Evolving Payment Models in 2024 & Beyond
Each year, a small group of senior strategy executives from the nation’s most prominent multi-hospital systems and provider groups are invited to attend a two-day retreat convened by Paul Keckley (…)
Author: Rick Goddard
Risk for Reward: Two-Sided Risk is Crucial to Win in Value
Rick Goddard Vice President, Commercialization & Strategy, Lumeris Zach Remmich Director, Strategic Partnerships, Lumeris Healthcare is hard. While the American healthcare industry is filled with complexity as it seeks to (…)
Healthcare Vertical Integration: Back to the Future
September 14, 2022 | By Rick Goddard
Rick Goddard Vice President, Commercialization & Strategy, Lumeris It is early 2018, and Cigna announced its acquisition of Express Scripts, CVS Health recently announced its acquisition of Aetna, Humana its (…)
Strategic Implications of Health Equity in ACO REACH: Part 1 of 2
July 11, 2022 | By Rick Goddard
Rick Goddard Vice President, Commercialization & Strategy, Lumeris Aneesh Chopra President, CareJourney The statements contained in this analysis are solely those of the authors and do not necessarily reflect the (…)
CMS Update: Pathways for Specialty Care Coordination and Integration in Population-based Models
June 24, 2022 | By Rick Goddard
The Centers for Medicare and Medicaid (CMS) recently released a blog on specialty care and its alignment with total cost of care models. While we have seen the Centers for (…)
Introducing ACO REACH: The Evolution of Direct Contracting
Joseph Satorius Senior Vice President, ACO Programs & Strategic Operations, Lumeris Rick Goddard Vice President, Commercialization & Strategy, Lumeris On February 24, CMS announced the continuation of the Direct Contracting (…)
CMS Innovation Center Strategic Refresh Emphasizes Value-based Payment Models and Health Equity
John Fryer, SVP and Head of Market and Rick Goddard, Sr. Director, Market Strategy Last week the Center for Medicare and Medicaid Innovation (CMMI) introduced their strategic refresh “Putting All Patients at the Center of Care” (…)
4 Takeaways from the Direct Contracting Financial Methodology Release
September 28, 2020 | By Rick Goddard
On Thursday, September 17th, the Center for Medicare & Medicaid Innovation (CMMI) released its highly anticipated series of financial guidelines for the Direct Contracting (DC) program. While many organizations have (…)