Milliman MedInsight Releases Value-Based Care Platform with Advanced EHR Integration and Contract Management Capabilities

Upgraded platform empowers ACOs with comprehensive data insights and predictive analytics for optimal care delivery and financial performance

SEATTLE, Feb. 25, 2025 /PRNewswire/ -- Milliman MedInsight® (MedInsight), a leading healthcare data and analytics division of Milliman, introduces its upgraded Value-Based Care (VBC) Platform®. Built on the Milliman MedInsight Health Cloud, the VBC Platform is designed to empower accountable care organizations (ACOs) with more than just analytics – it delivers value-based intelligence through advanced Electronic Health Record (EHR) clinical data integration and contract management capabilities.

Empowering ACOs on the Journey to Value-Based Care

The VBC Platform supports ACOs in their transition to value-based care with a scalable enterprise solution that streamlines analytical workflows and delivers essential data insights. Enhanced data visualization and a prescriptive reporting interface helps ACOs achieve success in value-based care initiatives. By integrating actionable insights, deep learning data analysis, and intelligent solutions, the VBC Platform accelerates the realization of value, enhancing data confidence and reliability for long-term success.

Integrating EHR Data for Comprehensive Patient Insights

The VBC Platform's robust EHR integration provides timely and comprehensive patient data, offering near real-time insights into patient health, including treatments, risk factors, lab results, social determinants of health, and outcomes. By combining EHR data with claims data, healthcare organizations gain a more complete picture of patient health, enabling accurate targeting of populations and driving performance improvement. This comprehensive integration transforms raw data into actionable intelligence, ensuring that ACOs can make informed decisions that enhance patient care and optimize financial outcomes.

"EHR integration and contract management are core to our VBC Platform," said Rich Moyer, MedInsight Chief Product Officer. "These tools provide valuable insights and help organizations navigate the VBC landscape. Our platform's comprehensive features offer the flexibility to adapt to economic changes, ensuring better monitoring and management of clinical outcomes and value-based care agreements."

Streamlining VBC Contracts for Optimal Performance

The MedInsight Value-Based Care (VBC) Contracts application empowers ACOs, health systems, and independent physician associations (IPAs) to manage value-based agreements with strategic insight, optimizing revenue and managing risk effectively.

Key Features:

• Financial Health Insights: Identify revenue opportunities and manage at-risk costs.
• Reliable Data: Utilize trusted Milliman methodologies for accurate data integration.
• Risk Analysis: Monitor key metrics at both ACO and provider levels for equitable savings and loss distribution.
• Performance Projections: Forecast settlements for past, present, and future years.
• Interaction Modeling: Simulate impacts on expenditure and revenue across various contracts.
• Centralized Management: View and compare all TCOC value-based contracts in one place.

"Our VBC Platform simplifies contract management and provides essential tools to evaluate and optimize performance," said Rich Moyer, MedInsight Chief Product Officer. "This ensures healthcare organizations can achieve their financial and quality goals in a dynamic environment."  

Building on a Decade of Success

Since 1998, over 300 clients, including 20% of the ACO market, have leveraged the Milliman MedInsight platform and analytics. The expansion of the Milliman MedInsight VBC Platform supports organizations in their transition to value-based care by providing tailored solutions for every stage of the analytic journey. As a scalable enterprise solution, it simplifies analytical workflows and delivers critical data insights into performance metrics, patient outcomes, and financial data, driving improvements in care quality and cost efficiency. We continue to seek ways to improve these capabilities to adapt to the evolving dynamics of our client's environments.

Leading Healthcare Transformation

The Milliman MedInsight VBC Platform empowers organizations to optimize operations, manage financial risk, and enhance care delivery, fulfilling the commitment to value-based care. With 75 years of leadership in healthcare transformation and unparalleled expertise in actuarial science, clinical care, IT, and healthcare data, Milliman is a trusted advisor and innovative problem solver, helping organizations achieve their financial and quality goals.

Visit medinsight.com or contact [email protected] to learn more.

About Milliman MedInsight

Founded in 1998, Milliman MedInsight^® is a leading provider of healthcare data and analytics, trusted by over 300 payers, providers/ACOs, employers, and government agencies worldwide. Our comprehensive suite of analytics and data solutions empowers organizations to leverage healthcare data for informed decision-making and improved clinical and financial outcomes. With deep industry expertise and advanced technology, we deliver actionable insights into healthcare utilization, costs, quality, and performance. From risk management to value-based care, Milliman MedInsight empowers stakeholders to navigate the complexities of the healthcare landscape and achieve sustainable success.

SOURCE Milliman MedInsight