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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
2025’s breakout whitepapers: The ideas that led the conversation
In 2025, a year in which the industry continued to expand on the promise and potential of the seismic shift toward value-based care, our most widely read whitepapers focused on analytics driving strategic growth and cost savings. Milliman MedInsight whitepapers have explored everything from the cost and efficacy of specific drugs to the changing patterns … 2025’s breakout whitepapers: The ideas that led the conversation
Best of 2025: Top healthcare analytics insights shaping the year ahead
As healthcare organizations grapple with rising costs, evolving regulations, and the shift toward value-based models, analytics has emerged as the foundational pillar for transformation. Throughout 2025, three themes emerged: value-based care (VBC), AI-driven analytics, and payer analytics innovation. We rounded up the following top posts from the year to offer guidance, industry data, thought leadership, … Best of 2025: Top healthcare analytics insights shaping the year ahead
Beyond compliance: Turning CMS’s TEAM Model into a competitive advantage
In January 2026, the Centers for Medicare & Medicaid Services (CMS) will launch the Transforming Episode Accountability Model (TEAM), requiring many hospitals to participate in bundled payment programs for select surgical episodes. This is more than a reimbursement change, it’s a readiness test for value-based care. TEAM will challenge hospitals to achieve tighter financial, clinical, … Beyond compliance: Turning CMS’s TEAM Model into a competitive advantage
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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
Top 3 takeaways from NAACOS Spring 2025 Conference
The NAACOS Spring Conference 2025, held April 22-24 in Baltimore, brought together a dynamic mix of healthcare professionals, policymakers, and innovators, dedicated to shaping the future of Accountable Care Organizations (ACOs). This year’s event underscored the need for health systems to address evolving challenges and advance value-based care (VBC) to enhance care quality, improve patient … Top 3 takeaways from NAACOS Spring 2025 Conference
Successful EHR-driven analytics in value-based care: Client perspectives and actionable strategy
The future of value-based care depends on more than just data—it depends on connecting the right data to the right insights at the right time. In this on-demand webinar, Southeastern Health Partners (SEHP) CEO, Chief Product Officer of Milliman MedInsight, explore how integrating EHR systems with advanced analytics can drive smarter decisions, close care gaps, … Successful EHR-driven analytics in value-based care: Client perspectives and actionable strategy
