The challenge
Maintaining a strong and compliant provider network
Changing regulatory requirements, inaccurate provider data, and difficulties in monitoring and measuring network adequacy can all impact access to care and overall network effectiveness.
The solution
The Milliman Network Optimizer helps healthcare organizations and regulators build and manage high-performing networks with confidence
Leveraging Milliman’s industry expertise and MedInsight advanced analytics, the Milliman Network Optimizer empowers strategic decision-making by evaluating provider affiliations, network participation, and quality ratings.
Network Optimizer benefits
Advanced network analysis
Access precise network analysis and critical insights powered by Milliman’s proprietary analytics tools and industry-leading data.
Accurate provider data quality
Leverage the Milliman MedInsight Provider Registry for a comprehensive, clean, and detailed provider dataset, surpassing public sources.
Integrated actionable intelligence
Gain deeper context with insights into health system affiliations, provider centrality, quality metrics, and network affiliations, all consolidated into a single, actionable view.
Industry expertise
Collaborate with expert teams possessing extensive operational and strategic experience and knowledge across both payer and provider sectors.
Video
Watch our video to learn more about the Milliman Network Optimizer
Network management you can leverage for enhanced member care and satisfaction and increased network efficiency
Automated data validation
Identify network gaps and ensure regulatory compliance.Targeted adequacy analysis
Leverage data-driven insights to strengthen operations and ensure you meet adequacy requirements for existing and emerging markets.Informed decision making
Make well-informed choices for high-performing networks with insight into provider’s links to health systems, insurance networks and quality scores.Value-based care resources
Provider network optimization – Finding value in the details
Timely access to healthcare services is an important enabler of positive health outcomes. Access to care remains a significant challenge in the United States where, historically, approximately 16% of adults Americans have reported long wait times and difficulty getting appointments for routine care as soon as needed. Demand for healthcare services has grown over the … Provider network optimization – Finding value in the details
Network Optimizer
The Milliman Network Optimizer empowers healthcare organizations and regulators to build and manage high-performing networks with confidence.
Optimizing provider networks: Strategies for access, compliance, and performance
Building a strong, compliant provider network is more important, and more complex than ever. Join our webinar to see how the new Milliman Network Optimizer helps health plans, health systems, and regulators streamline network management, ensure access and adequacy, and drive better outcomes for patients. In this session, you’ll learn how to: Unlock insights from … Optimizing provider networks: Strategies for access, compliance, and performance
Optimizing outcomes: Leveraging analytics for provider performance in value-based care
In a recent webinar discussion, Milliman MedInsight and Genesys PHO explored how healthcare organizations can use performance analytics to strengthen value-based care (VBC) initiatives. The panel included Francesca Hammerstrom, General Manager of Value-Based Care at Milliman MedInsight; Dr. Christopher Kodama, Chief Medical Officer at Milliman MedInsight; Samantha Lewis, Director of Healthcare Business and Population Health … Optimizing outcomes: Leveraging analytics for provider performance in value-based care
Optimizing outcomes: Leveraging analytics for provider performance in value-based care
Success in value-based care (VBC) depends on providers working together to deliver high-quality, cost-effective care. However, without access to the right data, they’re forced to navigate VBC challenges without a clear path forward. Join Milliman MedInsight and Genesys PHO for an interactive webinar where we’ll uncover how advanced performance analytics can reveal focused improvement opportunities, … Optimizing outcomes: Leveraging analytics for provider performance in value-based care
Payer strategies for optimizing provider networks
Join us as we delve into the dynamic realm of healthcare payer strategies aimed at optimizing provider networks for peak efficiency. Learn from industry experts about proven strategies, public and private normative data sets, innovative technologies, and best practices that empower payers to streamline and enhance their provider networks. Gain insights into fostering collaboration, improving … Payer strategies for optimizing provider networks
Relevant resources
Provider network optimization – Finding value in the details
Timely access to healthcare services is an important enabler of positive health outcomes. Access to care remains a significant challenge in the United States where, historically, approximately 16% of adults Americans have reported long wait times and difficulty getting appointments for routine care as soon as needed. Demand for healthcare services has grown over the … Provider network optimization – Finding value in the details
Optimizing provider networks: Strategies for access, compliance, and performance
Building a strong, compliant provider network is more important, and more complex than ever. Join our webinar to see how the new Milliman Network Optimizer helps health plans, health systems, and regulators streamline network management, ensure access and adequacy, and drive better outcomes for patients. In this session, you’ll learn how to: Unlock insights from … Optimizing provider networks: Strategies for access, compliance, and performance
Optimizing outcomes: Leveraging analytics for provider performance in value-based care
In a recent webinar discussion, Milliman MedInsight and Genesys PHO explored how healthcare organizations can use performance analytics to strengthen value-based care (VBC) initiatives. The panel included Francesca Hammerstrom, General Manager of Value-Based Care at Milliman MedInsight; Dr. Christopher Kodama, Chief Medical Officer at Milliman MedInsight; Samantha Lewis, Director of Healthcare Business and Population Health … Optimizing outcomes: Leveraging analytics for provider performance in value-based care
Optimizing outcomes: Leveraging analytics for provider performance in value-based care
Success in value-based care (VBC) depends on providers working together to deliver high-quality, cost-effective care. However, without access to the right data, they’re forced to navigate VBC challenges without a clear path forward. Join Milliman MedInsight and Genesys PHO for an interactive webinar where we’ll uncover how advanced performance analytics can reveal focused improvement opportunities, … Optimizing outcomes: Leveraging analytics for provider performance in value-based care
Payer strategies for optimizing provider networks
Join us as we delve into the dynamic realm of healthcare payer strategies aimed at optimizing provider networks for peak efficiency. Learn from industry experts about proven strategies, public and private normative data sets, innovative technologies, and best practices that empower payers to streamline and enhance their provider networks. Gain insights into fostering collaboration, improving … Payer strategies for optimizing provider networks
