Category: Thought Leadership

Will Academic Medical Centers Accept the Value Challenge?

September 13, 2018 | By and

The accelerating push toward value-based healthcare is driving market disruption: hospital mergers and acquisitions, payers purchasing providers, and retail giants with health clinics proposing to merge with or buy insurance (…)

Guest Blog: Improving Quality through Patient and Provider Outreach

May 8, 2014 | By

Providers can become true managers of quality—and earn bonuses as part of value-based contracts—by making full use of data to close gaps in care as well as data transparency to benchmark their performance against their provider group and national peers. At Lumeris, our powerful technology solutions provide market differentiation for health systems and payers, especially in equipping their network of providers with the ability to stratify patients and populations for improved quality performance.

Guest Blog: Integrating Quality Management in Value-Based Contracts

May 7, 2014 | By

How does an investment in quality deliver value for health systems, payers, providers, and patients? From government-led ACOs to commercial contracts, successful quality management begins with strategic assessments that pinpoint where to focus improvement efforts. At Lumeris, our proven approach optimizes quality metrics in any value-based care model.

Why the Right Next Step for ACOs is Moving to Medicare Advantage

August 23, 2018 | By

This three-part blog series covers why Medicare ACO participants need to formulate a long-term Medicare Advantage strategy. In this first post, we will discuss the proposed “Pathways to Success” program (…)

Fire, Aim, Ready: Health Systems are Plunging into the Insurance Business… But at What Cost?

July 31, 2018 | By

Our industry is changing at an unprecedented rate. Health systems must examine new ways of doing business in order to succeed in the years ahead. But how can health systems (…)

Survey Says: Launching and Operating a Health Plan is Tough But Doing It Alone Is Tougher

July 26, 2018 | By

Throughout this Perspectives series, we have examined why healthcare organizations should move to value and incorporate Medicare Advantage into their strategy. In this third and final segment, we discuss challenges (…)

The Race is on for Health Systems to Meet Medicare Advantage Demand

June 27, 2018 | By

This new infographic showcases the results of a recent survey conducted by Lumeris which found that 29% of executives are planning to launch MA strategies but less than one-third are confident in (…)

Health Systems Must Develop the Right Capabilities

April 18, 2018 | By
Health Systems Must Develop the Right Capabilities

In the move to value-based care, healthcare organizations must develop and acquire new skills in order to succeed in managing populations. In a survey of 22 health systems by Lumeris (…)

A Medicare Advantage-Focused Strategy Must Be Part of Every Health System’s Long-Term Plan

April 17, 2018 | By
A Medicare Advantage-Focused Strategy Must Be Part of Every Health System’s Long-Term Plan

by Matt Nolan, Vice President, Lumeris This Perspectives series looks at why healthcare organizations must move to value-based models. Part 1 focused on economic forces driving change. In this second (…)

Standing on the Sideline is Not a Strategy: What Side Will You Be on in Healthcare’s Value Equation?

March 27, 2018 | By

In this three-part Perspectives series, we’ll look at the drivers forcing healthcare’s move from volume to value, first focusing on unsustainable economic forces. Then we’ll examine why Medicare Advantage is (…)

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