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Healthcare Data Analytics Software for Health Plans & ACOs | MedInsightSearch for: Milliman MedInsight Technology MedInsight Platforms VBC Payer Applications Data Confidence Model Data Science Portal Employer Group Insights Analytic Products Clinical Suite Performance Benchmarking Suite Risk Adjustment Suite Health Waste Calculator Data Intelligence Provider Registry Services Analytic Services Training & Certification Technology Strategy Consulting Use Cases Claims Data Aggregation, Integration, and Management Data Science Digital Transformation Employer Group Reporting EMR Data Integration Health Equity and SDoH Healthcare Analytics Medical Management Network Leakage Analysis Performance Benchmarking Population Health Analytics Provider Profiling Quality Measurement and Improvement Risk Adjustment and Management Staff Augmentation TCOC Analysis Utilization Management Value-based Contract Management Who We Serve Resources All Resources Blog Case Studies eBooks Events Videos Webinars About Company Overview Leadership Team Newsroom Strategic Alliances Privacy Policy Contact General Inquiries Analytics Assessment Request for Proposal Events Get a Demo Healthcare data analytics software for health plans and ACOs Unlock the power of your data: MedInsight advanced analytics and contextualized insights empower healthcare payers, providers, purchasers, and consultants. Get an analytics assessment MedInsight is trusted by: Who MedInsight serves Payers Gain a new competitive advantage by aggregating and benchmarking claims, clinical, lab, and third-party data to reduce costs, hospital re-admissions, and improve overall patient care Learn more ACOs Extend your analytics capability without hiring by aggregating and normalizing patient claims and clinical data to identify care gaps, reduce network leakage, and minimize financial risks Learn more Employers Understand your healthcare spend and gain insights for improving the quality of your benefits package to better serve and improve the health at-risk and all employee needs Learn more State government Proactively monitor key healthcare trends to ensure that reimbursement rates are set appropriately and managed Medicaid plans are performing with a powerful analytics platform Learn more MedInsight platforms MedInsight Value-based Care Extend your analytics capability to identify care delivery, cost savings, and financial risk reduction opportunities with the MedInsight VBC Platform. Learn more MedInsight Payer Harness payer-focused capabilities such as benchmarking cost and utilization metrics, population health management, employer group reporting, and more. Learn more MedInsight platform overview video Trust your data and accurately price risk with MedInsight: relied on by over 300 payers and ACOs since 1997 to aggregate and enrich claims data with county-level benchmarks, risk adjusters, and groupers—all peer-reviewed as part of the MedInsight Data Confidence Model. Your data will be refreshed in days instead of weeks every month so you can identify insights that lead to improved health outcomes, lower cost, and reduced financial risk. Let’s talk MedInsight components Insights Identify quality of care improvements, savings opportunities, and ways to lower financial risk – and visually communicate them to stakeholders through the MedInsight reporting interface. Analytics Perform advanced, custom analysis on claims data that is aggregated across payers, enriched with groupers and metrics, and run through the MedInsight Data Confidence Model. MedInsight applications Contracts View financial performance across contracts so you can analyze the likelihood of success by contract, set individual contract targets, and track performance over the year. AI Apply artificial intelligence (AI) and machine learning (ML) models to your data for better insights, faster; you can also access our Emerging Experience dataset via AI. Group reporting Show your plan’s value by sharing detailed account and group reporting with employers and third-parties to enable better decisions and increase plan renewals. MedInsight analytics products Performance Benchmarking Suite MedInsight Performance Benchmarking Suite empowers organizations to compare their performance against Milliman’s highly respected benchmarks. With comprehensive metrics and key performance indicators, organizations gain a clear understanding of their strengths, weaknesses, and areas for improvement. Learn more Risk Adjustment Suite MedInsight Risk Adjustment Suite offers advanced algorithms and predictive modeling capabilities that optimize coding accuracy, identify documentation gaps, and ensure appropriate reimbursement. Learn more Clinical Suite MedInsight Clinical Suite offers revolutionizes healthcare delivery by empowering organizations with advanced clinical analytics and decision support capabilities. This comprehensive suite enhances clinical decision-making, improves patient outcomes, and drives operational efficiency. Learn more Testimonials 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.” VP, Enterprise Business Intelligence We’ve been using MedInsight for four years and it’s been a positive experience. The prior vendor experience was very frustrating in that they had a lot of trouble dealing with data, specifically normalizing the data. Milliman was able to come in and in six months, complete what this previous vendor couldn’t do in the space of 2 ½ to three years.” Director, Claims, Utilization & Trend Analysis The team is fantastic. There’s a lot of transparency. We have a good working relationship. I get the support I need, which is really nice. That data we get is very clean. We can quickly aggregate and get at insights within the portal.” Analytics Director Getting MedInsight data normalization provides us with the cleanest data, which has been a huge benefit and relief. We haven’t found anyone else that can do it. We need the benchmarking and all, but everything else is just icing on the cake.” VP, Healthcare Analytics and IT HCG grouper allows us to pull Medicare data in the prescribed CMS format. It saves us significant labor every year. We just run our data through it, and it does what it needs to. Same for our other pricing … we use MedInsight data for all of it because of the way it organizes data into neat spaces and it’s easy for us to use. We also launched Medicare Repricer on our commercial data. We make contracting decisions with providers based on that Repricer data, so we know it’s saved us money to get our business on reference-based pricing rather than percentage billed.” Actuarial Department It’s very easy to use, intuitive. When we have questions, there’s the reference library or we can go to our team at MedInsight for more in-depth questions.” VP, Healthcare Provider They’ve helped us develop an education program for our analytics and executive community that’s been awesome. When we have technical or actuarial issues with groupers and software, we get immediate feedback. I don’t think of the tool, software, or suite. I think of the people support that sit behind it.” Director, Population Health Analytics I spend a lot of time in MedInsight daily. I pull a bit of everything, depending on who’s asking. It’s super user-friendly and very easy to use. If you’re teaching someone else how to use it, you’re spending less time training and more time getting data out of there.” Data Analyst We have three different claims payments – commercial, Medicare Advantage, and data from CMS for Medicare shared savings – and...