Performance benchmarking

To improve performance, healthcare organizations need reliable tools for tracking their progress and identifying additional opportunities to reduce utilization and cost. They need tools that provide an understanding of their strengths and weaknesses and let them compare their performance to reliable industry standards.

With the Milliman MedInsight Performance Benchmarking suite, you get industry-leading tools you can use to do all of that and more, whether you are seeking insights from industry-wide trends or ways to improve utilization at the level of a specific care setting or condition.

Because benchmarking is not a one-size-fits-all exercise, Milliman MedInsight tools are designed to enable insurers and at-risk provider organizations to see what they need to see, with the ability to drill down and customize performance data at multiple levels of care and with varying degrees of recency.

Whether your organization needs to target benchmarks around length of stay, readmission rates, ER utilization for specific procedures, or customized benchmarks into recent patterns of care, Milliman MedInsight performance benchmarking tools can provide the level of nuance and drill down you are looking for.

Milliman MedInsight benchmarking software and data

Milliman MedInsight benchmarking software provides an unmatched core of empirical data, adjusted to provide analysis of the population in multiple views. With customizable metrics for measuring performance, establishing goals and managing a fiercely competitive marketplace, our suite of benchmarking tools gives you the ability to mine your data for:

Here is an overview of our key benchmarking software:

MedInsight HCG Benchmarks

The Milliman MedInsight HCG Benchmarks incorporate the power of Milliman’s industry-leading Health Cost Guidelines (HCGs) with the highest quality data collection and analytic methods for less noise and more targeted insights. You can also adjust your targets with Milliman’s proprietary Degree of Health Management (DoHM) scale.

With a database of over 75 million lives and 2.5 billion medical and pharmaceutical claims, this core benchmarking product provides cost and utilization data for tailored benchmarks of inpatient and outpatient hospital services, doctors’ offices, radiology and more across commercial, Medicare and Medicaid populations, geographic regions and benefit plans.

Guideline Analytics

The Milliman MedInsight Guideline Analytics tool enables users to organize and aggregate inpatient procedure and disease groupings to improve performance and care within a specific population for a specific clinical condition. With a more granular view of inpatient data down to the level of diagnoses and procedures, and the nationally recognized evidence-based care guidelines of our partner MCG Health, Guideline Analytics enables organizations to track the variance between actual experience and care guideline protocols against benchmarks of similar organizations.

Emerging Experience

The Emerging Experience research database, developed and hosted by Milliman MedInsight, powers benchmarking capabilities with real-world observational data into recent patterns of care. With de-identified encrypted healthcare claims data covering approximately 80 million unique lives including commercial, Medicare Advantage, Medicare FFS, dual-eligible and Medicaid across all 50 states, the Emerging Experience database provides referential benchmarks and customizable drill downs into health impact metrics and trends with data refreshed every two months.

The Milliman MedInsight difference

Milliman MedInsight tools, expertise and support provide the core of a strategic, data-based approach to achieving the ambitious goals required of a modern healthcare organization in the face of increasing demands for improved patient outcomes and effective utilization. Our benchmarking tools are built on the rigorous methodology and advanced analytic capability that have been a hallmark of the Milliman portfolio for over seven decades.