by Debbie Zimmerman, MD Corporate Chief Medical Officer, Lumeris and Essence Healthcare The U.S. healthcare system’s ongoing transition to value-based care represents the most significant change in a generation in how health systems are reimbursed for the services they deliver. As a result, health system leaders across the country are searching for insights on how (…)
Author: Debbie Zimmerman, MD
One of the biggest challenges for health systems transitioning to value-based care contracts is figuring out how to engage physicians in the process. Physician buy-in is critical for value-based care success, especially since physicians drive the bulk of utilization decisions that influence health outcomes. The move from traditional fee-for-service payment models to a value-based world (…)
Over the next few years, health systems will need to decide when and how to make the move to value-based care reimbursement models. Value-based care programs, such as many Medicare Advantage plans, can reward providers for the delivery of high-quality, cost-effective care. Despite the potential for improving both patient care and bottom lines, organizations are (…)
CMS recently released the 2018 Star Ratings for Medicare Advantage plans across the country. CMS created the Star Rating System to reward clinical quality, member satisfaction and service, as well as regulatory compliance. For consumers, Star Ratings provide an easy way to shop for and compare plans during enrollment periods. The difference in one star (…)
While we’ve seen tremendous progress in the shift towards value in 2017, one thing has become very clear—for every forward-thinking health system that is embracing the change, there is also a health system that remains hesitant to embrace any sort of value-based payment program. Reluctant providers are typically immobilized by fear: the fear of declining (…)
Debbie Zimmerman reflects on the Lumeris & CAPG expert panel and the delivery of accountable primary care.
Physician satisfaction is a crucial part of the model for accountable care organizations, according to Dr. Debbie Zimmerman, the chief medical officer for Lumeris. She also spoke to Best’s News Service about improving clinical outcomes and physician incentives.