Category: Thought Leadership

Guest Blog: Sophomore to Freshman MSSPs: “Ready…Fire…Aim” Not a Good ACO Data Strategy

February 5, 2014 | By

“The early lesson is that data is what makes [accountable care] possible.” Elliot Fisher, M.D., Dartmouth Institute for Health Policy and Clinical Practice As we begin to absorb the public results announcements and comments for CMS MSSP entities that have been operating for over a year, and for the hundreds of commercial and other Accountable (…)


Point of View: The Value of Integrating EMR and Claims/Cost Data in the Transition to Population Health Management

December 9, 2013 | By

The Value of Integrating EMR and Claims/Cost Data in the Transition to Population Health Management


White Paper: The Value of Integrating EMR and Claims/Cost Data in the Transition to Population Health Management

December 3, 2013 | By

When EMR data is combined with claims/cost data, a physician gains a complete view of a patient’s medical
history. In this white paper, we discuss the importance of combining claims, EMR, admission, lab, and pharmacy
data, and how information supported by tools and workflows — helps health systems, payers and providers make
value-based decisions and achieve population health management.


Managed Care Contracting & Reimbursement Advisor Article: CMS Might Pay for Telehealth, Chronic Care Without Visit

November 1, 2013 | By

It might be a move in the right direction, or it could be a significant change in how the physician fee schedule encourages certain types of care—we won’t know until later—but right now it’s encouraging that CMS is considering paying primary care physicians for chronic care management services without an in-person visit, and also for telehealth services. “I think primary care physicians are going to see a tsunami of patients wanting care and newly insured in 2014, and this is one of the easier ways to expand capacity,” said Tom Doerr, MD. “You don’t have to take on the hiring of a new midlevel clinician. There is a lot less stress involved with just sending an email and getting reimbursed for it.”


Guest Blog: Automated Reporting: Helping Make Timely and Critical Decisions

October 21, 2013 | By

Reports, dashboards, analytics, and workflow all serve as essential parts in achieving the Triple Aim Plus One: better health outcomes, lower costs and improved patient plus physician satisfaction.


Guest Blog: Better Care at Lower Cost for People with Multiple Health and Social Needs

September 16, 2013 | By

In my role at Lumeris I often get asked by our clients, “What does care management really mean?” For me, having spent decades practicing geriatric medicine and teaching the principles of post-acute care coordination at a private research university and medical center, care management can be defined, most completely, as better care at lower cost for people with multiple health and social needs.


Guest Blog: Clinical Data Integration: The First Step Toward Value-Based Care and Achieving the Triple Aim Plus One

August 26, 2013 | By

“Big data” has become a big, intimidating buzz phrase in health care. Health systems and provider groups are all trying to collect large amounts of clinical data, make it meaningful, and according to the American Hospital Association, use it to “facilitate the coordination of patient care across conditions, providers, settings, and time.” While collecting clinical data is a natural first step on the road to value-based care, the integration of that data is often complex, costly and time consuming.


ADSI Blog: Accountable Care 2.0: It’s a Journey, Not a Program

July 17, 2013 | By

CMS released a long-awaited checkpoint status on its Pioneer ACO program. Of the 32 entities enrolled in the program, according to CMS…


Best’s News Service: Move From Fee-for-Service to Population Health Management for ACOs to Succeed

June 20, 2013 | By

Physician satisfaction is a crucial part of the model for accountable care organizations, according to Dr. Debbie Zimmerman, the chief medical officer for Lumeris. She also spoke to Best’s News Service about improving clinical outcomes and physician incentives.


Point of View: How the Nine C’s Help Accomplish the Goals of the Triple Aim Plus One

June 12, 2013 | By

Lumeris developed the Nine C’s℠ to ensure a powerful, proven framework for delivering the Triple Aim Plus One: quality, cost, plus patient and physician satisfaction. The Nine C’s offer providers a roadmap for making a successful transition from a volume-based to a value-based model.


mgordon@lumeris.com

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