MedInsight and Hayes Create Industry’s First Evidence-Based Claims Analytics Solution

Guides Spending and Forecasts Impact of New and Emerging Technologies


DALLAS–(BUSINESS WIRE)–#Analytics–Milliman’s MedInsight® and Hayes, a division of TractManager, announced
the MedInsight Hayes Grouper™, a powerful new decision-making tool that
integrates Hayes’ clinical criteria with Milliman’s industry leading
claims analytics to create a robust data set of evidence-based
claims analytics™.

David Mirkin, MD, Chief Medical Officer at MedInsight, explains, “This
solution is the first of its kind to combine traditional analytics with
evidence-based metrics to provide a new depth of insight into unique
populations. It is the only product healthcare insurers can use
retrospectively to understand where spending without proven benefits
exists, and to prepare proactively for the impact emerging and
disruptive technologies may have in the future.”

Trace Devanny, CEO of TractManager, added, “The MedInsight Hayes Grouper
is an exciting new solution that is going to support healthcare
professionals in making better, more defensible clinical and policy
choices. The Grouper’s unique decision support analytics will help
insurers manage the enormous challenges that are raised by emerging and
disruptive technologies. And it is consistent with our mission to help
providers and insurers make smarter decisions with data, research, and
services as they continue to advance a smarter, more integrated
healthcare system.”

The MedInsight Hayes Grouper uses Milliman’s powerful claims analytics
and pairs it with Hayes Ratings™, the gold standard for evidence-based
analysis trusted by insurers and providers for more than 30 years. The
Grouper features two evidence-based analytics calculators that analyze
the impact of emerging and disruptive technologies, such as new
therapies, medical devices, and diagnostic testing. The Disruptive
Technology Impact Calculator™
determines the potential financial
impact that emerging and disruptive technologies may have on an
insurer’s population over time. The Hayes Rating Impact Calculator™
runs the client’s MedInsight claims analytics against Hayes’
evidence-based criteria to identify and determine the real cost of
technologies that lack clinical evidence to support their use for
specific clinical applications.

Maura Connor, Chief Operating Officer of TractManager’s Hayes division,
noted, “The MedInsight Hayes Grouper offers clients a new way to mine
claims data and identify procedures and technology utilization not
backed by evidence. The results are consistent with TractManager’s and
MedInsight’s goals of positively impacting our healthcare system through
improved decision-making, patient outcomes, and sound financial results.”

About TractManager

TractManager’s healthcare-specific application suite serves three out of
five U.S. hospitals. Serving the healthcare industry with integrity for
more than 30 years, TractManager is the first-mover in strategic
sourcing, enterprise contract lifecycle management, and evidence-based
data. The company’s more than 450 highly skilled and experienced
professionals, operating out of eight offices across the country, help
clients to improve cash flows by reducing their capital and
nonlabor costs and to conform their contract, policy, and procedure
management to meet regulatory requirements.

Hayes, a division of TractManager, is the industry leader in providing
clinically focused, evidence-based research and analyses to health
plans, insurers, hospitals, healthcare systems, ACOs, and government
agencies.

About Milliman

Founded in 1947, Milliman is among the world’s largest providers of
actuarial and related products and services. Our mission is to help our
clients protect the health and financial well-being of people
everywhere. Milliman serves the full spectrum of business, financial,
government, union, education, and nonprofit organizations.

Milliman MedInsight’s highly regarded platform for data warehousing and
healthcare analytics was named number one in the 2019
Best in KLAS: Software and Services report
for Payer
Quality Analytics
. Since 1997, Milliman MedInsight® has been adopted
by hundreds of insurers, purchasers, providers, and other healthcare
clients to leverage their data for business intelligence and insight
into key performance metrics.

Contacts

Sandra L. Taylor, Ph.D.
Chief Marketing Officer
TractManager,
Inc.
[email protected]
214-891-6700

MEDINSIGHT Contact:
Todd Fessler
Chief Marketing Officer
Milliman,
Inc.
[email protected]
206-504-5516

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