Category: Thought Leadership

Decision Time is Here as Medicare Finalizes Pathways to Success

January 29, 2019 | By and

by Josh Neal, Vice President, Strategic Partnerships and Philip Ikoku, Director, Strategic Partnerships The New Year is shaping up to be one of new beginnings for many of the nation’s accountable (…)

Why Provider-Sponsored Health Plans Fail – Part 1

January 23, 2019 | By

by Matt Nolan, Vice President, Lumeris This Perspectives series looks at why provider sponsored health plans (PSHPs) fail. This post, Part 1,  discusses the market dynamics that are forcing organizations (…)

Point of View: Consumer Engagement

July 18, 2014 | By

As providers assume greater risk from payers, they are requesting accountability from consumers. But, how do providers engage and empower consumers to make educated health choices and become partners in their own health care? In this point of view, Lumeris offers five, interrelated strategies, based on 10 years of value-based care experience, to help guide accountable providers to successfully engage patients for better clinical and financial outcomes.

Enabling providers for success in value-based care can require hard decisions

December 20, 2018 | By

Effective provider engagement in value-based care is an ongoing operation that requires a comprehensive approach and proven methodologies. In the first post we illustrated the different activities to implement for (…)

Success in value-based care starts with the right foundation

December 12, 2018 | By

We continue to examine the success factors for supporting providers during their transition to value-based care. In the first segment we looked at providers just starting on their journey and (…)

Improving MAPD Outcomes through the Collaborative Payer® Model and Managing Population Health

July 7, 2014 | By

Client: Essence Healthcare – Lumeris used the Collaborative Payer Model between payers and providers. A mentorship program to align physician behaviors around accountability to achieve the Triple Aim Plus One was also incorporated to achieve the desired outcomes. The Accountable Delivery System Platform (ADSP)® was deployed to enable the financial and clinical management of the defined population, resulting in nearly 65% MCR (2013 before physician compensation distribution), a 30% reduction in costs and 40% reduction in readmission rate compared to an unmanaged population.

Engaging Physicians for Value-based Care Success: Real Outcomes

December 7, 2018 | By

One of the biggest challenges for health systems transitioning to value-based care contracts is figuring out how to engage physicians in the process. Physician buy-in is critical for value-based care (…)

What Leading Consultants are Talking About: Takeaways from the Lumeris Value-Based Care Leadership Summit

November 26, 2018 | By

What Leading Consultants are Talking About: Takeaways from the Lumeris Value-Based Care Leadership Summit Earlier this month in Dallas, Lumeris had the privilege of hosting 30 of the industry’s top (…)

Beyond ACOs: Why Medicare Advantage Should Drive Your Risk Strategy

October 24, 2018 | By

This three-part blog post series highlights why Medicare accountable care organization (ACO) participants should evaluate Medicare Advantage as a longer-term strategy. In the first part, we covered the proposed “Pathways (…)

Trying to Accelerate the Move to Value? The Limitations of Medicare ACOs.

October 19, 2018 | By

Trying to Accelerate the Move to Value? The Limitations of Medicare ACOs Ben Kline, Vice President Strategic Partnerships This three-part blog series covers why Medicare accountable care organization (ACO) participants (…)

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

Contact Us