Author: Lumeris

Lumeris & The Health Management Academy Q1 2018 Survey

January 8, 2018 | By

As healthcare continues to march toward value-based payment models, providers must develop new capabilities to manage clinical and financial risk effectively. In turn, health system leaders are constantly determining how to best position themselves for the future. In this report, read about organizational restructuring efforts among surveyed health systems: Learn how these moves impact their (…)

Cultivating a Medicare Advantage Mindset

October 2, 2017 | By

Launching a Medicare Advantage (MA) plan offers health systems the potential to strengthen their bottom lines while acquiring the capabilities to manage the healthcare needs of beneficiaries. However, the road to success is fraught with significant financial, operational and regulatory risk. Success requires executing well in several areas and involves many stakeholders both inside and (…)

Medicare Advantage Plans Across the United States Powered by Lumeris’ PHSO, the Industry’s Leading Value-Based Care Solution, Achieve CMS’ Highest Ratings

October 14, 2021 | By

Lumeris’ Flagship Medicare Advantage Plan, Essence Healthcare, Receives CMS’ Highest 5-Star Rating St. Louis, MO — Oct. 14, 2021 — Enabled by Lumeris’ population health services organization (PHSO), Essence Healthcare achieved an overall plan rating of 5.0 Stars by CMS, the highest rating possible. In addition, Medicare Advantage plans Lumeris has built jointly with health (…)

Annual Health System Chief Strategy Officer Roundtable

September 11, 2021 | By

Recently a small group of Chief Strategy Officers from health systems in eight states gathered in Jackson Hole, Wyoming for the second annual CSO Summit moderated by Paul H. Keckley, Ph.D., Managing Editor of The Keckley Report and sponsored by Lumeris. The group discussed the future for U.S. healthcare in the next 2-3 years and (…)

Lumeris’ Flagship Medicare Advantage Plan, Essence Healthcare, Acquires Stanford Health Care’s Medicare Advantage Plan

August 5, 2021 | By

Lumeris to deliver the best care to the rapidly growing senior population and to pioneer the next-generation of healthcare in California St. Louis, MO — Aug. 5, 2021 — Lumeris today announced its industry-leading, flagship Medicare Advantage plan, Essence Healthcare, has acquired a majority stake in Stanford Health Care Advantage (“SHC Advantage”). Under the terms (…)

Tuning Healthcare Podcast: Episode 19, Dr. Matthew Harris

August 3, 2021 | By

Tuning Healthcare, Episode 19: Impacting change through frugal innovation and community-centric care  This episode of Tuning Healthcare features Dr. Matthew Harris, Clinical Senior Lecturer in Public Health, in the department of Primary Care and Public Health at Imperial College London. Dr. Harris is an honorary consultant in public health medicine for the Imperial College (…)

Tuning Healthcare Podcast: Episode 18, Anthony Del Rio

July 9, 2021 | By

Tuning Healthcare, Episode 18: The Health System Model of Care  Lumeris Podcast · episode-18-tuning-healthcare-anthony-delrio-health-system-model-of-care   This episode of Tuning Healthcare features Anthony Del Rio, the President of Rush Health, the Clinically Integrated Network of Rush University System for Health (RUSH). As Senior Associate General Counsel and Managing Director at RUSH, Anthony also oversaw the (…)

Meaningful Payer: Contracting Building Resilience into the Transition to Population Health Management

July 1, 2021 | By

The pandemic revealed the vulnerability of fee-for-service models to shifts in volume. The crisis also accelerated the entrance of disruptors with quickly evolving new models for primary and other top-of-funnel care. At this moment, traditional volume-based providers are more vulnerable than ever to uncontrollable events and from competition with new points of access to care. (…)

Care Continuity on the Road to Value: One Solution to Three Challenges

June 18, 2021 | By

Healthcare organizations will emerge from the pandemic into a reshaped landscape. Virtual and retail access to care has exploded since the crisis began, and consumers will continue to embrace these new doorways to care. Risk-based contracting is accelerating. And recovering lost volume is an urgent priority for every health system. Which priority will your organization (…)

Tuning Healthcare, Episode 17: Advancing the public health mission with evidence-based data

June 7, 2021 | By

Dr. Amy Abernethy, Former Principal Deputy Commissioner and Acting Chief Information Officer for the United States Food and Drug Administration  This episode of Tuning Healthcare features Dr. Amy Abernethy, an internationally recognized oncologist, health data expert and digital health leader. Dr. Abernethy was recently the Principal Deputy Commissioner and Acting Chief Information Officer for (…)

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