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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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How Milliman MedInsight helped Advanced Health integrate EHR data for state reporting
In this video, Advanced Health Director of Social Determinants of Health, Amanda McCarthy, describes how partnership with Milliman MedInsight helped the organization through a rocky transition to incorporating EHR clinical data into the quality measure reporting required for state funding. As a coordinated care organization (CCO) Advanced Health’s mission depends on its ability to accurately … How Milliman MedInsight helped Advanced Health integrate EHR data for state reporting
How a Michigan PHO uses Milliman MedInsight for population health metrics and value-based care
In this video, the manager of population health and analytics for a Michigan contract provider serving a population mostly living below the poverty line describes how Milliman MedInsight analytics drives the work she does to ensure the best care for the organization’s members. By leveraging MedInsight MARA risk scores and Health Cost Guidelines (HCGs), the … How a Michigan PHO uses Milliman MedInsight for population health metrics and value-based care
Advanced Health uses clinical data and Milliman MedInsight to boost performance and close care gaps
In this video, Advanced Health’s Director of Social Determinants of Health, Amanda McCarthy, describes how collaboration with Milliman MedInsight enables the organization to leverage population health data to better serve its population. As a Medicaid clinical care organization (CCO) serving a diverse population on the southern Oregon coast, Advanced Health uses Milliman MedInsight monthly reports … Advanced Health uses clinical data and Milliman MedInsight to boost performance and close care gaps
The importance of clear provider groupings in healthcare service analysis
Any organization operating in the healthcare space will almost inevitably find itself at some point making use of a market share or service concentration analysis. There are any number of ways one might potentially approach the analysis, each with attendant questions. Armed with clear definitions and a thoughtful approach to quantifying one’s findings, one can … The importance of clear provider groupings in healthcare service analysis
Milliman MedInsight launches comprehensive Risk Adjustment Platform for enhanced performance
New Risk Adjustment Platform boosts accuracy and efficiency, enhancing patient outcomes, plan performance, and revenue SEATTLE, WA – March 10, 2025 – Milliman MedInsight® (MedInsight), a leading provider of healthcare data and analytics, announced today the launch of a comprehensive, end-to-end risk adjustment workflow solution. The new Milliman MedInsight® Risk Adjustment Platform leverages industry expertise … Milliman MedInsight launches comprehensive Risk Adjustment Platform for enhanced performance
AI-driven healthcare analytics: What to expect in 2025
As healthcare technology advances rapidly, artificial intelligence (AI) and generative AI (Gen AI) are making significant strides in improving operational efficiencies in both care delivery and financing. From automating routine tasks to enhancing the precision and speed of data analysis, AI and Gen AI are paving the way for a more efficient and patient-centric healthcare … AI-driven healthcare analytics: What to expect in 2025
