How the pandemic sparked a digital transformation in healthcare data analytics
The COVID-19 pandemic revolutionized the way healthcare organizations transform data into timely information, reporting and decision-making. When the pandemic first hit, the general approach to healthcare data analytics was lacking: critical data could not be accessed in real-time nor made available to other healthcare providers, policymakers and the public. For example, ICU bed utilization was … How the pandemic sparked a digital transformation in healthcare data analytics
An ocean of data & a desert of insight: transforming healthcare payer data into strategic insights
From claims to EMRs to lab and third-party data, healthcare payers have more data than ever at their fingertips – over 2.3 zettabytes per year according to a Statista projection. And healthcare data continues to grow. The value of data-driven insights for payers is undeniable. Yet, many payers struggle with transforming mounting data into data-driven … An ocean of data & a desert of insight: transforming healthcare payer data into strategic insights
The right data for every model of value-based care contracting
How MedInsight Supports Organizations on the Glide Path to Risk For healthcare provider organizations navigating the array of alternative payment models in use across all phases of value-based care contracting, the complexity can be daunting. From small physician groups operating on a largely fee-for-service basis to health plans managing the claims of tens of thousands … The right data for every model of value-based care contracting
How to minimize total cost of care with healthcare data analytics
When it comes value based-care accounting, few metrics are as useful as Total Cost of Care (TCOC). TCOC can show you precisely where your value-based care initiatives should be focused for the most efficient use of resources. And yet, as useful as TCOC can be, there are few metrics as difficult to pin down with … How to minimize total cost of care with healthcare data analytics
Overcoming key data challenges to drive the future of value-based care
Value-based care (VBC) models are rapidly gaining prominence in the healthcare industry, revolutionizing the way healthcare is delivered. To ensure that provider organizations make the transition, the Centers for Medicare & Medicaid Services (CMS) has implemented several initiatives that offer incentives in favor of performance-based payments. These include alternative payment models such as Medicare Shared … Overcoming key data challenges to drive the future of value-based care
A year in review: The growing role of analytics in value-based care
This past year, the industry has witnessed significant advancements in value-based care (VBC) models. As the industry continues to move away from traditional fee-for-service models, there has been a growing emphasis on population health management, the integration of technology and analytics, and the implementation of collaborative care models. These developments have been instrumental in driving … A year in review: The growing role of analytics in value-based care
2024 Outlook: Five key analytic capabilities shaping VBC
The healthcare industry is undergoing a transformation, largely driven by value-based care (VBC), artificial intelligence (AI), and digital transformation. These trends, which gained significant momentum in 2023, will continue to shape the healthcare industry in 2024 and beyond. As organizations aim to improve efficiencies and the delivery of care, the increasing use of analytics emerges … 2024 Outlook: Five key analytic capabilities shaping VBC
eBook: How payers can navigate the hurricane of healthcare data
With healthcare data accruing or flooding in at a rate that has been compared to a hurricane, payers who can navigate the rising tide of digital information will reap unprecedented opportunities for innovation and efficiency. Data-driven decision making, fueled by everything from electronic medical records to wearable devices that collect healthcare information directly from members, … eBook: How payers can navigate the hurricane of healthcare data
3 best practices to maximize employer group reporting value
In today’s ever-changing healthcare landscape, the ability to quantify the value that health plans deliver has become crucial. A recent study conducted by EY-Parthenon and KLAS Research highlights that more than 70 percent of payers are prioritizing cost optimization as a top strategic goal.1 As health plans face increasing pressure to manage costs and demonstrate … 3 best practices to maximize employer group reporting value
Q&A: Cost optimization and analytics, a payer’s top priorities
Payers face a multitude of challenges as they navigate an increasingly complex healthcare ecosystem. From improving member engagement to maximizing technology investments, pressures continue to mount. However, one challenge stands out among the rest – the relentless rise in healthcare costs. According to a recent study conducted by EY-Parthenon and KLAS Research, cost management ranks … Q&A: Cost optimization and analytics, a payer’s top priorities
Value-Based Care: How CFOs can mitigate financial risk with analytics
The imperative for value-based care (VBC) is undeniable. Having access to robust analytics is no longer just a benefit, but an absolute necessity. Escalating U.S. healthcare costs persist as a significant concern for organizations, placing a substantial burden on chief financial officers (CFOs) to address and manage this challenge effectively. To effectively navigate the path … Value-Based Care: How CFOs can mitigate financial risk with analytics
Data trust: The foundation for informed decision-making
When it comes to getting the most out of your data, there is nothing more critical than the process by which you ensure that it is reliable. Unfortunately, it is not easy to integrate many sources of healthcare data and ensure that it is not only accurate, but that it works together to deliver the … Data trust: The foundation for informed decision-making
