Category: Thought Leadership

A healthcare IT strategy for value-based care: Start with the end in mind

July 16, 2019 | By and

Authors: Ben Alexander, Vice President, PHSO Product and Solutions and Chief Medical Officer, Population Health Analytics Lauren Drinkard, Director, PHSO Solution Owner The healthcare industry is abuzz with talk about how information technology is transforming the practice of healthcare. Indeed, health systems, payers, and other players are gathering copious amounts of data that hold the (…)


Why a Collaborative Payer is Needed for Value-Based Care Success

July 9, 2019 | By and

Authors: Matt Farnum, Vice President, Health Plan Accounts David Corrigan, Vice President, Expansion and Operations As value-based care gains traction, provider groups and health systems are finding that managing populations effectively requires tightly aligned business and care delivery models. To be successful, providers require a collaborative payer to support the operational capabilities required to manage (…)


Six Critical Drivers That Determine Success or Failure in Value-based Care

June 18, 2019 | By

by Debbie Zimmerman, MD Corporate Chief Medical Officer, Lumeris and Essence Healthcare The U.S. healthcare system’s ongoing transition to value-based care represents the most significant change in a generation in how health systems are reimbursed for the services they deliver. As a result, health system leaders across the country are searching for insights on how (…)


Insights from the Inside: What Health System CFOs are Thinking

June 4, 2019 | By and

At a conference with leading health system CFOs last week, participants shared valuable ideas, successes and struggles with their peers. Open discussions and panels provided thought-provoking insights for CFOs navigating today’s rapidly changing marketplace. Here are our four key take-aways: 1. Healthcare is dragging down the economy—and new players are entering to drive change One (…)


Aligning Physicians for Value-based Care

May 9, 2019 | By

Physician alignment is essential as health systems move toward value-based models. Surveyed leading health systems point to several strategies they use to work with their providers as they change the way care is delivered, such as developing clinically integrated networks (CINs), supporting employee culture, developing communication and governance processes, and incorporating contract metrics around quality (…)


The Corpus Christi Healthcare Market – A Cautionary Tale for Health Systems

April 25, 2019 | By

I travel a lot. In fact, I fly so much that the airlines I frequent actually treat me fairly well. In my role I get to engage with provider organizations across the country and come to understand the unique dynamics of each market I visit. While it can be argued that the uniqueness of each (…)


Creating a top tier health plan: What are the key drivers? – Part 2

April 23, 2019 | By

This Perspectives series looks at the challenges provider-sponsored health plans (PSHPs) can face. Part 1, Why Provider-Sponsored Health Plans Fail, examined the market dynamics motivating provider organizations to launch health plans. Part 2 discusses the need to focus on the key factors at launch that will drive success for a PSHP. When health systems look (…)


The Financial Impact of Value-Based Contracts: What’s at Stake for Health Systems

April 23, 2019 | By

As health systems evaluate their ability to transition from fee-for-service medicine toward value-based care, they must understand the financial impact of their strategy. In our recent analysis, The Impact of Transitioning to Value on the Financials of a Health System, we investigate different strategic scenarios that a health system could pursue, ranging from keeping the (…)


Lumeris and The Health Management Academy Q1 2019 Surveys

April 19, 2019 | By

Lumeris and The Health Management Academy (The Academy) are surveying leading health systems to understand strategic factors impacting their move to value. Each quarter, we bring data and insights covering our findings across key areas. Fill in the form to read the strategic survey reports: Defining risk: Determine how health system executives define risk in their (…)


The Impact on the Financials of a Health System Transitioning to Value

April 19, 2019 | By

Health systems across the country are facing tremendous financial pressures—from maintaining operating margins and profitability, to facing a shifting payer mix and stagnating reimbursement rates. These trends are creating challenges for health systems steeped in fee-for-service (FFS) care delivery. As a result, many systems are taking a hard look at their existing business model to (…)


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