The Medinsight Ecosystem

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With powerful software, bundled solutions, and some of the industry's most experienced minds behind it, MedInsight will help you find valuable insights in your data. Fast.
Solutions

You ask the tough questions. We'll do the legwork.

For over two decades, we've worked with nearly every kind of healthcare organization across the U.S. We understand how quality analytics can help answer your most difficult business questions.

Our MedInsight Solutions cut to the chase. They each provide a packaged set of functionality and analytics designed to address specific business needs.


Solutions

MedInsight Solutions

MedInsight Payer

Tell compelling data-driven stories with customizable dashboards and advanced graphing capabilities. Easily create sophisticated queries and produce answers in seconds using powerful, proprietary tools such as Query Express® and the Cube Browser. Gain confidence in your data with our industry-leading data quality processes and refresh times. Get comprehensive end-to-end data analysis in days, not weeks.

With prebuilt, payer-focused content, MedInsight Payer packages the functionality and analytics you need to get the most out of your data from the moment you log in.

MedInsight Provider

Help your risk-management staff leverage data more effectively and drive your business intelligence strategies with access to prebuilt reports, advanced query tools, and over 20 methodologies. Enable the seamless flow of information across many provider use cases with innovative data mart and dashboarding features, such as advanced stratification of patients for population health teams. Get comprehensive end-to-end data analysis in days, not weeks.

If you're an ACO or at-risk provider, MedInsight Provider helps you both facilitate and prioritize care for your at-risk populations while giving you the insight to project financial success with all your at-risk contracts.

MedInsight Multi-Payer

Many states use MedInsight Multi-Payer to perform the difficult and critical steps behind every successful All Payer Claims Database (APCD) initiative. MedInsight can be used to manage any or all parts of an APCD initiative, from data aggregation and integration to quality-based analytics and public reporting.

Business coalitions focused on healthcare can also trust MedInsight Multi-Payer to help improve quality and affordability by turning vast amounts of data into usable information and insights. MedInsight's capabilities deliver on key coalition strategies: rewarding providers for high quality and efficiency and promoting value-based care and information-sharing with everyone who is part of the healthcare equation.

MedInsight Employer

MedInsight Employer gives employers the insights they need to better analyze and manage healthcare benefit spending. Our healthcare data warehouse and reporting solution can help you manage your vendor relationships, understand the overall health of your employees, design more effective benefits, and analyze and compare key performance indicators against Milliman's authoritative benchmarks.

MedInsight Employer can help you both trim costs and improve employee health by surfacing insights from volumes of raw data and enabling smarter decisions by employers and third-party administrators, brokers, and consultants.

MedInsight Government

State governments need to make sense of vast amounts of healthcare data, especially as state Medicaid programs continue to grow in membership. With its powerful data warehousing and analytic solution, MedInsight Government can help you watch key healthcare trends proactively, so you can ensure that reimbursement rates are set appropriately. MedInsight Government can also help provide useful feedback to managed Medicaid plans within the state.

State governments are also large employers, and MedInsight Government can help.

Products

Our standalone Products give you the flexibility to customize a MedInsight experience to your needs.

MedInsight Products are the same robust groupers utilized in MedInsight Solutions, decoupled and licensed individually. Whether you're looking to create custom benchmarks for a specific population or cut down on wasteful healthcare spending, there's a standalone MedInsight Product for your organization.

Products

MedInsight Products

Hospital cost 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.

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.

Care guidelines grouper

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.

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.

Service categorization 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.

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.

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.

Leakage source identification

Patient Flow

Explores and draws inferences between patients and healthcare providers, using sophisticated social network analytics to create interactive geographic visualizations highlighting key insights such as network leakage.

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.

Consulting

Our clients trust us because we've earned it.

We've been in this business longer than any of our competitors, helping more than 300 healthcare organizations since 1997.

In that time, we've earned a reputation for getting things right and not letting clients down. Nobody sees the big picture—or delves into the details—like we do.


Consulting

MedInsight Consulting

Can't solve a particular problem in-house? We can help, a little or a lot. From basic implementation and training to fully customized solutions, we can help you get the most out of your data.

Actionable analytics

Training

Analytic resource augmentation

Analytic maturity development

Custom solutions

On-demand analysis

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.