The Next Step in Network Performance
A Practical Guide to Value Segmentation Mike Padilla, Vice President, Growth Strategy Sindhu Dokuru, Advisor, Growth Strategy If you’re not optimizing your network, you’re not growing. It’s no surprise (…)
Category: Industry News
Biggest Value-Based Care Market Movers in 2022 & 2023 Predictions
December 29, 2022 | By Sally Engelman
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
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
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 Lumeris
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 Lumeris
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 Lumeris
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 Lumeris
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 Lumeris
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
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 (…)