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.
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.
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.
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.
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 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.
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.
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 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.
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.
Explores and draws inferences between patients and healthcare providers, using sophisticated network analytics to create interactive geographic visualizations highlighting key insights such as network leakage.
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.
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.
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.
Many organizations lack the time, expertise, or ability to leverage the insights provided by MedInsight’s solutions and standalone products. Our analytic consulting team can help by designing plans to realize cost savings and organizational improvement opportunities.
We’re expert trainers, not just for MedInsight but for healthcare data in general—from data fundamentals to advanced analyses based on specific use cases. We can help your people learn how to tell stories and make better decisions using data.
Trained, experienced analysts are often expensive and in short supply. We can help you with staffing needs, both to help complete specific workloads and to share expertise on complex analytic projects.
Most organizations are at different levels of analytic maturity in terms of how they generate, collect, and use data. Using gap analysis and roadmaps, we can help you develop a best-in-class analytic organization across people, processes, and technology.
If you’re trying to solve a unique problem or apply data in a very specific way, we can help you take the capabilities of MedInsight even further. We have the data, technology, and subject-matter expertise to build custom solutions and configurations.
Need to answer a question or complete a project that’s beyond your in-house expertise? We have expert analysts and data-trained physicians across many subject-matter areas who can help with specific, immediate needs.
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