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 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 population health departments with innovative data mart and dashboarding features, such as advanced stratification of patients for care management outreach. 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.
MedInsight Employer Group Insights
Health plans and providers consistently face the challenge of clearly demonstrating their value to their employer group clients. Defining value requires not just a single metric, but a solid understanding of many health narratives, which are occurring across an increasingly complex system. Value–past, present, and future–is realized by extracting critical datapoints overlayed on pertinent population cohorts. This process requires expert knowledge of medical, behavioral, pharmacy, and care management interactions, and the data generated from those interactions.
MedInsight Employer Group Insights supports health plans or providers with direct to employer contracts in their unique business to demonstrate value with data. The database is built for health plan account executives, employer group benefit team leaders, or employer group consultants and brokers to easily navigate.
MedInsight Data Science Portal
The MedInsight Data Science Portal creates a cloud-based environment that minimizes the time data professionals spend on prepping data and enables them to do more complex data modeling and analysis. With easy access to their MedInsight data and pre-packaged models, they can now develop artificial intelligence and machine learning models more efficiently helping their organization to realize the full value of their data.
MedInsight Covid-19 analysis
A national research data set to gain COVID-19-specific early insights and comparisons to healthcare trends in your region or across the nation, that allow you to discern opportunities and plan ahead.
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.