Provider-sponsored health plans and Medicare Advantage are gaining traction as a critical strategy for profitable, value-based care. However, many provider organizations underestimate the necessary lead time and effort required to (…)
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.
Let’s have lunch! Lee Green is not your typical health insurance agent. Formerly the chief sales and marketing officer at a provider-sponsored plan, Lee took early retirement to start a (…)
Providers moving toward a value-based care system are finding success in engaging patients by applying the best-practice experience from primary care physicians (PCPs), as summarized in Lumeris’ Accountable Primary CareSM Model, also known as the Nine C’s®.
As consumers begin to accept accountability for their health, payers and providers have the opportunity to build trust and improve their experience and engagement. Equipped with new tools and information to compare costs and coordinate care, accountable physicians have financial incentives to deliver better quality care and lower costs.
Increasingly gloomy credit rating forecasts threaten to cast a cloud over the not-for-profit health system sector[1]. Traditional business models are under serious pressure and as value-based care and payment accelerates (…)
Health systems across the country are accelerating their move toward value-based care. Whether they are looking to manage value-based contracts with payers in the market or launch their own health (…)
As healthcare accelerates toward value-based models, health systems must find ways to remain relevant in the new era. New strategies, business models and care delivery innovations continue to change the (…)
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 (…)
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 (…)