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Featured Resources
AI in healthcare analytics: Milliman MedInsight’s approach to delivering trusted answers at speed and scale
Organizations are under growing pressure to make faster, more confident decisions in an increasingly complex healthcare environment. As healthcare continues shifting to value-based care, administrative tasks and data volumes are both growing. Although many leaders see artificial intelligence (AI) as a possible solution, it also brings new challenges. Without access to accurate data, a strong … AI in healthcare analytics: Milliman MedInsight’s approach to delivering trusted answers at speed and scale
Value-based care requires value-based operations: A framework for operational alignment
In healthcare, value-based care (VBC) is more than a familiar phrase. It represents a commitment to better patient outcomes and more thoughtful use of resources. Yet as the industry shifts from fee-for-service (FFS) reimbursement to value-based contracts, a significant gap persists. We often focus on contract design, aligned incentives, shared savings, and risk-bearing arrangements. But … Value-based care requires value-based operations: A framework for operational alignment
Beyond the diagnosis: The financial toll of cancer amid chronic conditions
Cancer is a leading cause of death worldwide, accounting for nearly 10 million deaths in 2020, or nearly one in six deaths. In the United States, the percentage of adults who have ever been diagnosed with cancer is 10.3% in 2024 and cancer is the number two cause of death across all chronic conditions. Cancer … Beyond the diagnosis: The financial toll of cancer amid chronic conditions
Optimizing the Total Cost of Care with payer analytics
Health plans now operate in a far more complex environment than in past years. With economic uncertainty, shifting market forces, and regulatory changes, there is increasing pressure for health plans to do more than just maintain performance; they must deliver real, measurable value. To succeed in managing the Total Cost of Care (TCOC), health plans … Optimizing the Total Cost of Care with payer analytics
Bridging the gaps: Ensuring provider network adequacy with the Milliman Network Optimizer
Building a provider network that meets adequacy standards is no small feat for healthcare organizations. As regulatory requirements evolve and patient needs diversify, ensuring beneficiaries have timely access to the right providers becomes increasingly complex. Organizations must navigate a maze of compliance benchmarks, analyze vast and often fragmented data, and address gaps across multiple specialties … Bridging the gaps: Ensuring provider network adequacy with the Milliman Network Optimizer
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Build vs. buy: Navigating the decision for your analytics solution
Deciding whether to build or buy an analytics solution can be a daunting task. With so many factors to consider—cost, time, scalability, and strategic goals—it’s crucial to make an informed choice that aligns with your organization’s needs. Join us for an insightful webinar where industry experts will guide you through the key considerations to help … Build vs. buy: Navigating the decision for your analytics solution
Simplify complex value-based care data with the MedInsight VBC Contracts application
Managing value-based care contracts is complex. The MedInsight VBC Contracts application simplifies the process by turning healthcare data into actionable insights—helping both payers and providers improve outcomes, reduce costs, and boost contract performance. Learn how predictive analytics, financial reconciliation, and integrated data sources can power smarter decisions in value-based care.
Navigating population health with clarity: Dr. Kodama’s expert tips for success in value-based healthcare
The shift toward value-based care (VBC) is transforming how services are delivered, focusing on improving patient outcomes and engagement while reducing costs. Success in this model depends on understanding your population, managing their health proactively, and coordinating care effectively. Meet Dr. Christopher Kodama, Chief Medical Officer at Milliman MedInsight. With a clinical background in pediatric … Navigating population health with clarity: Dr. Kodama’s expert tips for success in value-based healthcare
Milliman MedInsight names Dr. Christopher Kodama as Chief Medical Officer
Seattle, WA – July 31, 2025 – Milliman MedInsight®, a division of Milliman and a leading provider of healthcare data and analytics software, has named Dr. Christopher Kodama as Chief Medical Officer. Dr. Kodama brings more than 25 years of experience in clinical practice, executive leadership, and healthcare innovation to the Milliman MedInsight leadership team. … Milliman MedInsight names Dr. Christopher Kodama as Chief Medical Officer
Applying AI to real-world risk analytics— tales from the Innovation Portal and beyond
Healthcare organizations are under increasing pressure to streamline analytics, support cloud strategies, and deliver insights faster—all while managing complex data environments. Milliman MedInsight has developed an AI assistant within its new digital workspace, the Innovation Portal, to help address these challenges by providing a flexible, secure space for users to analyze data using familiar tools … Applying AI to real-world risk analytics— tales from the Innovation Portal and beyond
CMS 2025 RADV audit expansion: Key changes and what they mean to MA plans
In a significant move announced on May 21, 2025, the Centers for Medicare & Medicaid Services (CMS) revealed plans to initiate annual Risk Adjustment Data Validation (RADV) audits for all Medicare Advantage (MA) plans. In this memo, CMS Administrator, Dr. Mehmet Oz, is quoted as saying “We are committed to crushing fraud, waste and abuse … CMS 2025 RADV audit expansion: Key changes and what they mean to MA plans
