About

Milliman MedInsight® is one of the healthcare industry’s most highly regarded platforms for data warehousing and healthcare analytics, and has been adopted by payers, purchasers, providers and other healthcare clients. Additional MedInsight products include solutions that provide preconfigured or custom reporting and data configurations, as well as individual tools that can address specific business needs.

Markets

MedInsight’s analytics are used by many types of healthcare organizations, including health plans, at-risk providers/ACOs, employers, third-party administrators, state Medicaid agencies, and multi-payer coalitions. Common use cases for which MedInsight is used include cost and utilization analysis, employer group reporting, population health management, care management, quality and efficiency measurement, and avoidable events and services.

Preventing, Detecting, and Reporting Fraud, Waste, and Abuse

All companies are looking for ways to reduce healthcare costs and Milliman Payment Integrity (MPI) is part of the solution. MPI is a product that uses medical and pharmacy claims, enrollment, provider, and health plans benefits data to identify, analyze, and report on fraud, waste, and abuse. Ongoing electronic audits using MPI of medical and pharmacy claims can find these discrepancies, leading to the recovery of over payments. Even more importantly, audits can identify problems in the way a plan is set up and point the way to eradicating inaccuracies, reducing cost, and preventing waste in the future. 

 

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