Category: Lumeris News

The Next Step in Network Performance

February 1, 2023 | By and

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 (…)


AHA Webinar: Hackensack Meridian Health’s Success as a Payvider

January 23, 2023 | By

The healthcare landscape is rapidly changing with insurers becoming providers and providers becoming insurers. In this American Hospital Association webinar, Hackensack Meridian Health’s President of Population Health, Patrick Young, shares (…)


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

December 29, 2022 | By

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 (…)


Why I Shifted the Care Paradigm: Staking My Legacy on Driving the Adoption of Value-Based Care

December 1, 2022 | By

Charles J. Willey, M.D. CEO, Tribus Over my nearly 40-year career as an internist in St. Louis, I’ve had the great fortune of practicing in a clinical and economic context (…)


Why Value-Based Business Models Are Core to 2022 Investment Activity

November 9, 2022 | By

Ben Grabski Chief Financial Officer, Lumeris The introduction of the phrase “value-based care” into the industry lexicon can be tracked back to 2010 driven by the reforms of the Affordable (…)


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 (…)


Lumeris Announces Seven New Health System Partnerships as Five Star Essence Health Plan Expands into Five New States

November 1, 2022 | By

5-star rated Missouri/Illinois plan will be available in Indiana, Kentucky, Arkansas,Georgia, and Ohio in 2023 St. Louis, MO, October 25, 2022– Lumeris, a leading provider of the technology, insurance capabilities (…)


5 Critical Factors Driving 5 Star “Plus” Performance

October 28, 2022 | By and

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

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 (…)


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