“We use Lumeris’ tools and technology to take better care of our patients. As a result, our physicians have come to better understand the links between patient health management, coding accuracy, quality of care and financial results.”
David Lynch, MD
Vice President, Clinical Process Improvement
Family Care Network
Seven key benefits of the Lumeris solutions
The new era of accountable care presents health plans with great challenges and even greater opportunities. The market is changing rapidly in response to unprecedented demands for greater collaboration, coordination, and accountability. To compete and thrive in this dynamic environment, payers must consider more value-based models of care and more aptly engage their provider networks.
Lumeris provides the revolutionary technology platform and services necessary for health plans to make this transition successfully. With our solutions, you can deliver the information, application services, and incentives providers need to effectively manage member populations, coordinate care across the continuum, and make value-based health care decisions.
Our innovative approach transforms your health plan into a virtual integrated delivery system, delivering the cost and quality benefits of a traditional integrated delivery system without the burden of owning the entire continuum of care.
When you partner with Lumeris, you can:
- Transform your health plan into a fully engaged, collaborative, and high-performing virtual integrated delivery network
- Establish a unified, accurate view of the clinical and financial performance of your plan and provider network
- Deliver the information and applications that plan executives, staff, and network providers need to enable more informed, timely, and coordinated decision-making
- Identify gaps in care as well as provider behaviors that drive costs, then address them through point-of-care technology and provider engagement programs
- Implement and manage performance-based provider contracts that yield improved clinical and financial outcomes
- Improve or protect HEDIS and Medicare star ratings performance by identifying and addressing gaps in adherence to key clinical measures
- For risk-adjusted environments, ensure appropriate and predictable risk-adjusted revenue through proactive population-based health status assessments, combined with innovative provider-facing technologies