Category: Thought Leadership

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 (…)

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 (…)

Guest Blog Post: Aria Health: How One Health System Realized 80% of Their Value-based Care Opportunity

July 8, 2015 | By

Successful and sustainable value-based care programs require an ecosystem approach, it takes a village. Aria Health developed a partnership with Lumeris in 2013 to assist in their transformation to value-based care.

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 (…)

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 (…)

Mapping the Financial Journey for Health Systems

April 18, 2019 | By , , and

Health system executives understand the move to value-based care is here. But accepting that reality doesn’t answer their questions about when and how to transition from a business model based (…)

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.

How a Hospital or Health System Can Assess the Risk of Moving to Value-Based Payment

March 29, 2019 | By , , and

Health systems considering a strategic move away from the traditional fee-for-service (FFS) payment model to value-based payment approach can benefit from modeling the risks and likely effects of such a (…)

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.

The transition to value-based care continues to accelerate

March 28, 2019 | By

Market and regulatory pressures continue to drive health systems toward value-based payment. In a survey of leading health systems, half of executives state that the shift to value-based care is (…)

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