What’s new in the MedInsight benchmark portfolio: guiding our client’s challenges in population health, financial analysis, and network management
MedInsight has long been an industry leader in benchmarking capability. In 2020, we have partnered to greater extents than ever before with our clients to leverage our long line of population-based benchmarks, notably the world famous well managed actuarial model and our Guideline Analytics partnership with MCG. Additionally, in 2020 MedInsight greatly expanded its portfolio … What’s new in the MedInsight benchmark portfolio: guiding our client’s challenges in population health, financial analysis, and network management
Top 5 ways to leverage Milliman data assets for strategic healthcare market analysis
What are the critical considerations and data challenges related to understanding your local healthcare markets? Join us for a conversation with healthcare market analytics and management experts from Milliman to learn more about: Identifying competitive advantages in local markets Evaluating your strategic positioning in the market Conducting effective network evaluation Developing data-driven market expansion strategies … Top 5 ways to leverage Milliman data assets for strategic healthcare market analysis
Telehealth expansion and other creative strategies for caring for patients during COVID-19 – stories from two clients
In this webinar, leaders from Avera Health Plans, Inc., Avera eCare, and the Care Coordination Institute share strategies they have deployed to provide care for patients outside of traditional healthcare settings in response to the COVID-19 pandemic. This includes dramatically expanding telehealth utilization, monitoring chronic conditions through at-home or drive-through strategies, reconfiguring call center functions, … Telehealth expansion and other creative strategies for caring for patients during COVID-19 – stories from two clients
Pandemic induced medical loss ratio opportunities
Medical expenditures in the US were down steeply in 2020 due to deferred and forgone care associated with the COVID-19 pandemic, leading to historically low medical loss ratios (MLR) for insurers. For insurers, who must comply with state and federal minimum MLR regulations or pay costly rebates and remittances, this state of affairs brings with … Pandemic induced medical loss ratio opportunities
Medical action planning at Ochsner Health Network
Join us to learn how Ochsner Health uses Cost and Utilization analysis to measure performance and identify opportunities to lower the cost of care. Ochsner will share how they have leveraged MedInsight to understand cost drivers and engage their providers and healthcare systems in actionable ways, by bringing together all payer data to standardize reporting … Medical action planning at Ochsner Health Network
Learn how Covenant Health and Scripps ACO use claims-based analytics to manage risk contracts
If you are just beginning to or are already managing multiple risk contracts, high quality data aggregation is essential. Using claims data is key to assessing your ACO’s financial performance against the benchmark target, identifying opportunities for improvement, and achieving your shared savings goals. Another key to success is measuring the performance of the ACO … Learn how Covenant Health and Scripps ACO use claims-based analytics to manage risk contracts
Knowing your population – risk scores and risk stratification
In a world of value-based care, the ability to stratify patients by risk is vital to achieving improved health outcomes, lower costs, and better patient experience. In this webinar, we will discuss insights and features of key risk scoring methods. Additionally, with permission from some of our clients, we will share example stories about their … Knowing your population – risk scores and risk stratification
Improving clinical documentation for risk adjustment
In this webinar you will learn how to improve clinical documentation for risk adjustment using MedInsight’s Conditions to Consider. The product identifies and leverages similarities between patients within a population to ensure appropriate patient morbidity in risk-based contracts, and assists in medical case finding initiatives. Using machine learning analytics, Conditions to Consider identifies potential gaps … Improving clinical documentation for risk adjustment
Hospital contracting modernization at Blue Cross Blue Shield of Kansas City
Learn how Blue Cross and Blue Shield of Kansas City are using MedInsight GlobalRVUs and Medicare Lite to benchmark hospital value, improve the contract structure, simplify negotiations, and reduce administrative costs for both payers and providers. Speakers Randy Oursler DVP, Chief Actuary, Blue Cross and Blue Shield of Kansas City Managing Director, Torch Insight Charlie … Hospital contracting modernization at Blue Cross Blue Shield of Kansas City
Group and member retention strategies post-COVID
Health insurance providers want to ensure their benefit plans meet employee expectations and remain price and feature competitive. In addition to responding to emerging issues like remote workforces, mental health needs, and pandemic-driven financial stresses, how can payers be on the right side of disruption caused by COVID-19? Speakers in this session will highlight strategies … Group and member retention strategies post-COVID
