Why MedInsight
MedInsight is powered by the MedInsight Data Confidence Model, which integrates, audits, and reviews every single piece of data, flagging inconsistencies and anomalies—so you can trust your data from the point of intake all the way to the general ledger.
We bridge the gap between cost management and care management with data warehousing, analytics, and benchmarks that help you rapidly learn and adapt.
Milliman MedInsight ranked “Best in KLAS for Payer Quality Analytics” for the 5th year in a row
Milliman MedInsight’s leading platform for data warehousing and healthcare analytics was recognized as the Best in Payer Quality Analytics in the 2023 Best in KLAS: Software and Services report.
What sets MedInsight apart?
Rock-solid data confidence
Data confidence is—or should be—the foundation of any healthcare analytics platform. We understand that fact in our bones, and it’s reflected in our platform. If you can’t trust the data, you can’t trust that you’ll make the right choices.
Scalability, power & efficiency
The cloud-native MedInsight platform lets you tap into virtually unlimited computing and hosting capacity, efficiently giving you power that scales up and down to meet your needs, in real time.
A smart, modern interface
MedInsight has an all-new, highly visual interface that helps you quickly and easily visualize trends and ask important questions. You can start with preset reporting and data configurations and customize for specific business needs.
Legendary benchmarks
MedInsight’s benchmarking capabilities leverage the widely respected Milliman Health Cost Guidelines (HCGs) and years of benchmark experience, so you can draw on vast empirical data—over 2.5 billion records and 75 million lives. These are the healthcare industry’s most coveted benchmarks.
Deep industry expertise
We’ve been in this business longer than any of our competitors, and we have a deep bench of expertise around developing and supporting cloud-based software.
Bottom-line trust
MedInsight is one of the most highly regarded data warehousing and healthcare analytics platforms. We’re trusted by over 300 health plans, employers, at-risk providers and ACOs, state governments, community health coalitions, and third-party administrators.
MedInsight products
MedInsight Benchmarks
Leverages a core of vast empirical data, intimate local market knowledge for adjustment factors, and a wide number of plan and provider agreement variables.
Chronic Condition Hierarchical Groups
Identifies cost trend drivers and effectively allocates disease and care management resources more accurately, using a unique clinical-care-based identification methodology.
Guideline Analytics
Identifies inefficiencies in the way care is delivered at a population level using the same evidence-based guidelines that promote effective individual care.
Milliman Advanced Risk Adjusters
Offers a new approach to population health risk assessment with models that perform better, deliver more intelligent scoring, and offer greater clinical transparency.
Health Cost Guidelines Grouper
Enables you to process your own claims experience through a Health Cost Guidelines (HCGs)-based methodology so that you can evaluate cost and utilization and better price your products.
Health Waste Calculator
Identifies and quantifies wasteful healthcare spending and potentially unnecessary services to significantly improve healthcare efficiency and control costs.
Conditions to Consider
Leverages collaborative filtering to identify missing or inaccurate diagnoses and provide better understanding of their impact on risk-based contracts as well as a more accurate risk adjustment.
GlobalRVUs
Offers provider contracting support by measuring provider efficiency via the assignment of relative value units (RVUs) to all services, including physicians and hospitals, DMEs and lab, and prescription drugs.
MedInsight solutions
MedInsight Payer
Delivers payer-focused capabilities such as benchmarking cost and utilization metrics, population health management, employer group reporting, and many others.
MedInsight Provider
Helps ACOs and at-risk providers with financial and clinical management, including benchmarking, population health management, and chronic condition analysis.
MedInsight Multi-payer
Provides tools for managing All Payer Claims Database (APCD) initiatives, including data aggregation and integration, quality-based analytics, and public reporting.
MedInsight Employer
A complete solution for analyzing unpaid claims liabilities, combining our industry-leading stochastic modeling tools with a robust suite of deterministic reserving tools and methods.
MedInsight Government
Helps state governments proactively watch key healthcare trends to ensure that reimbursement rates are set appropriately, and managed Medicaid plans are performing.