Author: Lumeris

How to Develop an Effective Direct-to-Employer Strategy

July 1, 2019 | By

When developing value-based care strategies, employer groups—particularly large employers—in your community must be included in your approach. However, employers have not found much relief in working with their plans to manage healthcare costs and are now looking to engage health systems in unique ways. Engagement and dialogue between health systems and employers will lead to (…)


Lumeris & The Health Management Academy Q2 2019

June 13, 2019 | By

Lumeris and The Health Management Academy (The Academy) are surveying leading health systems to understand strategic factors impacting their move to value. Each quarter, we bring data and insights covering our findings across key areas. Fill in the form to read the strategic survey reports: Managed Medicaid: Identify the challenges and opportunities surveyed health system (…)


Critical Drivers for Success in Value-based Care

March 8, 2019 | By

Health systems across the country are accelerating their move toward value-based care. Whether they are looking to manage value-based contracts with payers in the market or launch their own health plan, providers are realizing that much of the difficulty in transformation lies in the “how”. Operationalizing value-based models successfully can be challenging for organizations new (…)


Lumeris & The Health Management Academy Q1 2019 Surveys

March 1, 2019 | By

Lumeris and The Health Management Academy (The Academy) are surveying leading health systems to understand strategic factors impacting their move to value. Each quarter, we bring data and insights covering our findings across key areas. Fill in the form to read the strategic survey reports: Defining risk: Determine how health system executives define risk in (…)


Preparing for the New Medicare Advantage

December 8, 2018 | By

Medicare Advantage (MA) is poised to break out as a national leader in the long-predicted shift to value-based care. In this new paper, Preparing for the New Medicare Advantage, written by Nigel Ohrenstein of Lumeris and Jonathan Halvorson of Sachs Policy Group, learn why MA has the potential to be a leading strategy for providers (…)


Does Your Physician Engagement Strategy Need a Check-Up? Rethinking Success Through Outcomes.

December 8, 2018 | By

To successfully transition to value-based care, health systems must engage their physicians in the process. It’s simply not optional. But figuring out the most effective way to engage physicians has remained one of the toughest challenges for organizations. Why? Because physicians drive the bulk of utilization decisions that influence health outcomes, their buy-in is critical (…)


Measuring Outcomes in Modern Healthcare Systems

October 13, 2018 | By

To succeed in value-based care, healthcare organizations must be able to measure performance and analyze outcomes to better inform operations and decision-making. In this brief, understand how healthcare organizations must consider various analytical methods for value-based care: Determine why precise analytical methods are essential for evaluating population health management initiatives Learn the difference between observational (…)


Lumeris & The Health Management Academy Q4 2018 Survey

October 8, 2018 | By

Lumeris and The Health Management Academy (The Academy) are surveying leading health systems to understand strategic factors impacting their move to value. Each quarter, we bring data and insights covering our findings across key areas. The strategic survey reports include: Consolidation: Determine how market consolidation is impacting surveyed health systems Physician Alignment and Evolving Payment (…)


The Impact on the Financials of a Health System Transitioning to Value

October 1, 2018 | By

Health systems across the country are facing tremendous financial pressures—from maintaining operating margins and profitability, to facing a shifting payer mix and stagnating reimbursement rates. These trends are creating challenges for health systems steeped in fee-for-service (FFS) care delivery. As a result, many systems are taking a hard look at their existing business model to (…)


Taking the Next Step: Graduating from Medicare ACOs to Medicare Advantage

September 9, 2018 | By

As healthcare continues to shift to value-based care and the aging senior population continues to rise, the time is now for healthcare executives to rethink their Medicare strategies. Why now? We’re six years into the Medicare Shared Savings Program (MSSP) Accountable Care Organizations (ACOs) experiment, the results have been mixed—and there is more pressure than (…)


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