Category: Lumeris News

CMS Update: Pathways for Specialty Care Coordination and Integration in Population-based Models

June 24, 2022 | By

The Centers for Medicare and Medicaid (CMS) recently released a blog on specialty care and its alignment with total cost of care models. While we have seen the Centers for Medicare and Medicaid Innovation (CMMI) experiment with specialty-based models via the Bundled Payment programs and have seen cost reductions and quality improvements in certain episodes, (…)

Our Accelerated Journey to Improving the Health of our Community

June 22, 2022 | By

Antonio Rios, MD Chief of Population Health, Northeast Georgia Health System   “When you can demonstrate that your diabetic patient population has improved overall, when screening every diabetic patient for their eye exam allows you to perform early interventions for folks who could otherwise have experienced significant complications, or when you’ve increased the percentage of (…)

Best Practices in Stakeholder Alignment, Communication & Network Design

June 9, 2022 | By

Joseph Satorius Senior Vice President, ACO Programs & Strategic Operations, Lumeris The statements contained in this analysis are solely those of the authors and do not necessarily reflect the views or policies of CMS. The authors assume responsibility for the accuracy and completeness of the information contained in this document. As the CMMI (Center for (…)

Introducing ACO REACH: The Evolution of Direct Contracting

March 11, 2022 | By and

Joseph Satorius Senior Vice President, ACO Programs & Strategic Operations, Lumeris Rick Goddard Vice President, Commercialization and Strategy, Lumeris On February 24, CMS announced the continuation of the Direct Contracting (DC) Program under a rebranded name called the ACO REACH Model* along with several important programmatic updates. The updates primarily focus on the promotion of (…)

Provider Networks and Risk: Network Curation via Direct Contracting

December 15, 2021 | By and

For over a decade now, the Centers for Medicare and Medicaid Innovations (CMMI) has advanced their risk-based Medicare programs to delegate more financial accountability to providers. The ability to curate a network to fit the financial parameters of this program make the evaluation of this opportunity different than anything we have seen in the past. (…)

Essence Healthcare Adds Mercy to its Provider Network

November 12, 2021 | By

Healthcare organizations collaborate to deliver high quality, affordable care to more St. Louis area Medicare beneficiaries St. Louis, MO — Nov. 15, 2021 — Essence Healthcare, a Lumeris owned and operated health plan, announced today that all St. Louis area physicians and hospitals within the Mercy health system will begin accepting Essence’s Medicare Advantage plans (…)

Tuning Healthcare Podcast: Episode 19, Dr. Matthew Harris

August 3, 2021 | By

Tuning Healthcare, Episode 19: Impacting change through frugal innovation and community-centric care  This episode of Tuning Healthcare features Dr. Matthew Harris, Clinical Senior Lecturer in Public Health, in the department of Primary Care and Public Health at Imperial College London. Dr. Harris is an honorary consultant in public health medicine for the Imperial College (…)

Come Back with Confidence™

June 1, 2020 | By and

A pathway for health systems to restore revenue and long-term sustainability Nigel Ohrenstein, SVP Eastern Region You don’t need to be a healthcare expert to know that many health systems in the US are facing a revenue challenge of historic proportions. With the gradual restart of elective procedures and influx of government funding, systems will (…)

Case Study: Enhancing Population Health Capabilities to Prepare for Downside Risk

April 16, 2020 | By

Read our latest case study to learn how TriHealth is advancing its population health capabilities to improve health outcomes.

Lumeris awarded 2017 Best in KLAS, Value-Based Care Managed Services

February 20, 2017 | By
Best in Klas

Company Receives Top-Rated Scores in Five Areas Based on Client Feedback ST. LOUIS — FEBRUARY 20, 2017 — Lumeris, a pioneer in population health management solutions headquartered in St. Louis, received the designation of 2017 Best in KLAS for value-based care managed services at last night’s KLAS awards ceremony in Orlando, Florida. KLAS began rating (…)

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