MedInsight, a platform by Milliman, is a leading healthcare data analytics and warehousing solution trusted by over 300 organizations since 1998. It is built on the Milliman MedInsight Health Cloud, utilizing an Azure Lakehouse and Databricks foundation for a scalable, secure, and AI-ready architecture.
The core value proposition is data confidence, achieved through the proprietary MedInsight Data Confidence Model (DCM) which integrates audits and reviews to ensure data accuracy and reliability from intake to the general ledger. The platform offers a comprehensive suite of tools across three main platforms: the Payer Platform (for benchmarking, utilization, population health, and cost analysis), the Value-Based Care (VBC) Platform (for contract modeling, bundled payments, and EHR integration), and the Risk Adjustment Platform (for risk scoring and coding compliance).
Key capabilities include performance benchmarking against Milliman's industry-leading benchmarks, advanced risk adjustment, AI/ML-driven analytics, and curated reporting. Its target users are health plans, ACOs, employers, and government agencies, providing them with actionable insights to reduce waste, lower financial risk, and improve patient health outcomes.