Category: Thought Leadership

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

How to Develop an Effective Direct-to-Employer Strategy

September 23, 2019 | By

The Importance of Creating Value through Clinical Integration

August 29, 2019 | By

Stories from the Field: 20 Takeaways for (Re-)Invigorating a Leadership Career in Healthcare

August 29, 2019 | By and

We’re Sandy Shroyer and Julie Spalding, colleagues at Lumeris. We recently attended Modern Healthcare’s Women in Leadership conference in Chicago and found it to be inspiring, with outstanding speakers, great content, and lots of networking opportunities. These are our top takeaways as they relate to our career paths. Sandy: Having over 30 years of healthcare (…)


Creating Value through Clinical Integration

August 27, 2019 | By

I’m protected! I’ve amassed a massive “clinically integrated” group of physicians and provider entities! As one of the central strategic initiatives of nearly every hospital and health system today, physician alignment has captured the minds, time, and attention of healthcare executives around the country. The healthcare industry has evolved—new entrants, massive consolidation, and payment reform (…)


How to Create a Direct-to-Employer Strategy: 4 Key Steps

August 27, 2019 | By

When developing value-based care strategies, employer groups—particularly large employers—in your community must be included in your approach. From 2013-2017, employers’ healthcare costs increased on average 3.9% each year versus an average of 3.1% annual growth for the US GDP per capita. Further, employers have not found much relief in working with their plans to manage (…)


Celebrating a Century of Healthcare and Embracing Change in Michigan

August 19, 2019 | By

Author: Craig Hittle, Vice President, Lumeris Since 1919, the Michigan Health & Hospital Association (MHA) has been committed to improving the quality of healthcare for communities throughout Michigan. The changing healthcare landscape was top of mind for all healthcare executives in attendance, as the move to value-based care is driving transformation across the industry. As (…)


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