a specific population. Getting it right is critical for ensuring that reimbursements accurately reflect the cost of value-based care. As the data picture becomes more complete, the promise of risk adjustment processes to deliver … Next-level risk adjustment: Empowering patient outcomes and financial efficiency
Building transparency: Best practices for optimizing value-based performance reporting
Transparency plays a crucial role in value-based performance (VBP) reporting. It ensures accountability and trust between health plans and healthcare providers. In a system where outcomes matter, clear reporting fosters better decision-making and collaboration, increasing stakeholders’ commitment to quality care. In this blog post, Milliman MedInsight Marketing Director Sarah Quinn explains the role of technology … Building transparency: Best practices for optimizing value-based performance reporting
The road ahead: The importance of reliable data in the AI era
After attending HIMSS25, the Milliman MedInsight team has deepened our appreciation for the true value of data. As artificial intelligence (AI) becomes increasingly ingrained in healthcare technology, ensuring the quality and reliability of the data it processes is essential. The path forward is clear: embrace responsible data practices or risk falling behind. We recently sat … The road ahead: The importance of reliable data in the AI era
What is next for risk adjustment? Key moments from RISE National 2025
The RISE National 2025 conference made one thing clear: advanced technologies like artificial intelligence (AI) are not just refining risk adjustment strategies—they are dramatically accelerating insights and deliverables. The event emphasized the urgent need for interoperability and smooth data integration, in tandem with innovative measures aimed at minimizing provider abrasion within value-based care (VBC) frameworks. … What is next for risk adjustment? Key moments from RISE National 2025
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2024 Insights: Key trends reshaping healthcare analytics
As we prepare for the new year, the healthcare industry has been propelled forward by remarkable advancements in Generative AI (Gen AI), value-based care (VBC), and the electronic health record (EHR) data integration. While the overall goal of improving patient care has remained on track over the years, the introduction of Gen AI is revolutionizing … 2024 Insights: Key trends reshaping healthcare analytics
MSSP ACOs using Milliman MedInsight achieved over $549.3M of earned savings in 2023 under CMS Medicare Shared Savings Program
SEATTLE – DEC. 10, 2024 – Milliman MedInsight, a leading provider of healthcare data and analytics, is pleased to share the remarkable success of its Accountable Care Organization (ACO) clients for the 2023 Medicare Shared Savings Program (MSSP). Key highlights of 2023 performance results for Milliman MedInsight clients: Milliman MedInsight clients lead the way: Milliman MedInsight … MSSP ACOs using Milliman MedInsight achieved over $549.3M of earned savings in 2023 under CMS Medicare Shared Savings Program
Mastering value-based care contracts: Strategies for success
Discover the keys to mastering value-based care contracts in this informative webinar! Join industry experts as they delve into effective strategies for contract negotiations, year-round performance tracking, and actionable approaches to streamline contract management in value-based arrangements. In addition, gain valuable insights into measuring and comparing performance across multiple contracts to ensure alignment with your … Mastering value-based care contracts: Strategies for success
Supercharging healthcare analysis with robust provider data
Organizations in and around the healthcare industry are clamoring for more data and more data-driven insights to guide their decisions. At their core, many of these decisions rely on an understanding of the overall healthcare system. Understanding the healthcare system in turn requires an understanding of healthcare providers working in the system, as well as … Supercharging healthcare analysis with robust provider data
Advancing patient care through data integration
In this video, Southeastern Health Partners CEO, Keith Newnam, and IT Consultant, Dino Capone, discuss the benefits of their collaboration with Milliman MedInsight. They explain how the partnership addresses data challenges and enhances patient care by integrating innovative data strategies. For more information, read our case study here.
Navigating risk and revenue growth: A CFO’s guide to value-based contracts
As healthcare reimbursement models shift towards value-based care (VBC), chief financial officers (CFOs) are increasingly at the forefront of managing the financial implications of these changes. Not only are CFOs instrumental in assessing and mitigating the risks associated with new contracting models, but they are also responsible for ensuring that their organizations can thrive in … Navigating risk and revenue growth: A CFO’s guide to value-based contracts