New report offers a glimpse into how VBC organizations view the role of analytics in their clinical and business goals
With benchmarks tightening and growing pressure to maximize cost and utilization efficiency under the value-based care model, healthcare provider organizations of all sizes are turning to analytics for answers. As part of our 2025 Provider Market Survey, Milliman MedInsight sought input from provider organizations on their analytics priorities and challenges as well as their vision … New report offers a glimpse into how VBC organizations view the role of analytics in their clinical and business goals
From insight to action: Operationalizing physician performance in value-based care
In Part 1 of this series, Physician performance enablement: Engaging providers with actionable insights for ACO success, we explored the foundational elements required to build physician engagement in value-based care (VBC). Engagement creates shared understanding and alignment, but it is only the starting point. Organizations that consistently succeed in VBC move beyond engagement to physician … From insight to action: Operationalizing physician performance in value-based care
Becker’s Payer Issues Roundtable Recap: Key insights for health plan leaders
At this year’s Becker’s Payer Issues Roundtable, one message came through consistently: the challenge for payer organizations isn’t new ideas. They need execution that measurably bends trend while keeping decisions defensible in a more scrutinized environment. Across markets, leaders described a world of tighter margins, higher acuity, member disruption, and growing expectations that plans will … Becker’s Payer Issues Roundtable Recap: Key insights for health plan leaders
From readiness to reality: What TEAM’s first year is really testing
In January 2026, CMS’s Transforming Episode Accountability Model (TEAM) moved from policy to practice. For hospitals in mandatory regions, TEAM is no longer something to prepare for on paper; it is live, operational, and beginning to influence how episode performance is evaluated clinically, financially, and operationally. Many organizations are entering 2026 with a measured posture. … From readiness to reality: What TEAM’s first year is really testing
Medicare Advantage 2026: Breaking down the new risk model and its impact in plain terms
The Centers for Medicare & Medicaid Services (CMS) introduced CMS-HCC Version 28 (V28) in 2024 as the next evolution of Medicare Advantage (MA) risk adjustment. For many organizations, the “new CMS-HCC model” felt more theoretical than operational, something plans were preparing for but not fully experiencing. That changes in 2026, when V28 becomes operational at … Medicare Advantage 2026: Breaking down the new risk model and its impact in plain terms
How CareFirst BlueCross BlueShield modernized analytics to cut cost of care
Health plans are walking a tightrope. On one side, utilization is climbing and breakthrough therapies, while clinically promising, are reshaping cost curves. On the other hand, members, employers, and providers expect more convenience, transparency, and value. The mandate is clear: deliver better outcomes and experiences without sacrificing affordability. Meeting that mandate requires more than more … How CareFirst BlueCross BlueShield modernized analytics to cut cost of care
