Category: Industry News

The Next Step in Network Performance

February 1, 2023 | By and

A Practical Guide to Value Segmentation Mike Padilla, Vice President, Growth Strategy Sindhu Dokuru, Advisor, Partner Strategy   If you’re not optimizing your network, you’re not growing. It’s no surprise (…)

Biggest Value-Based Care Market Movers in 2022 & 2023 Predictions

December 29, 2022 | By

Sally Engelman Director, Strategic Partnerships   Value-based M&A  The major story in value-based care in 2022 was undoubtedly mergers and acquisition (M&A) activity related to retail healthcare giants shifting into (…)

An Enabling Business Model for Population Health: Total Cost of Care

November 2, 2022 | By

John Fryer Senior Vice President & Head of Market, Lumeris Value-based medicine is at a crossroads. With more than 60% of healthcare payments in 2022 included in some form of (…)

5 Critical Factors Driving 5 Star “Plus” Performance

October 28, 2022 | By and

Debbie Zimmerman, MD Chief Medical Officer, Lumeris Umar Farooq President, Essence Healthcare Our organization was founded on the belief that a sustainable model for value-based care is possible along with (…)

Lumeris Drives 5-Star “Plus” Results for Essence Medicare Advantage Plan

October 19, 2022 | By

Essence Healthcare, MAPD receives a raw score of 5.115 from CMS, bucking the national downward trend in Star ratings and achieving an average of more than 4.5 stars for 13 (…)

Essence Healthcare Expands Provider Network to Include SSM Health’s Primary Care Physicians

October 4, 2022 | By

Healthcare organizations collaborate to deliver high quality, affordable care to more St. Louis area Medicare beneficiaries ST. LOUIS, Oct. 4, 2022 —  ESSENCE HEALTHCARE, a Lumeris owned and operated health (…)

Lumeris Appoints Ben Grabski as Chief Financial Officer

October 4, 2022 | By

ST. LOUIS, Mo. – October 4, 2022 – Lumeris, a leading provider of the technology, insurance capabilities and expertise needed to support value-based care models, announced today the appointment of (…)

Essence Healthcare Adds Mercy to Provider Network

November 8, 2022 | By

Healthcare organizations collaborate to deliver high-quality, affordable care to more Missouri Medicare beneficiaries ST. LOUIS, MO, November 8, 2022 — Essence Healthcare (Essence), a Lumeris owned and operated health plan, (…)

Lumeris Taps Umar Farooq as President of Essence Healthcare

September 20, 2022 | By

Former General Manager and Market President of Commonwealth Care Alliance of Boston brings deep industry experience to Essence Healthcare’s 5.0 Star rated Medicare Advantage Plan   ST. LOUIS, Mo. – (…)

Healthcare Vertical Integration: Back to the Future

September 14, 2022 | By

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 (…)

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