Category: Thought Leadership

Innovating in Times of Uncertainty: Predictions for a Post-COVID-19 Healthcare System

June 2, 2020 | By

John Fryer, Vice President, Market Strategy & Growth The COVID-19 pandemic is disrupting the current healthcare industry in unprecedented ways. How can health systems prepare for the future, developing strategies for the short, medium and long-term? The excerpt below highlights several key areas where healthcare will likely need to change as the industry adjusts to (…)


Come Back with Confidence™

June 1, 2020 | By

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 (…)


COVID-19 and The Imperative for Payer-Provider Partnerships

May 15, 2020 | By

by Sam Wollner, Market Lead, Lumeris Faced with an overwhelming influx of COVID-19 patients to their hospitals, or bracing for it, health systems around the country are forced to make extremely difficult clinical and financial decisions. ICUs and emergency departments in some areas are near or beyond capacity. Elective and non-urgent procedures are halted, and (…)


A Call for Real Innovation in Healthcare

April 28, 2020 | By

by Ross Armstrong, Senior Vice President and Head of Market, Lumeris   “Not all smart people work for you.” Bill Joy, Co-Founder of Sun Microsystems Why innovation is needed in healthcare Innovation in healthcare continues to grow, not only because of the multitude of bright and curious minds serving the industry, but because of the (…)


Guest Post: The Big Sky Summit on Value in Healthcare

April 21, 2020 | By

Lumeris is pleased to feature Paul Keckley, Managing Editor of the Keckley Report and industry expert, provide his thoughts on where the industry is on moving to value. You can read his insights here as well as listen to him on our Tuning Healthcare podcast. Summit: February 26-27, 2020 Big Sky, Montana The Big Sky (…)


Direct Contracting: Preparing for Real Risk

January 31, 2020 | By and

Authors: Nigel Ohrenstein, Senior Vice President and Head of Market, Lumeris Jordanna Davis, President, Rockingstone Group The Center for Medicare & Medicaid Innovation (CMMI) recently announced its latest value-based initiative, Direct Contracting (DC), a program designed to help providers shift toward delivering high quality, cost-effective care. Building on learnings from prior programs, Direct Contracting opens (…)


Direct Contracting: What should health systems do next?

December 11, 2019 | By

Is your organization considering applying for CMS’ Direct Contracting Program? As currently proposed, this new model offers significant financial, regulatory and operational advantages over previous CMS programs. The time is here to begin a robust transition to risk-bearing models, and Direct Contracting could be an important part of your system’s strategy. Read this new paper (…)


Strategic Opportunity in Direct Contracting

December 4, 2019 | By

CMS recently announced the “Request for Applications” for its new Direct Contracting (DC) program. As currently proposed, the program offers a potentially market share-shifting opportunity that could change how FFS Medicare is delivered. While this is not a mandatory program, this is a key time to consider competitor actions that could impact your future Medicare (…)


How to Succeed in Downside Risk Arrangements

September 24, 2019 | By

For decades, the healthcare industry has struggled with how to best distribute risk and responsibility for financing healthcare costs. Downstream risk arrangements between health plans and providers first emerged in the 1980s and 1990s when insurance companies and health maintenance organizations began contracting with medical groups and independent physician associations using capitation and other risk-sharing (…)


Navigating the Waters from Volume to Value: How to Succeed in Value-Based Models

September 23, 2019 | By

press@lumeris.com

Not sure where to start? Talk to one of our advisors.

Contact Us