Author: Lumeris

Tuning Healthcare, Episode 5: An Accountable Primary Care Physician Talks Value

March 5, 2020 | By

Tom Hastings, MD, Esse Health  As a practicing accountable primary care physician, Dr. Tom Hastings shares practical insights on how value-based care has helped transform the way he and his team deliver care. With a passion to always continue learning, Dr. Hastings discusses critical elements of today’s healthcare system and how physicians can better (…)

Essence Healthcare and Mutual of Omaha Reach Agreement in Principle for Essence to Acquire Mutual of Omaha’s Medicare Advantage Business

February 24, 2020 | By

Closing of the transaction will expand Essence’s Medicare Advantage business St. Louis, MO – February 24, 2020 – Essence Healthcare, sister company of Lumeris, has reached an agreement in principle to acquire Mutual of Omaha Medicare Advantage Company (MOMAC) and Medicare Advantage Company of Omaha (MAICO). The Mutual of Omaha subsidiaries own Medicare Advantage businesses (…)

Tuning Healthcare, Episode 4: Embracing Risk and Enhancing the Patient Experience

January 23, 2020 | By

Jordanna Davis, President of the Rockingstone Group  With her extensive experience in healthcare policy, Jordanna Davis, President of the Rockingstone Group, shares insights around the industry’s transformation and new initiatives such as Direct Contracting. In this episode of Tuning Healthcare, Jordanna discusses the evolution of healthcare policy as it pushed the industry toward value-based (…)

Tuning Healthcare, Episode 3: What’s Next for Primary Care?

December 17, 2019 | By

Paul Keckley, Managing Editor of The Keckley Report As a widely renowned industry expert, Paul Keckley has a first-hand view of the changing forces in healthcare today. In addition to being Managing Editor of The Keckley Report, Paul is a distinguished writer and researcher, who also worked extensively with industry trade groups on the development (…)

Direct Contracting: What should health systems do next?

December 11, 2019 | By

Is your organization considering applying for CMS’ Direct Contracting Program? As currently proposed, this new model offers significant financial, regulatory and operational advantages over previous CMS programs. The time is here to begin a robust transition to risk-bearing models, and Direct Contracting could be an important part of your system’s strategy. Read this new paper (…)

Strategic Opportunity in Direct Contracting

December 4, 2019 | By

CMS recently announced the “Request for Applications” for its new Direct Contracting (DC) program. As currently proposed, the program offers a potentially market share-shifting opportunity that could change how FFS Medicare is delivered. While this is not a mandatory program, this is a key time to consider competitor actions that could impact your future Medicare (…)

Webinar: Strategic Implications: The CMS Direct Contracting Model

December 4, 2019 | By

The Center for Medicare & Medicaid Innovation recently released the “Request for Applications” (RFA) for its new Direct Contracting (DC) model and has released a majority of the details for potential “direct contracting entities” to consider. To learn how DC might align with your value-based care strategy, join our webinar on Tuesday, December 10th at (…)

Tuning Healthcare, Episode 2: Designing Tomorrow’s Health System

November 26, 2019 | By

Niyum Gandhi, Executive Vice President and Chief Population Health Officer, Mount Sinai Health System As a population health expert tasked with helping New York’s Mount Sinai Health System transition to value-based arrangements, Executive Vice President and Chief Population Health Officer Niyum Gandhi is well-versed in the many cultural and organizational challenges that occur when a (…)

Tuning Healthcare, Episode 1: Who Will Win in Healthcare?

November 1, 2019 | By

Ryan Panchadsaram, Advisor at Kleiner Perkins and Co-Founder & Coach, Measure What Matters Few individuals know more about the intersection of health care and technology in government than Ryan Panchadsaram, the former U.S. Deputy Chief Technology Officer. Ryan, who served in the Obama administration, now works as an advisor at the renowned venture capital firm (…)

Navigating the Waters from Volume to Value: How to Succeed in Value-Based Models

September 23, 2019 | By

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