JSON twin: https://www.healthaidb.com/software/milliman.json
Milliman
Milliman MedInsight is an enterprise healthcare data analytics and data warehousing platform that aggregates, normalizes and benchmarks claims, clinical and third‑party data to support payers, providers, ACOs and employers in risk adjustment, value‑based care, utilization and performance analytics.
MedInsight provides a configurable Health Cloud and analytics platform with prebuilt groupers, benchmarks, risk‑adjustment models, reporting/visualization, clinical analytics applications (e.g., Health Waste Calculator), AI/ML data science tools, and connectors to claims and EHR sources to enable faster, trusted insights for cost, quality and population health management.
yes
1947
US primary hosting; regional/enterprise hosting options available on request
P1070
2025-09-07
commercial proprietary
Contact vendor for licensing, deployment and implementation pricing; enterprise contracts and demos available.
enterprise_quote
1998
product
1.0
{
"company_name": "Milliman",
"company_url": "https://www.milliman.com",
"company_offices": [
"United States",
"United Kingdom",
"Canada",
"India",
"Australia",
"China",
"Singapore",
"Japan",
"Germany",
"Netherlands"
],
"company_founding": "1947",
"product_url": "https://medinsight.com",
"categories": [
"analytics",
"administrative",
"payer-facing",
"population health",
"clinical decision support",
"cost & utilization management",
"reporting and benchmarking"
],
"market_segment": [
"enterprise"
],
"links": [
"https://www.milliman.com",
"https://medinsight.com/",
"https://www.milliman.com/en/health/milliman-health-technology",
"https://www.milliman.com/en/products/health-cost-guidelines-suite",
"https://medinsight.com/healthcare-data-analytics-software/analytic-products/clinical-suite/",
"https://azuremarketplace.microsoft.com/en-us/marketplace/apps/millimanmedinsight1686925018300.medinsight_standalone",
"https://www.prnewswire.com/news-releases/milliman-medinsight-introduces-next-generation-health-cloud-for-improved-performance-and-scalability-302254749.html",
"https://www.gartner.com/reviews/market/healthcare-value-based-performance-management-analytics/vendor/milliman-medinsight",
"https://www.databricks.com/customers/milliman-medInsight"
],
"summary": "Milliman MedInsight is an enterprise healthcare data analytics and data warehousing platform that aggregates, normalizes and benchmarks claims, clinical and third‑party data to support payers, providers, ACOs and employers in risk adjustment, value‑based care, utilization and performance analytics.",
"description": "MedInsight provides a configurable Health Cloud and analytics platform with prebuilt groupers, benchmarks, risk‑adjustment models, reporting/visualization, clinical analytics applications (e.g., Health Waste Calculator), AI/ML data science tools, and connectors to claims and EHR sources to enable faster, trusted insights for cost, quality and population health management.",
"target_users": [
"payers",
"providers",
"ACOs",
"employers",
"health plan administrators",
"actuaries",
"data analysts",
"population health teams",
"consultants",
"state government health agencies"
],
"specialties": [
"population health",
"risk adjustment",
"payer analytics",
"value-based care (VBC)",
"utilization management",
"quality measurement",
"cost benchmarking",
"provider performance",
"claims analytics",
"clinical analytics"
],
"regions_available": [
"United States",
"Canada",
"United Kingdom",
"Australia",
"European markets"
],
"languages_supported": [
"English"
],
"pricing_model": "enterprise_quote",
"pricing_details": "Contact vendor for licensing, deployment and implementation pricing; enterprise contracts and demos available.",
"license": "commercial proprietary",
"deployment_model": [
"SaaS",
"cloud",
"managed service"
],
"os_platforms": [
"Web"
],
"features": [
"Claims data aggregation and normalization",
"Enterprise data warehouse / data mart",
"Prebuilt payer-focused analytics (cost, utilization, benchmarking)",
"Value-based care (VBC) analytics and contract performance",
"Risk adjustment analytics and coding/documentation gap identification",
"Clinical analytics and chronic condition identification",
"Group and employer reporting",
"Provider performance and network leakage analysis",
"Performance benchmarking against Milliman benchmarks",
"Data Confidence Model / data quality scoring",
"Interactive reporting / portal (insights UI)",
"AI/ML model hosting and Data Science Portal",
"Health Waste Calculator",
"Medicare repricer and pricing tools",
"Attribution and attribution reporting",
"Provider registry and provider normalization",
"Custom analytic sandbox / ad hoc analysis"
],
"optional_modules": [
"MedInsight VBC (Value‑Based Care) package",
"MedInsight Payer package",
"Risk Adjustment Suite",
"Performance Benchmarking Suite",
"Medicare Repricer/Reference Pricer",
"Health Cost Guidelines / Groupers",
"Data Science Portal / AI models",
"MedInsight Certification & Training"
],
"integrations": [
"EHR systems (EHR data integration with common vendors such as Epic and Cerner)",
"Claims feeds (837/835) and enrollment feeds (834)",
"Pharmacy claims / PBM feeds",
"Lab data feeds",
"CMS data sets (Medicare FFS, MSSP, RADV)",
"Provider directories / registry integrations",
"Employer HR/benefits data",
"Data warehouse / BI exports (SFTP, SQL extracts)",
"Milliman services/solutions (e.g., Medicare Repricer, HCG groupers)"
],
"data_standards": [
"HL7 (claims and EHR interfaces)",
"FHIR (EHR integration / clinical data)",
"X12 (837/835/834 claims/enrollment transactions)",
"ICD-10",
"SNOMED",
"NDC",
"LOINC"
],
"api_available": "yes",
"system_requirements": "",
"compliance": [
"HIPAA / HITECH",
"SOC 2 (controls for cloud services)",
"Data processing agreements / BAA"
],
"certifications": [],
"security_features": [
"Encryption at rest and in transit",
"Role‑based access control (RBAC)",
"Single sign‑on (SSO) / SAML",
"Audit logging and activity trails",
"Multi‑factor authentication (MFA)"
],
"privacy_features": [
"Business Associate Agreement (BAA) available",
"Data de‑identification / anonymization",
"Consent and PHI access controls",
"Data minimization practices"
],
"data_residency": "US primary hosting; regional/enterprise hosting options available on request",
"customers": [
"Geisinger",
"Utah Office of Health Care Statistics",
"Various health plans (claimant on MedInsight client lists)",
"Accountable Care Organizations (ACOs) (multiple clients)",
"Employers and third-party administrators (multiple clients)"
],
"user_reviews": [],
"ratings": [
"2025 Best in KLAS — Data Analytics Platform (Payer) (Milliman MedInsight)",
"Company claim: 'trusted by over 300 payers, providers/ACOs, employers and government agencies' (Milliman MedInsight)"
],
"support_channels": [
"email",
"phone",
"ticketing",
"community"
],
"training_options": [
"documentation",
"webinars",
"live_online",
"onsite"
],
"release_year": "1998",
"integration_partners": [
"Microsoft Azure (Azure Marketplace)",
"Databricks",
"EHR vendors (integrations referenced generally)"
],
"id": "P1070",
"slug": "milliman",
"type": "product",
"version": "1.0",
"last_updated": "2025-09-07",
"links_json": {
"self": "https://www.healthaidb.com/software/milliman.json"
}
}