MedInsight Employer Group Insights – The new standard for health plans in employer group analytics
Health plans and providers are consistently faced with the challenge of clearly demonstrating their value to their employer group clients. Answering this question requires not just a single metric, but a solid understanding of many health narratives which are occurring across an increasingly complex system. Value – both past, present, and future – is realized … MedInsight Employer Group Insights – The new standard for health plans in employer group analytics
The drive to value-based results with MedInsight
Join us to learn how St. Luke’s Health System is using MedInsight to identify opportunities and drive outcomes in its value-based goal of reducing the cost of care and improving the health outcomes of its population. Milliman and St. Luke’s Finance leaders will discuss how MedInsight not only supports the organizational priorities of knowing your … The drive to value-based results with MedInsight
Direct Primary Care: A unique healthcare solution for employers – Background, key benefit considerations, industry offerings, and analytic challenges
The Direct Primary Care (DPC) practice model is relatively new and still evolving; there is no single definition of what constitutes a DPC practice. In 2020, the Society of Actuaries commissioned Milliman to develop a study characterizing the DPC model and evaluating certain claims made about its effectiveness. As the DPC model continues to grow, … Direct Primary Care: A unique healthcare solution for employers – Background, key benefit considerations, industry offerings, and analytic challenges
Direct Contracting: Evaluating opportunities for employers and providers to achieve better healthcare outcomes
For employers sponsoring health insurance benefits for their employees, maintaining competitive benefits packages is key to attracting and retaining top talent. And in the face of perpetual medical and prescription drug trends, employers are seeking out directing contracting strategies that would allow them to maintain competitive benefits, while also reducing costs and enhancing employee satisfaction. … Direct Contracting: Evaluating opportunities for employers and providers to achieve better healthcare outcomes
Defining your organization’s path in analytics: Creating an analytics Center of Excellence
What is an Analytics Center of Excellence? It is a framework for thinking about data and creating a culture built around defined goals and agreed-upon outcomes. Healthcare organizations are in need of timely insights, effective storytelling, data literacy training, trust, disciplined data infrastructure, scalable data modeling, and simple tools. MedInsight’s Will Fox and Melody Craff … Defining your organization’s path in analytics: Creating an analytics Center of Excellence
Deeper dive into continuing education with Milliman MedInsight
A chance to look inside the comprehensive program developed by MedInsight Education Services. We focus on scenario-based training pertaining to specific roles – integrating on-demand e-learning with interactive coaching from instructors as well as discussion forums, use cases, and analytic activities. The next phase includes courses on important topics in advanced health analytics and population … Deeper dive into continuing education with Milliman MedInsight
COVID-19 impact on healthcare utilization, enrollment, and cost: Insights from emerging experience and modeling
In this webinar, we discuss initial insights from emerging claims experience and observe shifts in healthcare utilization and cost, including specific examples of analytic use cases. We also review Milliman MedInsight COVID-19 dashboards available for clients to analyze their own data. Additionally, we hear from actuarial experts about modeling the return of deferred care and … COVID-19 impact on healthcare utilization, enrollment, and cost: Insights from emerging experience and modeling
CMMI’s Direct Contracting model: Participation primer
Starting in CY2021, the Center for Medicare and Medicaid Innovation (CMMI) will be operating a new total cost of care model for Medicare FFS beneficiaries called Direct Contracting (DC). It is loosely modeled on CMMI’s Next Generation ACO model as well as the Center for Medicare and Medicaid Services’ (CMS’s) Medicare Shared Savings Program (MSSP). … CMMI’s Direct Contracting model: Participation primer
Assessing the impact of COVID-19 on risk contracts
During this time of national uncertainty, health care providers are fully engrossed in maintaining daily operations and ensuring continuity of care for their patients amid the COVID-19 crisis. COVID-19 creates a myriad of uncertainties for Accountable Care Organizations (ACOs), which can seem overwhelming. Understanding the economic and clinical impact of COVID-19 requires innovative and flexible … Assessing the impact of COVID-19 on risk contracts
Advancements in quantifying low-value care opportunity: Reducing harmful cascades of care
Cascades of care refer to a succession of medical services that are often fueled by the desire to avoid even the smallest risk of a serious condition. They can follow from incidental or marginal findings on screening and diagnostic tests, some of which are themselves of low-value. Cascades of care are common and can be … Advancements in quantifying low-value care opportunity: Reducing harmful cascades of care