MedInsight Payer

Designed for health plans, the MedInsight Payer Platform empowers users to unlock the potential of their data and address diverse business questions with a single source of truth. A dynamic platform combines actionable insights, deep learning data analysis, and intelligent solutions grounded on Milliman methodologies. No matter the role – data analyst, data scientist, or information consumer – the Payer Platform provides insights to drive meaningful and transformative outcomes.

Primary use cases for the MedInsight Payer platform:

• Performance benchmarking
• Comprehensive employer group reports
• Value-based care analyses
• Care management
• Risk management and optimization
• Pharmacy management

MedInsight Payer platform components include:

• Insights: Identify quality of care improvements, savings opportunities, and ways to lower financial risk – and visually communicate them to stakeholders through the MedInsight reporting interface.
• Analytics: Perform advanced, custom analysis on claims data aggregated across payers, enriched with groupers and metrics, and audited for data quality and integrity with the MedInsight Data Confidence Model.
• Contracts: View financial performance across contracts to analyze the likelihood of success by contract, set individual contract targets, and track performance over the year.
• Bundles: View all services provided to patients, streamline digital tools, and identify cost savings with the MedInsight bundled payment reporting.
  
• AI: Apply artificial intelligence (AI) and machine learning (ML) models to your data for higher level insights, faster; you can also access the Emerging Experience dataset via AI.
• Group reporting: Demonstrate plan value by sharing detailed account and group reporting with employers and third parties to enable better decisions and increase plan renewals.