Milliman MedInsight® is one of the healthcare industry’s most highly regarded platforms for data warehousing and healthcare analytics, and has been adopted by payers, purchasers, providers and other healthcare clients. Additional MedInsight products include solutions that provide preconfigured or custom reporting and data configurations, as well as individual tools that can address specific business needs.


MedInsight’s analytics are used by many types of healthcare organizations, including health plans, at-risk providers/ACOs, employers, third-party administrators, state Medicaid agencies, and multi-payer coalitions. Common use cases for which MedInsight is used include cost and utilization analysis, employer group reporting, population health management, care management, quality and efficiency measurement, and avoidable events and services.



In order to bring additional value to our clients, MedInsight® has formed business alliances with several select companies.

Milliman’s MedInsight team formed a business alliance with The Advisory Board Company (ABC) in 2010 to deliver population health analytics to hospitals, at-risk providers, ACOs and small employers. The companies provide ABC’s Crimson Population Risk Management (CPRM) solution, powered by MedInsight, to more than 100 healthcare organizations. CPRM is a leading population health platform for the provider industry. By combining ABC’s insight on health system strategy with MedInsight’s deep benchmarking and clinical methodologies, clients get a 360-degree view of patient care, an evaluation of your own organization’s strengths and liabilities, and more.

Hayes, Inc., acquired by TractManager in 2017, is an industry leader in providing clinically focused, evidence-based research and analysis to health plans, insurers, hospitals, healthcare systems, ACOs, and government agencies. Hayes is dedicated to the delivery of high-quality healthcare and improved outcomes through the integration of evidence into decision-making and policy development. Milliman’s MedInsight® team formed a business alliance with Hayes in 2019 to deliver the MedInsight Hayes Grouper™. This powerful new decision-making tool integrates Hayes’ industry-leading clinical criteria with Milliman’s industry-leading claims analytics to create a robust data set of evidence-based claims analytics.

MCG, part of the Hearst Health network, helps healthcare organizations implement informed care strategies that proactively and efficiently move patients toward health. MCG’s evidence-based care guidelines and software solutions cover the entire arc of the patient journey helping providers, payer organizations, and government healthcare entities manage risk appropriately and ensure the highest quality of appropriate care. In addition, MCG clinical decision support helps MACs, RACs, and BFCC-QIOs perform retrospective audits to drive CMS initiatives promoting the best care for Medicare beneficiaries. MCG content and solutions can integrate with virtually any EHR/EMR vendor to provide uninterrupted workflow support for utilization and case management professionals. Learn more at www.mcg.com.

In 2012, Value Based Insurance Design (VBID) Health and the MedInsight team from Milliman formed a business alliance which resulted in the creation of the Health Waste Calculator, an analytic tool designed to identify waste in the healthcare system. Developed around value-based healthcare concepts, the Health Waste Calculator analyzes claim and EMR data to identify healthcare services that are wasteful or likely wasteful. The companies continue to explore additional innovations for delivering value-based technologies to the healthcare industry.