Preparing for HEDIS 2025 with an integrated risk adjustment solution
Are you ready for HEDIS 2025? Streamline your workflows with an integrated risk adjustment solution Every year, the National Committee for Quality Assurance (NCQA) publishes a detailed list of updates, additions, and deletions for the Healthcare Effectiveness Data and Information Set (HEDIS®).1As one of the most critical sets of performance measures in the healthcare industry, … Preparing for HEDIS 2025 with an integrated risk adjustment solution
Exploring low-value care use through an SDOH lens
Recognizing that low-value care is shaped by the broader healthcare environment and influenced by socioeconomic factors impacting care, Milliman MedInsight developed a model to explore the connections between low-value care and social determinants of health. The goal is to offer the healthcare industry actionable insights to enhance quality, efficiency, equity, and outcomes. In this blog … Exploring low-value care use through an SDOH lens
The best of 2024: Exploring digital transformation, Gen AI and VBC
In the rapidly transforming landscape of healthcare analytics, it is difficult to predict what a new year will bring. However, looking back, it is clear that developments around digital transformation, generative AI (Gen AI) and value-based-care (VBC) have continued to stay top of mind for both payer and provider organizations. The past year has seen … The best of 2024: Exploring digital transformation, Gen AI and VBC
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
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
The power of insight: Enhancing VBC contract management and outcomes with analytics
The transition towards value-based care (VBC) is rapidly reshaping the healthcare landscape. While this shift holds immense promise for improving patient outcomes and reducing costs, it also presents a unique set of challenges that demand careful consideration for successful contract negotiations and management. In this blog post Milliman MedInsight product manager, Umang Gupta, explains the … The power of insight: Enhancing VBC contract management and outcomes with analytics