Category: Industry News

The Rise of Generative AI in Healthcare

April 20, 2023 | By

The future of AI in healthcare was on everyone’s mind at the 2023 HIMSS Global Health Conference & Exhibition. My key takeaway is that generative AI is already here and (…)


MSSP and ACO REACH Programs: A Comprehensive Evaluation

April 13, 2023 | By and

In partnership with the Institute of Advancing Health Value, we have developed a comprehensive guide designed to help organizations evaluate the various tracks within CMS’s MSSP and ACO REACH programs (…)


What’s on the Table for Medicare Value-Based Risk Programs in 2024?

April 5, 2023 | By and

Appeasing your organization’s value-based risk appetite requires strategy, due diligence, and a keen understanding of each of the available options within Medicare’s value-based programs. If healthcare leaders select programs with (…)


The Next Step in Network Performance

February 1, 2023 | By and

If you’re not optimizing your network, you’re not growing. It’s no surprise that tiering networks has become a popular method of guiding patients to high-value providers, managing overall costs, and (…)


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

December 29, 2022 | By

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 the care delivery space. This is (…)


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 Factors Driving 5 Star “Plus” Performance

March 1, 2023 | By

Debbie Zimmerman, MD Chief Medical Officer, Lumeris   Our organization was founded on the belief that a sustainable model for value-based care is possible along with a deep commitment to (…)


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 (…)


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