Navigate today’s most pressing health industry challenges with a leading global expert by your side.
Meet growing needs for innovative insurance solutions while increasing operational health and improving compliance.
Deliver on the promises of the past and create smart solutions for the future.
Manage complex risks using data-driven insights, advanced approaches, and deep industry experience.
This is a place where your ideas and insights make an impact. Where an independent, entrepreneurial spirit is an advantage. And where diversity of thought and experience makes us who we are.
Data-driven insight. Deep expertise. Transformative innovation. Since 1947, Milliman has delivered intelligent solutions to improve health and financial security.
Medical expenditures in the US were down steeply in 2020 due to deferred and forgone care associated with the COVID-19 pandemic, leading to historically low medical loss ratios (MLR) for insurers. For insurers, who must comply with state and federal minimum MLR regulations or pay costly rebates and remittances, this state of affairs brings with it both challenges and new opportunities for strategic investment.
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.
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.
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.
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.
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.
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.
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.
Leverages a core of vast empirical data, intimate local market knowledge for adjustment factors, and a wide number of plan and provider agreement variables.
Identifies cost trend drivers and effectively allocates disease and care management resources more accurately, using a unique clinical-care-based identification methodology.
Identifies inefficiencies in the way care is delivered at a population level using the same evidence-based guidelines that promote effective individual care.
Offers a new approach to population health risk assessment with models that perform better, deliver more intelligent scoring, and offer greater clinical transparency.
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.
Identifies and quantifies wasteful healthcare spending and potentially unnecessary services to significantly improve healthcare efficiency and control costs.
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.
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.
Delivers payer-focused capabilities such as benchmarking cost and utilization metrics, population health management, employer group reporting, and many others.
Helps ACOs and at-risk providers with financial and clinical management, including benchmarking, population health management, and chronic condition analysis.
Provides tools for managing All Payer Claims Database (APCD) initiatives, including data aggregation and integration, quality-based analytics, and public reporting.
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.
Helps state governments proactively watch key healthcare trends to ensure that reimbursement rates are set appropriately, and managed Medicaid plans are performing.
We bridge the gap between cost management and care management with data warehousing, analytics, and benchmarks that help our clients—and the healthcare industry—become more efficient.
See how MedInsight is transforming health analytics to help clients eliminate waste, make better decisions, and improve patient outcomes
If you can't trust the data, you can't trust that you'll make the right choices. Data confidence is the foundation of MedInsight.
There are advantages to real-time data and there are advantages to retrospective data. The two can, and should, peacefully co-exist and complement each other.
A MedInsight analysis of the most common conditions resulting in readmissions within 7, 15, and 30 days of an acute inpatient discharge.
Learn more about how MedInsight can help you get more out of your data
Designed specifically for ACOs and at-risk providers
Learn more about how MedInsight's Payer Solution can help your business
Learn more about MedInsight's Conditions to Consider