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.

Markets

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.

Resources

Library


  • Milliman Healthcare Intelligence Client Forum 2018

    Milliman Healthcare Intelligence Client Forum 2018

    Join us for a 2.5-day conference that includes more than 50 breakout sessions. The Milliman Healthcare Intelligence Client Forum features demonstrations of Milliman’s newest products and a discussion of numerous topics, including healthcare reform, optimization of risk adjustment revenue, complex case management, readmission prevention, data analytics, predictive modeling, and consulting services. This forum is only for clients of Milliman’s healthcare products, including MedInsight®, IntelliScript®, Milliman Advanced Risk Adjusters™ (MARA), Hospital Performance Index™ (HPI), Health Cost Guidelines™, PRM Analytics®, MyRxConsultant™, XLogic® Rating System, and Cost Relativity Analysis Model™ (CORAL).

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  • Milliman Launches New Machine Learning Product, MedInsight Patient Flow to Identify Connections between Patients and Healthcare Providers

    MedInsight®, Milliman, Inc.’s highly regarded platform for data warehousing and healthcare analytics, recently launched its newest product, MedInsight Patient Flow. Available either as an add-on to MedInsight Solutions or as a standalone product, MedInsight Patient Flow™ is part of a new emphasis by MedInsight to incorporate more machine learning products into its ecosystem.

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  • MedInsight Health Waste Calculator Featured in Health Affairs’ Third Most-Read Article of 2017

    Milliman, Inc., a leading global provider of actuarial, risk management, and technology solutions, today announced that the firm’s MedInsight Health Waste Calculator – a leading analytic platform that provides actionable data around healthcare quality, efficiency, and effectiveness – was featured in Health Affairs’ third most-read article of 2017. The article, “Low-Cost, High-Volume Health Services Contribute The Most To Unnecessary Health Spending,” highlights the Commonwealth of Virginia’s use of the MedInsight Health Waste Calculator, which found more than $586 million in unnecessary costs in the Virginia All-Payer Claims Database.

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  • Milliman MedInsight Chosen by Two State-Based Organizations and a Leading Community Coalition to Identify Unnecessary Costs and Procedures in Healthcare Delivery

    Milliman, Inc., one of the premier global consulting and actuarial firms, announced today that its healthcare tool, the MedInsight® Health Waste Calculator, has been chosen by two state All Payer Claims Databases (APCDs) and a leading Regional Health Improvement Collaborative to aid in their identification of unnecessary costs and procedures in healthcare delivery.

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  • Milliman MedInsight Receives 2016 NCQA Certification for 23 HEDIS Measures

    Seattle – Milliman, Inc., one of the premier global consulting and actuarial firms, announced today that their healthcare analytic platform, MedInsight, has achieved the National Committee for Quality Assurance (NCQA) certification for Healthcare Effectiveness Data and Information Set (HEDIS®) 2016 Measures. Since its introduction in 1993, HEDIS has evolved to become the gold standard in managed care performance measurement.

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  • Milliman MedInsight’s Analytic Platform Named a Leader in IDC MarketScape Report

    Seattle – Milliman, Inc., one of the premier global consulting and actuarial firms, today announced that its popular healthcare analytic platform, MedInsight, has been named a leader in the IDC MarketScape study, entitled “U.S. Payer Data Analytics 2015 Vendor Assessment, doc #HI255269, April 2015.” The company is one of eight vendors evaluated in the report.

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  • Milliman MedInsight Releases Employer Group Reporting Solution for Health Plans

    Seattle – Milliman, Inc., one of the premier global consulting and actuarial firms, announced today the formal launch of their new MedInsight Employer Group Reporting (EGR) Solution. The MedInsight EGR Solution is designed for health plans to support the key function of client reporting; helping a health plan’s employer clients accurately understand the value they receive from their benefit spend and also providing a realistic performance comparison with other employers in the region.

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  • Milliman MedInsight Receives 2015 NCQA Certification for 23 HEDIS Measures

    Seattle – Milliman, Inc., one of the premier global consulting and actuarial firms, announced today that their healthcare analytic platform, MedInsight, has achieved the National Committee for Quality Assurance (NCQA) certification for Healthcare Effectiveness Data and Information Set (HEDIS®) 2015 Measures. Since its introduction in 1993, HEDIS has evolved to become the gold standard in managed care performance measurement.

