MedInsight solutions

MedInsight Payer

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 Solutions

We know how to help payers do more with their data

Tell compelling data-driven stories with customizable dashboards and advanced graphing capabilities.

Create complex 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.

And get comprehensive end-to-end data analysis in days, not weeks.

MedInsight Payer Solution

Designed just for payers

We’ve worked with payer organizations for over 20 years, and we developed MedInsight Payer specifically to tackle the challenges they face every day:

  • Data collection, aggregation, integration, quality
  • Performance benchmarking
  • Cost and utilization analysis
  • Care management analysis
  • Employer group reporting
  • Risk management and optimization
  • Population health
  • Value-based care 

MedInsight Payer accepts a variety of data resources and formats. It leverages the MedInsight Data Confidence Model to ensure data accuracy and integrity, including:

  • 100+ automated audits
  • 60+ stringent data tests
  • Quick data refreshes that average three days
  • Milliman peer review: a supplemental, manual review of your data by a trained Milliman data professional
  • Custom-defined fields and dimensions
  • Ability to store up to 600 data elements

Our analytics engine can integrate multiple complex databases while flagging inconsistencies and anomalies, so you can feel confident from the point of intake to the general ledger.

Benchmarking for performance assessments

MedInsight Payer leverages Milliman-engineered benchmarks tailored to the specific population being analyzed. These benchmarks are based on factors such as age, gender, geography, benefit design, and health risk adjustment, and they leverage the same benchmarking database used by Milliman’s highly respected actuaries.
We trend the benchmarks in order to be current and reflective of medical inflation, and you can choose to compare whole populations broadly or drill down to fine detail.

Powerful analytics and visualization

MedInsight Payer includes some of Milliman’s most powerful analytic engines and visualization tools.

The Health Cost Guidelines Grouper (HCG Grouper) can help your organization more efficiently track utilization. You can use the HCG Grouper to create population cost models, define claims service categories, and categorize specific utilization counts.

The Cube Browser can produce results from large sets of aggregate or summary data in seconds. MedInsight Query Express® allows you to drill down further into detailed, claim-line-level data for queries on specific populations or claims experiences, allowing you to comb through hundreds of millions of claim lines in seconds.

Customizable dashboards help you create powerful visuals that tell stories and reveal insights in your data. MedInsight uses one of the premier open-source libraries for advanced graphing, so our features always stay up to date.

Support you can count on

The MedInsight customer service team was ranked #1 by healthcare IT research firm KLAS (“2019: Best in KLAS” for Payer Quality Analytics).

In addition to providing industry-leading support, MedInsight Learning gives you a one-stop shop for training videos, documentation, a constantly updated knowledge base, and everything you need to know about using MedInsight Payer.

Features

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.

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.