medinsight.milliman.comOverview | MedInsight | Milliman

Health Health Navigate today’s most pressing health industry challenges with a leading global expert by your side. Start here Solutions Actuarial Consulting Analytics Disability Insurance Employer-Sponsored Healthcare Health Plans Long-Term Care Medicaid Medical Professional Liability Medicare Mental & Behavioral Health Prescription Drugs Providers Retiree Medical Risk Adjustment Supplemental Products Topics Affordable Care Act Alternate Payment Models Drug Costs Population Health Management Insurance Insurance Meet growing needs for innovative insurance solutions while increasing operational health and improving compliance. Start here Solutions Analytics Appointed Actuary Asset Liability Management Augmentation & AI Capital Management Captives & Alternative Markets Claims Consulting Financial Reporting Financial Risk Management Financial Transformation Insurance-Linked Securities Mergers & Acquisitions Microinsurance Product Development & Pricing Reinsurance Reserving Risk Retention Analysis & Feasibility Studies Topics Climate Change Cyber Risk Emerging Risks Flood Insurance IFRS 17 Insurtech Predictive Analytics Solvency II Retirement & Benefits Retirement & Benefits Deliver on the promises of the past and create smart solutions for the future. Start here Retirement Account Login Solutions Analytics Compensation Consulting Employee Communications Employee Stock Ownership Plan Financial Risk Management Health & Group Benefits Mergers and Acquisitions Non-Qualified Plans Pensions Retiree Medical Plan Recordkeeping & Administration Total Rewards Workers Compensation Topics Alternate Retirement Plan Design Regulatory Updates Retirement Security Retirement Account Login Risk Risk Manage complex risks using data-driven insights, advanced approaches, and deep industry experience. Start here Solutions Analytics Cyber Risk Enterprise Risk Management Financial Risk Management Insurance-Linked Securities Mergers & Acquisitions Mortgage & Credit Risk Operational Risk Management ORSA Recovery & Resolution Plans Reinsurance Risk Adjustment Topics Climate Change Cyber Risk Emerging Risks Mortgage Risk Predictive Analytics Careers Bring your best ideas. Discover opportunities at Milliman. Current openings Careers 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. Explore careers at Milliman Current openings Our Work Experienced Hires Students & Grads Job Search About We’re driving positive change for people and communities across the world. Learn about the principles that guide us About Data-driven insight. Deep expertise. Transformative innovation. Since 1947, Milliman has delivered intelligent solutions to improve health and financial security. Learn more Learn about the principles that guide us Our Story Social Impact News & Events Office Locations Contact Us Milliman MedInsight Top Milliman MedInsight Overview Ecosystem Overview Solutions Products Consulting Insight COVID-19 Overview Challenge Solution Benefits Features Examples Resources About Us Learn more about MedInsight Contact Us Milliman Medinsight 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. Milliman acquires Torch Insight, expanding industry’s leading portfolio of SaaS health market intelligence solutions Learn more 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. Watch the video 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. Products MedInsight products Our standalone products give you the power and flexibility to build a MedInsight experience that’s customized for your needs. You can license these separately or leverage them via our MedInsight solutions. 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. 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. Inpatient efficiency measurement or utilization management efficiency 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. 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. 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 more accurate risk adjustment. Referrals and network leakage Patient Flow 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. 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 MedI...