Medicare Advantage continues to be a popular choice for seniors, with enrollment outpacing overall Medicare growth. Moreover, seniors are gravitating toward higher quality plans, as seen in this infographic depicting the enrollment distribution by plan Star Rating. More than 70 percent of Medicare Advantage Prescription Drug plan beneficiaries are enrolled in plans with four or (…)
CMS released a long-awaited checkpoint status on its Pioneer ACO program. Of the 32 entities enrolled in the program, according to CMS…
ST. LOUIS — Lumeris, the industry leader in value-based care solutions, today announced that the Centers of Medicare and Medicaid Services (CMS) has awarded long-time Lumeris client Essence Healthcare 4.5 out of 5 stars in its annual quality assessment of Medicare Advantage plans. The St. Louis-based Essence Healthcare has earned a 4.5 star rating or better for seven (…)
Lumeris developed the Nine C’s℠ to ensure a powerful, proven framework for delivering the Triple Aim Plus One: quality, cost, plus patient and physician satisfaction. The Nine C’s offer providers a roadmap for making a successful transition from a volume-based to a value-based model.
LUMERIS COLLABORATES WITH MOUNT SINAI HEALTH SYSTEM TO ADVANCE POPULATION HEALTH MANAGEMENT INITIATIVES Lumeris to deploy value-based services to optimize Mount Sinai’s population health outcomes ST. LOUIS—November 1, 2017 —Lumeris, the industry leader in value-based care solutions, today announced a multi-year collaboration with Mount Sinai Health System, New York City’s largest integrated delivery system, to (…)
The rumors are starting to be heard and the rumblings are starting to be felt. Will there be major financial fallout under accountable care and specifically CMS’s regulatory ACO programs?
The ominous declaration of “The Coming Failure of Accountable Care” is creating quite the buzz in accountable care and health policy circles, particularly given that the declaration was made by the highly respected Harvard Business School professor and innovation researcher Clayton Christensen and colleagues in an article that was posted recently in The Wall Street Journal.
Quickly out of the gate for 2013, Health Affairs featured the theme of Transforming the Delivery of Health Care in its January edition, Arnold Milstein MD’s Code Red & Blue – Safely Limiting Health Care’s GDP Footprint headlined the New England Journal of Medicine, and CMS announced a new wave of 106 additional ACOs to their program.
Advances KLAS Leader for Better Patient Outcomes ST. LOUIS — April 24, 2017 — Lumeris, headquartered in St. Louis and the 2015/2016 and 2017 Best in KLAS leader in Value-Based Care Managed Services, announced today that it has acquired Forecast Health, an advanced analytics and predictive modeling company. “Forecast Health’s success with open-source and SAS (…)
The Collaborative Payer Model achieves proven results against the Triple Aim Plus One: better health outcomes, lower costs, and improved patient, as well as physician, satisfaction. And it offers valuable lessons for today’s government-sponsored and private-sector accountable care organizations.