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  • Milliman MedInsight picks Microsoft Analytics Platform System to boost performance and efficiency

    Seattle – Milliman, Inc., one of the premier global consulting and actuarial firms,announced today its MedInsight® product team has chosen Microsoft’s Analytic Platform System (APS) for its next generation MedInsight release later in 2014. This important technical decision comes after a formal proof of concept that resulted in significant gains in system performance, data loading and refresh cycle times, and data storage.

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  • Milliman to showcase Healthcare Intelligence products at America’s Health Insurance Plans (AHIP) 2014 Institute Conference

    Seattle – Milliman, Inc., one of the premier global consulting and actuarial firms, announced today that it will showcase its growing line of Healthcare Intelligence products and solutions at AHIP’s Institute 2014, June 11-13, in Seattle. Milliman is exhibiting as an AHIP major sponsor and conference attendees will be able to stop by booth 810 to learn more about or schedule private presentations for all Milliman Healthcare Intelligence products.

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  • Milliman and VBID Health announce launch of MedInsight Waste Calculator to identify wasteful healthcare spending

    SEATTLE, Wash. and WASHINGTON D.C., – Milliman, Inc., one of the premier global consulting and actuarial firms, and VBID Health, the leading Value Based Insurance Design (VBID) consulting company, today announced the launch of the MedInsight Waste Calculator, a new healthcare analytic tool powered by Milliman’s MedInsight® software and encapsulating VBID Health’s market knowledge on wasteful healthcare spending. This tool will identify and quantify the use of potentially unnecessary or harmful clinical services, including those defined by national initiatives such as the U.S. Preventive Services Task Force and Choosing Wisely.

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  • Milliman MedInsight announces big data initiative

    Seattle – Milliman, Inc., one of the premier global consulting and actuarial firms, announced today the formal launch of a big data initiative. The MedInsight Data Confidence Model is a data management methodology that helps clients leverage concepts of big data for business performance improvement and transparency.

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  • QualCare selects MedInsight from Milliman for health plan, ACO analytic software

    Seattle – Milliman, Inc., one of the premier global consulting and actuarial firms, today announced that QualCare, Inc. has implemented MedInsight® as its data warehousing and claim analytic platform. QualCare will use MedInsight to help with a variety of analytic reporting needs including health plan analysis and ACO reporting.

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  • Milliman and Enclarity announce business alliance to enhance provider analytics and insight

    SEATTLE, Wash. and ALISO VIEJO, Calif., – Enclarity, Inc., a leading healthcare information solutions company, and Milliman, Inc., one of the premier global consulting and actuarial firms, today announced a formal business alliance between the two companies to jointly offer an integrated solution of Milliman’s MedInsight® software and services with Enclarity’s ProviderPoint® hosted provider data management solution to health plans, employers, and government entities throughout the U.S.

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  • Milliman announces solutions for State All Payer Claims Database

    Seattle – Milliman, Inc., one of the premier global consulting and actuarial firms, today announced the availability of its MedInsight technology and services solutions tailored for State All Payer Claims Database Programs. As states continue to implement these important healthcare initiatives, MedInsight solutions can be leveraged for successful roll-out and ongoing operations.

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  • Patient FlowDownload
  • Administrative Cost Management SolutionDownload
  • All Payer Claims Database (APCD) Management SolutionDownload
  • Analytics and Consulting for Medicaid-focused Health PlansDownload
  • BenchmarksDownload
  • Chronic Conditions Hierarchical Groups (CCHGs)Download
  • Employer Group Reporting SolutionDownload
  • GlobalRVUsDownload
  • Guideline AnalyticsDownload
  • Health Cost Guidelines (HCG) GrouperDownload
  • Health Waste CalculatorDownload
  • Hospital Evaluation and Comparison System (HECS)Download
  • MedInsight Analytic PlatformDownload
  • Milliman Advanced Risk Adjusters (MARA)Download
  • Milliman Healthcare Intelligence BrochureDownload
  • Query ExpressDownload
 
  • Administrative Cost Management and MedInsight in the Affordable Care Act Era

    Payors and other healthcare organizations have often encountered difficulty tracking and managing administrative costs.

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  • A Member Attrition Mystery

    MedInsight showed that physician costs were 34.8% higher than median commercial levels.

