Category: Thought Leadership

Blog: Top 5 Reasons Operating Partners are Critical in the Transformation to Value-Based Care

January 5, 2016 | By

KLAS recently released a report naming Lumeris the top-rated value-based care managed services provider in the area of client-reported impact on the Triple Aim. In this blog post, Peter Kinhan discuss the five reasons operating partners are critical for the transformation to value-based care.

Blog: Lumeris/CAPG Expert Panel and Accountable Primary Care Delivery

December 15, 2015 | By

Debbie Zimmerman reflects on the Lumeris & CAPG expert panel and the delivery of accountable primary care.

Leavitt Partners White Paper: Assessment of the Hospital Value-Based Purchasing Program

November 17, 2015 | By

The HVBP program is an important effort by CMS to provide tangible incentives to hospitals to improve the quality of care that they are delivering. Current results show uneven performance both geographically and by different types of hospitals.

AMJA Report: Attributes Common to Programs That Successfully Treat High-Need, High-Cost Individuals

November 17, 2015 | By

. Using literature review and interviews, AJMC has identified 8 shared attributes of programs, such as accountable care organizations, readmission initiatives, special needs plans, care transition programs, and patient-centered medical homes, that successfully treat high-need, high-cost patients.

McKinsey Report: Provider-Led Health Plans… The Next Frontier, or the 1990s All Over Again?

November 12, 2015 | By

According to a new report from the McKinsey Center for US Health System Reform, there are currently 64 insurance plans led by providers like hospitals or healthcare systems available through the health insurance marketplaces. Next year, there will be 72.

Blog: Moving From Volume- To Value-Based Care: Best Practices in Population Health Management

October 26, 2015 | By

Senior vice president and head of markets, Carol Murdock, shares insights on how other organizations work to make accountable care a reality.

Blog: A CEO’s Reflection: Why the Lumeris Collaborative Model Works for Providers, Patients and Payers

October 14, 2015 | By

Essence Healthcare, Lumeris’ pioneer client, has just received an extraordinary rating from the Centers for Medicare and Medicaid Services (CMS), 5-Stars, for the quality of services it delivers to its Medicare Advantage (MA) members, placing it in the 98th percentile of all MA plans.

Guest Blog: Experience Matters when Addressing the Challenges of Population Health Management

January 16, 2015 | By

For years, vendors in the population health management space have been pushing technology as the solution to the inefficiency of the healthcare system. Many people believed that if you could gather the data and integrate it together, you could improve quality, cut costs and make everyone happy. But, we are now at a point where we see that technology alone is not the answer.

Guest Blog: Lumeris’ Population Health Effectiveness: Essence Healthcare Achieves 4.5-Star Rating

December 3, 2014 | By

Since our formation more than a decade ago by a group of local doctors, Essence Healthcare has worked side by side with doctors to provide comprehensive and affordable health insurance to over 40,000 people with Medicare in Missouri and southern Illinois. We are honored to receive the 4.5 star rating for a fourth year in a row.

Guest Blog Series: Part 3: How The Nine C’s Help Accountable Providers Engage Accountable Consumers

August 20, 2014 | By

With increasing responsibility for their own care, consumers are realizing the importance of their providers and care teams. And, in the age of the Affordable Care Act, more and more previously uninsured patients are realizing how vital it is to manage their own health care to keep costs manageable.

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