Author: Lumeris

Tuning Healthcare, Episode 7: Reevaluating Care Delivery Approaches Post COVID-19

May 6, 2020 | By

Joe Ruth, the Executive Vice President and Chief Operating Officer of Sparrow Health System  In this latest episode of Tuning Healthcare, Joe Ruth, the Executive Vice President and Chief Operating Officer of Sparrow Health System in Michigan discusses the impact of COVID-19 and recovery approaches in a post-pandemic world. He also talks about the (…)

Case Study: Enhancing Population Health Capabilities to Prepare for Downside Risk

April 16, 2020 | By

Read our latest case study to learn how TriHealth is advancing its population health capabilities to improve health outcomes.

Tuning Healthcare, Episode 6: Interoperability and Value-based Care in a COVID-19 World

April 14, 2020 | By

Aneesh Chopra, President, CareJourney  In this latest episode of Tuning Healthcare, Aneesh Chopra discusses how the lack of data transparency and interoperability has crippled the ability for the US to respond to current COVID-19 public health crisis. Aneesh is the president and cofounder of CareJourney, a data and analytics company focused on the move (…)

Lumeris Launches Open Source COVID-19 Predictive Analytics Model to Help Prevent Unplanned Hospitalizations

April 9, 2020 | By

Virtual Care Access Package is purpose-built to support providers in proactively identifying and managing high risk patients St. Louis, MO – April 9, 2020 – Lumeris, an industry leader in value-based care, today announced that it has launched its Virtual Care Access Package solution to help payers and providers prevent hospitalizations during the COVID-19 crisis. (…)

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 (…)

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