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Delivering on the Promise of Value-Based Care

OUR STORY

The story of Lumeris began when a physician group formed Essence Healthcare, a fully insured Medicare Advantage plan in the St. Louis area. Since welcoming our first members in 2004, Essence Healthcare has developed a robust, patient-first clinical model that has driven strong financial results and has been consistently rated a 5-Star plan by CMS. In 2011 we brought this proven model to the market as Lumeris, serving as a co-operating, risk-sharing partner with health systems and physician groups.

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Lumeris Value-Based Care Enablement

Lumeris partners with health systems and physician groups, bringing the technology, advanced risk management, and value-based care capabilities to deliver a system of care every doctor wants for their family. Our innovative solutions result in superior quality metrics, enhanced patient experience and physician satisfaction, and notable reductions in total cost of care across Medicare Advantage, traditional Medicare, Medicaid, and commercial populations. Today, Lumeris partnerships manage more than $13 billion of medical spend across the country.

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Essence Healthcare

Essence Healthcare provides affordable, comprehensive Medicare Advantage plans that focus on wellness, care coordination, and personal service. Powered by Lumeris, Essence is earning national recognition for its commitment to service and quality. For three years in a row (2022, 2023, 2024), Essence has received Medicare’s highest Overall Plan Rating of 5 out of 5 stars. Essence HMO and PPO plan options are available in Missouri, Illinois, Arkansas, Ohio, Kentucky, and Indiana for the 2025 plan year. To learn more about Essence Healthcare, please visit EssenceHealthcare.com.

MISSION & VISION

MISSION

To empower health systems and providers to fulfill the promise of value-based care

Health systems and provider groups across the country rely on us to provide them with the operational excellence, resources, and technologies essential to achieving the highest quality of care, satisfied consumers, engaged physicians, and healthier communities.

VISION 

To create the system of care every doctor wants for their own family

We create the partnerships needed to make healthcare safer, more affordable, and more personalized for providers, patients, and payers. Our technology enabled solutions orchestrate care, drive behavioral change, and improve communication between all constituents.

Leadership

The Lumeris leadership team is comprised of thought leaders who genuinely believe in the mission and vision of our company. Our leaders care about our team members, our health system and provider partners, and all key stakeholders, and are willing to challenge the status quo to do what is right for the future of our nation’s healthcare system.

This is an image of a member in leadership
This image represents Lumeris employees volunteering at a crisis nursery

Our Culture
& People

Fulfilling the promise of value-based care requires us to work together to create and foster an environment where all team members have a voice and feel supported and included. We work hard to ensure that our people have what they need to be successful at work and at home, while meeting our business goals and objectives and servicing our customers.

OUR COMMITMENT TO OUR VALUES

We L.E.A.D. Together

Learning

We seek knowledge of technologies, people, and ideas to retain our role as an industry trailblazer.

Enthusiasm

We are passionate about our mission, eager for growth, empowered to take smart risks, and grateful for our team.

Act Like An
Owner

We are stewards of Lumeris, caring for our customers, coworkers and capital with diligence and commitment.

Do The
Right Thing

We embody and assume positive intent, accomplishing great work efficiently and with precision.

Work
Together

We collaborate valuing expertise, transparency, accountability, and respect for ourselves and others.

BUILDING A DIVERSE AND INCLUSIVE CULTURE

Fulfilling the promise of value-based care requires us to work together to create and foster an environment that embraces, supports, and champions the diverse backgrounds, cultures, perspectives, and needs of our team and stakeholders.

Common Understanding to Enable Unique Solutions

We are committed to creating an environment and diverse culture that embraces, respects, and values the perspectives, ideas, and experiences of others – promoting innovation, inclusion, and delivering the best outcome for all our team members and stakeholders.

Investing in
Health Equity

We are committed to doing our part in addressing the long-standing systemic health and social inequities that have put some members of racial, ethnic, or socio-economic minority groups at increased risk of poor health outcomes.

Building & Embracing Inclusion & Connectedness

We are committed to cultivating and fostering an environment of belonging where team members feel supported and connected to both our internal community and the external communities in which we work. Promoting, enabling, and supporting this connection is paramount to helping our team members flourish.

CAREERS

Our company is uniquely positioned to transform the system of healthcare for millions of individuals and their families. Here at Lumeris, you will find some of the most talented, experienced people who are committed to this great work and dedicated to supporting one another and their teams. 

If you are interested in a dynamic career experience that’s both challenging and rewarding, join us as we continue to make waves throughout the industry and revolutionize the health care experience.

This image represents leadership sitting around a table having a meeting