Category: Lumeris News

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. (…)


Lumeris Hires Health System Executive as Chief of Marketing and Communications

December 7, 2021 | By

St. Louis, MO — Dec. 7, 2021 — Lumeris, a value-based care company helping health systems improve both clinical and financial outcomes, today announced the appointment of health system marketing veteran Valerie Simon as SVP and Chief of Marketing and Communications. Valerie brings more than 20 years of success driving revenue growth, brand awareness, and (…)


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 (…)


CMS Innovation Center Strategic Refresh Emphasizes Value-based Payment Models and Health Equity

October 24, 2021 | By and

John Fryer, SVP and Head of Market and Rick Goddard, Sr. Director, Market Strategy Last week the Center for Medicare and Medicaid Innovation (CMMI) introduced their strategic refresh “Putting All Patients at the Center of Care” to support broader, more equitable, and outcome-based healthcare delivery transformation while streamlining current and future payment models.    Since its inception in 2010 as a (…)


Medicare Advantage Plans Across the United States Powered by Lumeris’ PHSO, the Industry’s Leading Value-Based Care Solution, Achieve CMS’ Highest Ratings

October 14, 2021 | By

Lumeris’ Flagship Medicare Advantage Plan, Essence Healthcare, Receives CMS’ Highest 5-Star Rating St. Louis, MO — Oct. 14, 2021 — Enabled by Lumeris’ population health services organization (PHSO), Essence Healthcare achieved an overall plan rating of 5.0 Stars by CMS, the highest rating possible. In addition, Medicare Advantage plans Lumeris has built jointly with health (…)


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 (…)


Tuning Healthcare, Episode 5: An Accountable Primary Care Physician Talks Value

March 5, 2020 | By

Tom Hastings, MD, Esse Health  As a practicing accountable primary care physician, Dr. Tom Hastings shares practical insights on how value-based care has helped transform the way he and his team deliver care. With a passion to always continue learning, Dr. Hastings discusses critical elements of today’s healthcare system and how physicians can better (…)


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