Category: Thought Leadership

Geo: The New Geographic Direct Contracting Model that Might be the Most Important CMS Alternative Payment Model

December 14, 2020 | By and

Non-Binding Letters of Interest due December 21, 2020; Applications are due April 2, 2021 CMMI’s new voluntary Direct Contracting Model: “Geo,” is the most substantive alternative payment program launched to date and likely the bridge for Medicare’s transition from fee-for-service to value-based payments to providers. Geo includes unique latitude to allow providers to differentiate their (…)


Five Steps to Preparing Your Health System Provider Network for Value

November 16, 2020 | By

A comprehensive strategy and sequence are critical to improving performance and preparing for value-based contracts.  


Care Retention Best Practices to Promote Patient-Centered Outcomes

November 16, 2020 | By and

Robert Hart, Director of Product Strategy, Lumeris Anna Libers, Senior Director Product and Solutions, Lumeris   Understanding the patient and provider experience As health system leaders aim to restore financial stability and address the current volume impacts from COVID-19, many have expressed growing interest to participate in value-based models to help mitigate risk. But in (…)


The Future of Alternative Payment Models in Healthcare: A Strategic Perspective

November 3, 2020 | By and

John Fryer, Senior Vice President and Head of Market Paul Keckley, Managing Editor of The Keckley Report and industry expert*   Rising Healthcare Costs and the Shift to Value In healthcare, no topic has drawn more attention among providers, payers and policymakers than health spending. In 2019, total health spending reached a staggering $3.8 trillion. (…)


The Transition to Value is Accelerating

September 29, 2020 | By and

John Fryer, Vice President and Head of Market Paul Keckley, Managing Editor of The Keckley Report and industry expert* As healthcare faces unprecedented challenges in light of COVID-19, it is clear that the industry must prepare for short- and long-term changes as the industry emerges from the pandemic. In particular, the need to move away (…)


4 Takeaways from the Direct Contracting Financial Methodology Release

September 28, 2020 | By

On Thursday, September 17th, the Center for Medicare & Medicaid Innovation (CMMI) released its highly anticipated series of financial guidelines for the Direct Contracting (DC) program. While many organizations have applied for the implementation period and first performance year of the program, the viability of their participation has hinged on the release of the financial (…)


Voices in the Market: How Health Systems Can Come Back with Confidence™

September 15, 2020 | By

The COVID-19 pandemic has changed the landscape of healthcare dramatically. The pandemic has highlighted the challenges—and opportunities—across the industry: The fragile state of fee-for-service (FFS) and the limitations of the current financing mechanisms in healthcare The spike in demand for alternative care delivery sites such as virtual care and telehealth—and the need for a more (…)


7 Steps for Getting the Optimal Value-Based Deal from your Health Plan Partners

July 15, 2020 | By

Craig Enge, Senior Vice President, Lumeris Regardless of the quality of care delivered, contracting can have as much or more impact on the financial success of your health system. The road to value is littered with health systems that performed well, engaged in a value-focused process, yet still categorized their contract as a failure. But (…)


Where Do We Go From Here? – 2020’s Top 5 Board Questions

July 6, 2020 | By

Dan Juberg, Strategic Partnerships, Lumeris The not-for-profit health system sector was already battling a business model under significant pressure. And then along came 2020. Between COVID-19, ballooning unemployment, and a sharper focus on inequity, 2020 has reinforced healthcare’s ever-present quagmire: a system where society expects an efficient and streamlined industry, but with the most robust (…)


Innovating in Time of Uncertainty: Revenue Model Diversification with Direct Contracting

June 30, 2020 | By

John Fryer, Vice President, Lumeris The Healthcare Dollar Challenge During COVID-19 As healthcare organizations move beyond crisis response and begin plotting their recovery path, the need for health systems to transform has jumped to the forefront of the national dialogue. COVID-19 highlighted the best and worst parts of our unique delivery system and will forever (…)


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