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Executives in Focus: Milliman MedInsight

What is the core of MedInsight's work?


MedInsight is Milliman's healthcare analytics and data business unit. MedInsight's mission is to make healthcare affordable by putting a MedInsight solution in every healthcare decision maker’s hands in order to make decisions with confidence. Our MedInsight Analytics and Data Platform is the backbone for all MedInsight products. Our ability to effectively manage and enrich client data and transform it into deep insight is why hundreds of healthcare organizations turn to MedInsight.

 

Our products are used by payers, providers, and purchasers seeking to leverage Milliman's healthcare expertise, IP, and trusted benchmarks. Our digital transformation initiative has enabled the industry to access all of our products and data to solve cost, quality, and revenue challenges. Known for our high bar on data quality, based on our Data Confidence Model, MedInsight has been supporting the healthcare industry for 25 years. Our singular focus on healthcare data and analytics, coupled with unmatched industry expertise and experience, has provided the differentiation that MedInsight has utilized to become a leading vendor in healthcare technology.

 

What are some current project(s) and/or initiatives at MedInsight?


MedInsight has been the leader in healthcare for promoting the need to reduce and eliminate low-value care in our industry. According to the Institute of Medicine, one third of every dollar spent on healthcare in the US is wasted. And 27% of that wasted spend is accounted for by unnecessary healthcare services. Ten years ago, we created what has now become the leading product in healthcare for reducing low-value care, the MedInsight Health Waste Calculator. The product is used by payers, providers, purchasers, and states offering All Payer Claims Databases to identify healthcare waste based on Choosing Wisely principles.

The MedInsight Data Science Portal was released in 2021. Part of our digital transformation initiative, the Data Science Portal has simplified data science and machine learning across the MedInsight client ecosystem. It offers pre-trained healthcare models as well as the ability to operationalize data science and machine learning pipelines. Clients can leverage MedInsight's vast claims experience database, enriched with our analytics, or their own data, to train and re-train data science models. Clients leverage the Data Science Portal as a supplement to other core analytics and see it as a competitive edge given its ability to provide further precision analysis.

We are launching the MedInsight Data Products Portfolio to make it easier for the industry to access Milliman and MedInsight data. Previously only available through licensing our MedInsight Platform, clients will be able to purchase data of varying quantities, geographic regions, industry use cases, and sizes. Our decision to commercialize a MedInsight Data Products portfolio is based on client and industry feedback. While there are numerous sources to procure healthcare data, most lack sufficient quality, accuracy, completeness, currency, and consistency. Our answer to this growing industry need is the MedInsight Data Portfolio, where data can be procured at the level of quality expected from a Milliman product.

 

Who are some of the leader(s) at MedInsight? How are they showing leadership in healthcare?


 

Todd Fessler, FAHM, Chief Revenue Officer
Todd is a healthcare industry veteran and oversees MedInsight's growth strategy. He joined the Executives for Health Innovation Leadership Council in 2022, and will represent Milliman's efforts to further healthcare equity. He also helps lead MedInsight's DEI efforts to foster a more inclusive and equitable culture at the organization.
 

 

  Melody Craff, PhD., MBA, MD, Vice President, Strategic Analytics & Education
Melody specializes in clinical and operational analysis, strategy development, research, and business transformation for healthcare organizations. Melody is a gifted and experienced researcher, shedding light on key healthcare industry trends and challenges. She is a driving force behind MedInsight's goal to leverage our analytics and expertise for social good. MedInsight, with Melody's leadership, rose to the challenge of the pandemic by creating an emerging claims experience database to inform COVID-19- related analysis on healthcare utilization and outcomes.
 
  Iyibo Jack, Senior Vice President, Product Development
Iyibo Jack oversees product management, development, and engineering. To further MedInsight's mission of enabling affordable quality healthcare to people everywhere, Iyibo has guided the organization through a major healthcare digital transformation initiative. This has enabled more constituents in the healthcare sector to have access to MedInsight analytics and data. The speed and accuracy required by today's healthcare data analysts is increasing, and under Iyibo's direction, MedInsight now has the ability to get our analytics and data into the hands of any healthcare decision maker.

 

Tell us about a past, current, or future MedInsight collaboration with another organization(s).


Since 2013, MedInsight has collaborated and partnered closely with the Value Based Insurance Design Institute (VBID Health) to tackle a significant problem in our industry, wasteful healthcare. The Health Waste Calculator, informed by the American Board of Internal Medicine Foundation's Choosing Wisely Campaign, generates recommendations to identify and quantify specific low value services. With VBID Health leaders Mark Fendrick, MD, and Mike Chernew, PhD, MedInsight has produced an analytic product that is fully aligned with our mission. The Health Waste Calculator is driving out low value and wasteful healthcare, improving patient safety, and eliminating unnecessary costs to help control medical inflation.

We have formally launched the MedInsight Partner Ecosystem and are interested in discussing opportunities with other healthcare organizations.

 

What is the best way for someone to stay up-to-date with MedInsight's work?


Stay up to date on MedInsight by visiting us on LinkedIn (www.linkedin.com/company/milliman-medinsight/mycompany/) as well as our website at www.medinsight.milliman.com.

Todd Fessler, MedInsight's representative on EHI's Leadership Council, is available to discuss partnership and collaboration ideas at todd.fessler@milliman.com