Milliman MedInsight
A healthcare data analytics and technology practice within Milliman, specializing in software, benchmarking, and consulting services for health plans, providers, employers, and government entities.
About Milliman MedInsight
A healthcare data analytics and technology practice within Milliman, specializing in software, benchmarking, and consulting services for health plans, providers, employers, and government entities.
Products
A pro-forma projection and network optimization modeling tool designed for ACOs to forecast shared savings, analyze provider networks, and manage value-based care programs.
A collection of clinical analytics tools designed to improve patient outcomes, clinical decision-making, and reduce unnecessary healthcare services.
A tool for healthcare organizations and regulators to analyze provider networks, ensure adequacy, and monitor compliance.
An analytical tool developed to identify and quantify wasteful healthcare spending and potentially unnecessary medical services.
Comparative analysis tools for healthcare organizations to track quality, financial, and operational KPIs against empirical industry benchmarks.
A range of tools for improving coding accuracy, managing risk scoring, and optimizing revenue for risk-adjusted contracts.
What customers say
“View the case study DVACO: The power of data organization and standardization The Delaware Valley Accountable Care Organization (DVACO) aims to deliver better healthcare at a lower cost to around 250,000 members in the Greater Philadelphia region. DVACO is currently the region’s largest ACO, with more than 2,000 primary care physicians and 250,000 attributed patients. DVACO participates in the Medicare MSSP program, and six additional risk-based contracts … DVACO: The power of data organization and standardization View the case study Virginia Health: Measuring waste to improve care The challenge The Choosing Wisely® campaign’s success has renewed interest towards reducing low-value healthcare services, classified as”
“[MedInsight] is essentially an extension of our team- they have the subject matter expertise in claims and eligibility data. We rely heavily on them on them, especially with the algorithms and risk modeling, which we do not have internally. They are very good partners that work with us to achieve our goals.”
“When we work with other vendors, the tool doesn’t deliver what the presentation and demo showed. It takes more configuration and customization to get what you need. With MedInsight, you know what you’re getting on the front end: Milliman’s intellectual property in the development of tools. They know how to look at health information, medical claims, and health related work. They have stuff out-of-the-box that meets our teams’ needs and we’re not left empty handed.”
- Case study
Genesys PHO used risk-stratification tools in MedInsight’s VBC Platform to help embedded nurses identify high-risk patients and coordinate outreach. MedInsight reports $1.46 million in first-year program savings and…
Case study - Health Waste Calculator
Virginia Center for Health Innovation and Virginia Health Information partnered with MedInsight to analyze 2014 Virginia claims using 44 Health Waste Calculator measures. MedInsight reports identifying over $586 million…
Case study - Case study
Missouri Health Value Collaborative implemented the MedInsight Platform and Innovation Portal to automate scorecard data extraction. MedInsight reports extraction time falling from 8–16 hours to about one hour,…
Case study
Security and compliance
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