Category: Industry News

Health system executives expect 25% of care delivery payments to be value-based in 2019

February 21, 2019 | By

Health system executives predict the shift to value-based payment models will continue to increase this year, according to a survey conducted by The Health Management Academy for Lumeris. The recently released survey was conducted in May and August among 25 healthcare system executives representing organizations that own or operate 280 hospitals. To read the full (…)


Seniors more likely to switch Medicare Advantage plans in 2019, survey shows

January 16, 2019 | By

Today’s seniors are increasingly tech savvy, expect more from Medicare plans and in 2019 are more likely to switch their Medicare Advantage plans, finds a new survey from Welltok. With more than 60 million Americans projected to be covered by Medicare by 2020, it is critical for plans to understand and meet members’ individual needs (…)


A look at the big trends impacting health systems and plans

January 16, 2019 | By

More capital, more Medicare Advantage plans, and more demand for value-based care expertise are just some of the big trends impacting health systems and health plans over the last year. As we move into 2019, look for continued progress in the shift from fee-for-service to value-based care models as providers become more familiar with new (…)


How to partner with physicians on the journey to value

November 27, 2018 | By

To successfully transition to value-based care, health systems must engage their physicians in the process. Figuring out the best way to engage physicians, however, is often one of the toughest challenges for organizations as they move from traditional fee for-service (FFS) models to models based on the efficient delivery of high-quality care. To read the (…)


Fine-tuning predictive tools for care management

October 30, 2018 | By

There is a tremendous amount of energy focused on the potential for predictive analytics to transform healthcare. Many companies – both large and small – are entering the space, selling applications that utilize either a unique technology (such as deep learning or cognitive computing) or make use of novel data from molecular assays or mobile (…)


Will academic medical centers accept the value challenge or get left behind?

October 22, 2018 | By

The movement to value-based healthcare is accelerating as public and private payers and employers intensify their push for care models that improve quality while containing costs. Many academic medical centers (AMCs), however, are struggling to transition from fee-for-service to value-based models of care. To read the full article, click here.


Mutual of Omaha Announces New Medicare Advantage Plans for San Antonio-Area Seniors with Value-Based Care Leader Lumeris

August 28, 2018 | By

Tenet’s Baptist Health System to spearhead care delivery for new Medicare Advantage plans with focus on high-quality, affordable care and wellness   OMAHA, NE/ ST. LOUIS, MO— August 28, 2018 —Mutual of Omaha, in collaboration with value-based care leader Lumeris, will launch new Medicare Advantage (MA) plans to serve the growing senior population in greater (…)


Mutual of Omaha Links Up With Ohio Providers for MA Launch

August 9, 2018 | By

Originally included in Radar on Medicare Advantage, Aug. 2, 2018, V. 24, No. 15, issued by AIS Health. After unveiling plans earlier this year to enter the Medicare Advantage space in 2019, longtime insurance company Mutual of Omaha on July 17 disclosed that it is preparing to launch the first of its MA products in (…)


Lumeris Seeks to Drive Value-Based Shift With Payers, Providers

April 10, 2018 | By

Reprinted with AIS Health’s permission from the April 5, 2018, issue of Radar on Medicare Advantage As the health care landscape transitions to value-based care and Medicare Advantage enrollment reaches new highs, providers are increasingly becoming sponsors of MA plans through a variety of arrangements. And well in advance of marketing for the 2019 Annual (…)


BayCare Health System Partners with Lumeris to Offer Value-Based, Patient-Centered Medicare Advantage Plan in 2019

March 27, 2018 | By

ST. LOUIS, MO/CLEARWATER, FL — March 27, 2018 — Lumeris, the industry leader in value-based care solutions, today announced a new strategic partnership with BayCare Health System, the largest not-for-profit health care provider in the Tampa Bay area. Lumeris will manage the day-to-day operations for BayCare Plus, BayCare’s new Medicare Advantage (MA) plan launching in January (…)


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