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  • Medical Management Savings

    The client used MedInsight® to benchmark performance, conduct trend analysis, identify high-cost.

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  • Healthcare: Optimizing the industry with MedInsight

    Watch this video to learn how MedInsight is helping customers use analytics to make important decisions.

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  • Milliman MedInsight: Advanced analytics for a changing industry

    Watch this video to learn how MedInsight focuses on data analytics, quality processes, and machine learning to be ahead of where clients need to be.

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  • Milliman MedInsight: The future of healthcare

    Watch this video to learn how MedInsight is addressing the transformation in healthcare.

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  • Healthcare: Beyond Politics

    Watch this video to learn about Milliman's commitment to delivering objective, unbiased consulting in the US healthcare market.

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  • Optimizing the National Health Service

    Watch this video to learn about how Milliman works with the National Health Service in the UK.

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  • Michelle Nelson and Bruce Muma: Henry Ford Medical Group

    Watch this video to learn how MedInsight has helped Henry Ford Medical Group easily identify populations within their practice.

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  • Naim Munir: Health Alliance Plan

    Watch this video to learn why Health Alliance Plan relies on the MedInsight Hospital Evaluation and Comparison System (HECS) tool for hospital contracting.

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  • Prashant Nayak: Cleveland Clinic

    Watch this video to learn about the various ways Cleveland Clinic has benefited through their use of MedInsight.

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  • David Nielsen: Catholic Medical Partners

    Watch this video to discover how MedInsight has helped Catholic Medical Partners improve their multi-payer data.

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  • Take a Look Inside MedInsight

    Watch this short video to learn more about our leading analytic platform and how it is constructed.

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  • Data Confidence Model

    Watch to learn about our best-in-class process and approach for high quality data integration and accuracy.

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  • Milliman MedInsight: Center of Population Health Strategy

    Watch this video to learn how MedInsight has helped companies manage their population health analytics.

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  • MedInsight Webinar: Data Visualization Insight the MedInsight Payer Solution

    Learn how the MedInsight Payer Solution can help your organizations develop actionable insights that target your specific business challenges. Through a combination of data visualization, storytelling, and market-leading proprietary analytics, we will demonstrate how to develop effective dashboards using ad-hoc queries and charting capabilities.

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  • MedInsight Webinar: Exploring Utilization Management and Cost Savings with Benchmark Functionality

    Watch this webinar to learn how the MedInsight Benchmarks and Guideline Analytics support medical management, reporting, and other key healthcare business functions.

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  • MedInsight Webinar: Introducing Patient Flow – Bringing Social Network Analytics to Healthcare

    This webinar introduces the new MedInsight product Patient Flow! Watch this webinar to learn more about our new product and methodology.

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  • Milliman MedInsight and MCG Health Webinar: Guideline Analytics - Reveal Cost Saving Insights in Your Claims Data

    Guideline Analytics, an innovative new solution co-designed by MCG and Milliman MedInsight, allows health plans, ACOs, and at-risk providers to evaluate and monitor their utilization performance by leveraging MCG clinical categories and Milliman benchmarks. By applying the lens of Guideline Analytics to clinical claims data, users can begin identifying opportunities for cost savings as well as how to monitor interventions to ensure accurate tracking to core KPIs.

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  • MedInsight Webinar: Care Platforms – Integrating Technologies and Best Practices to Drive Patient-Center, Value-Based Care

    Watch this webinar to hear about the innovative strategies Excellus BlueCross BlueShield is employing to root out low value, unnecessary care. Excellus has reduced unnecessary care through various efforts, such as interventions based on the Choosing Wisely initiative as well as others driven through primary care behavior change.

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  • MedInsight Webinar: The Quest for ROI – Maximizing & Measuring Value From Disease Management Analytics

    This webinar focuses on new ways to approach care management analytics with MedInsight products, including the new MedInsight care management functionality, CCHGs, MARA, and GlobalRVUs.

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  • Comprehensive Healthcare Waste Analytics - Part One

    Part one of this MedInsight webinar series focuses on fraud and abuse, inefficiently delivered services, and missed prevention opportunities.

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  • Comprehensive Healthcare Waste Analytics - Part Two

    Part two of this MedInsight webinar series focuses on excess administrative costs and prices that are too high.

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