Maximizing your Azure investment with (Azure benefit eligible) Milliman MedInsight
In the era of cloud transformation, businesses worldwide are entrusting Microsoft Azure as their primary cloud provider. Learn how Milliman MedInsight has worked with Microsoft Azure to empower healthcare entities to optimize their cloud investments. In today’s dynamic business landscape, leading companies are embracing the cloud to securely and efficiently manage their business operations. Microsoft … Maximizing your Azure investment with (Azure benefit eligible) Milliman MedInsight
Milliman MedInsight expert perspective: AI trends and predictions for payers and providers
The emergence of generative artificial intelligence (Gen AI) brings forth a powerful tool that has the potential to revolutionize the healthcare industry. With its ability to process unstructured healthcare data and transform the delivery of care, Gen AI holds immense promise for payers and healthcare systems alike. In a recent conversation with Iyibo Jack, Principal … Milliman MedInsight expert perspective: AI trends and predictions for payers and providers
Generative AI in healthcare: Opportunities and challenges
The recent HIMSS24 conference in Orlando was abuzz with discussions on Generative AI (Gen AI) in healthcare. With its ability to streamline administrative processes, Gen AI is being hailed as a game-changer in various healthcare applications. However, as promising as it may be, there are questions about how to effectively implement and scale Gen AI … Generative AI in healthcare: Opportunities and challenges
Navigating the challenges: Key priorities for ACOs in the journey to value-based care
In recent years, Accountable Care Organizations (ACOs) have emerged as a recognized force in the shift from fee-for-service models to value-based care. By fostering coordinated collaboration among groups of physicians, hospitals, and other providers, ACOs present substantial opportunities for achieving better outcomes and cost savings. It also brings forth challenges for ACOs in keeping pace … Navigating the challenges: Key priorities for ACOs in the journey to value-based care
Charting the future: Strategies for healthcare CFOs
Healthcare Chief Financial Officers (CFOs) are increasingly finding themselves at the helm of strategic decision-making that goes beyond financial management. Recent issues, such workforce retention and future uncertainty, are compelling CFOs to adopt new strategies and undergo a profound transformation. Although healthcare systems have made strides towards achieving financial stability, it is evident that profit … Charting the future: Strategies for healthcare CFOs
Milliman MedInsight Perspective: Driving digital transformation in health plans
Digital transformation in healthcare is not just about adopting newer, faster technologies. It is about fundamentally changing how healthcare is coordinated and delivered. To advance quality, affordable care, health plans must be able to quickly make sense of the vast amount of data available today. This includes integrating data such as claims, clinical records, and … Milliman MedInsight Perspective: Driving digital transformation in health plans
The pivotal role of EHR integration in value-based care
The journey towards value-based care (VBC) is becoming more dependent on a key capability: the seamless integration of electronic health records (EHRs) with claims data. This clinical integration enables healthcare organizations to gain a more complete understanding of patient care and outcomes, providing the extensive insight needed to propel forward. Alone, neither clinical nor claims … The pivotal role of EHR integration in value-based care
Understanding the impact of social determinants of health
In recent years, social determinants of health (SDoH) have increasingly become a central topic of discussion among healthcare professionals and policymakers. These determinants encompass a broad range of social and environmental factors that affect individual and community well-being. But understanding their impact is not just about identifying what they are; it is about using data … Understanding the impact of social determinants of health
Achieving analytic maturity: Case studies in data governance, quality, and literacy
In today’s data-driven world, having a strong grasp of data analytics is essential for organizations to leverage their data effectively and drive data-informed decision-making. This article presents a collection of case studies, each highlighting the journey of a different organization towards analytic maturity, facilitated by the expertise of MedInsight’s Strategic Services team. Through the stories … Achieving analytic maturity: Case studies in data governance, quality, and literacy
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
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
HIMSS25: Key trends in navigating uncertainty, interoperability, AI, and cybersecurity
The HIMSS Global Health Conference and Exhibition (HIMSS) has long been a hub for forward-thinking discussions and innovations in healthcare technology. This year, Milliman MedInsight was thrilled to return to HIMSS for the second year in a row. HIMSS stands out as a premier event in healthcare technology, drawing over 28,000 healthcare leaders from 88 … HIMSS25: Key trends in navigating uncertainty, interoperability, AI, and cybersecurity
What is next for risk adjustment? Key moments from RISE National 2025
The RISE National 2025 conference made one thing clear: advanced technologies like artificial intelligence (AI) are not just refining risk adjustment strategies—they are dramatically accelerating insights and deliverables. The event emphasized the urgent need for interoperability and smooth data integration, in tandem with innovative measures aimed at minimizing provider abrasion within value-based care (VBC) frameworks. … What is next for risk adjustment? Key moments from RISE National 2025