About

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.

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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.

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GlobalRVUs

MedInsight® GlobalRVUs is a unique software tool designed to help health plans, accountable care organizations, and other at-risk organizations measure provider efficiency. GlobalRVUs assigns relative value units (RVUs) to all services, including physicians and hospitals, DMEs and lab, and prescription drugs. Use of RVUs is a common practice with healthcare payment schedules, given their effectiveness in separating unit price and efficiency. GlobalRVUs from Milliman, however, go beyond the typical RVU-based methodologies, such as Medicare’s physician RBRVS system and inpatient DRG weighting. Existing systems are limited in that they focus on a particular type of provider, such as physician or inpatient hospital, and do not allow the user to aggregate unit costs across provider types. GlobalRVUs solves this disconnect by providing an RVU-based system that covers all healthcare services.