Healthcare Data Analytics Blog

Beyond compliance: Turning CMS’s TEAM Model into a competitive advantage

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Patient checkup

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

2024 MSSP success: How Milliman MedInsight VBC solutions help ACOs outperform national averages

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Doctors discussing chart

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

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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

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Medical consultation

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

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Working woman

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

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Woman at library

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