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Milliman Medinsight

Healthcare data analytics platform: Trust your data

We know that your decisions are only as good as your data. And your data is only as good as your platform. That's why over 300 leading healthcare organizations across the U.S. trust the MedInsight platform to get the data right.
Overview

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.

Press release

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.

Features

What sets MedInsight apart?

Healthcare Data Analytics Benefits Accuracy
Healthcare Data Analytics Benefits Accuracy Icon

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.

Healthcare Data Analytics Benefits Scalability
Healthcare Data Analytics Benefits Scalability Icon

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.

Healthcare Data Analytics Benefits Dashboards
Healthcare Data Analytics Benefits Dashboards Icon

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.

Healthcare Data Analytics Benefits Analytics
Healthcare Data Analytics Benefits Analytics Icon

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.

Healthcare Data Analytics Benefits Consulting Experience
Healthcare Data Analytics Benefits Consulting Experience Icon

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.

Healthcare Data Analytics Benefits Reliability Icon
Healthcare Data Analytics Benefits Reliability Icon

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.

Products

MedInsight products

Healthcare Data Analytics Benchmark Icon
Healthcare Data Analytics Benchmark Icon
Cost and utilization benchmarking

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.

Healthcare Data Analytics CCHGS Icon
Healthcare Data Analytics CCHGS Icon
Population health grouper

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.

Healthcare Data Analytics Guideline Icon
Healthcare Data Analytics Guideline Icon
Inpatient efficiency measurement

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.

Healthcare Data Analytics Mara Icon
Healthcare Data Analytics Mara Icon
Predictive risk modeling

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.

Healthcare Data Analytics Cost Guidelines Icon
Healthcare Data Analytics Cost Guidelines Icon
Site of care grouper

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.

Healthcare Data Analytics Waste Calculator Icon
Healthcare Data Analytics Waste Calculator Icon
Low-value care identification

Health Waste Calculator

Identifies and quantifies wasteful healthcare spending and potentially unnecessary services to significantly improve healthcare efficiency and control costs.

Healthcare Data Analytics Conditions to Consider Icon
Healthcare Data Analytics Conditions to Consider Icon
Risk score accuracy

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.

Healthcare Data Analytics Global RVUS Icon
Healthcare Data Analytics Global RVUS Icon
Provider efficiency measurement

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.

Solutions

MedInsight solutions

Based on our deep industry experience, we've tailor-made suites of functionality and analytics to help you easily find the perfect balance of technology, expertise, and support your business requires.
Healthcare Data Analytics Payer Solution
MedInsight solutions

MedInsight Payer

Delivers payer-focused capabilities such as benchmarking cost and utilization metrics, population health management, employer group reporting, and many others.

Healthcare Data Analytics Provider Solution
MedInsight solutions

MedInsight Provider

Helps ACOs and at-risk providers with financial and clinical management, including benchmarking, population health management, and chronic condition analysis.

Healthcare Data Analytics Multi-Payer Solution
MedInsight solutions

MedInsight Multi-payer

Provides tools for managing All Payer Claims Database (APCD) initiatives, including data aggregation and integration, quality-based analytics, and public reporting.

Healthcare Data Analytics Employer Solution
MedInsight solutions

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.

Healthcare Data Analytics Government Solution
MedInsight solutions

MedInsight Government

Helps state governments proactively watch key healthcare trends to ensure that reimbursement rates are set appropriately, and managed Medicaid plans are performing.

Contact a MedInsight expert

Want to get more out of your data? We live for that. Let's talk about what's happening with your organization and find out how we can help.

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