Category: Articles

Leavitt Partners White Paper: Assessment of the Hospital Value-Based Purchasing Program

November 17, 2015 | By

The HVBP program is an important effort by CMS to provide tangible incentives to hospitals to improve the quality of care that they are delivering. Current results show uneven performance both geographically and by different types of hospitals.

AMJA Report: Attributes Common to Programs That Successfully Treat High-Need, High-Cost Individuals

November 17, 2015 | By

. Using literature review and interviews, AJMC has identified 8 shared attributes of programs, such as accountable care organizations, readmission initiatives, special needs plans, care transition programs, and patient-centered medical homes, that successfully treat high-need, high-cost patients.

McKinsey Report: Provider-Led Health Plans… The Next Frontier, or the 1990s All Over Again?

November 12, 2015 | By

According to a new report from the McKinsey Center for US Health System Reform, there are currently 64 insurance plans led by providers like hospitals or healthcare systems available through the health insurance marketplaces. Next year, there will be 72.

NPR Article: Doctor Treats Homebound Patients Often Unseen Even By Neighbors

November 9, 2015 | By

Although house calls may harken back to the country doctor of decades past, it could be the future of medicine. In 2013, about 2.6 million Medicare claims were filed for patient home visits and house calls. That’s up from 2.3 million visits in 2009 and 1.4 million visits in 1999, according to Medicare statistics.

Washington Post Article: Patients’ Needs Addressed in ‘Person-Centered Health Care’

November 9, 2015 | By

More than half of people receiving or providing care without a single health care manager, an aspect of person-centered care, didn’t think their care would improve much if they had one, while more than three quarters of those who had one said it improved things a lot.

Commonwealth Fund Report: Models of Care for High-Need, High-Cost Patients – An Evidence Synthesis

November 3, 2015 | By

This brief analyzes experts’ reviews of evidence about care models designed to improve outcomes and reduce costs for patients with complex needs. It finds that successful models have several common attributes.

KFF Report: Medicare Advantage and Traditional Medicare – Is the Balance Tipping?

November 3, 2015 | By

In this brief, Kaiser Family Foundation looks beneath national trends to examine Medicare Advantage penetration rates and growth rates in counties across the country to assess the extent to which Medicare Advantage plans are poised to cover more beneficiaries than traditional Medicare across the country.

Healthgrades Article: New Research Finds Significant Number of Americans Not Getting Care at Right Hospitals

October 28, 2015 | By

One out of every six patients in the U.S. received care in a hospital rated 1-star, according to new research released by Healthgrades, the leading online resource for comprehensive information about physicians and hospitals. Had those patients researched local doctors and hospitals to identify and select a physician practicing in a 5-star hospital for their specific procedure or condition, they would have faced a 71 percent lower risk of dying or a 65 percent lower risk of experiencing complications during their hospital stay.

Executive Insight Article: We Cannot Thin Slice Our Way to Transforming Healthcare

July 7, 2015 | By

Lumeris SVP & Head of Markets, Mark Roman shares insight into the need for ongoing collaboration and integration to transition to value-based care.

American Journal of Accountable Care Article: The Accountable Primary Care Model: Beyond Medical Home 2.0

December 14, 2014 | By

Lumeris thought leaders, Thomas D. Doerr, MD; Herbert B. Olson, FSA; and Deborah C. Zimmerman, MD, publish original research in the American Journal of Accountable Care detailing the new Accountable Primary Care Model.

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