Overview

The Milliman MedInsight® Value Based Care Insights (VBCI) Tool supports hospitals in evaluating total cost and utilization trends across their Medicare beneficiaries using claims (CCLF) data.  Using Milliman’s Well Managed benchmark based on National Medicare data and a State of Maryland benchmark to identify savings opportunities, the VBCI tool provides hospitals and the state actionable insights for reducing total cost of care. The tool offers several dashboards with seamless drill throughs from high-level summary data to patient-level details. Within each dashboard, users can explore a series of detailed reports filtering across such measures as utilization and cost by service category, potentially avoidable services, and post-acute care.

Strategic use cases may include:   

• Benchmarking based on known risk factors at the service-category level 
• Patient population views stratified by defined outreach and care coordination goals  
• Cohort-level cost review and analysis with identified savings opportunities