Category: Thought Leadership

White Paper: 40 Years in the Payment Reform Wilderness: DRGs to Nirvana

June 14, 2017 | By

In a perfect world, a well-functioning healthcare delivery system should provide the right care at the right time in the right place, while being accountable for clinical and financial outcomes. But the current method of paying for healthcare is broken. Since the inception of Medicare more than 50 years ago, the system has been designed (…)


Blog: Accountable Care: A Cost-Control Experiment?

March 2, 2013 | By

A lot of people are talking about accountable care as a cost-control experiment. That assertion misses the triple aim of accountable care: cost, quality, and satisfaction. Further, satisfaction must include both the provider and recipient of health care services. Focusing on just patient satisfaction is a fool’s errand if we don’t improve the job satisfaction (…)


White Paper: Reinvent & Reimagine Population Health: Interconnected Care Delivery

June 14, 2017 | By

In this paper, Reinvent & Reimagine Population Health: Interconnected Care Delivery, Lumeris author Kamesh Somanchi discusses the steps required for developing an interconnected platform to support value-based care delivery. While various population health management technology solutions have enabled healthcare organizations to start their transition to value, full transformation requires a comprehensive strategic and operational platform-based (…)


ADSI Blog: Nine C’s of Successful Accountable Primary Care Delivery

February 4, 2013 | By

The Accountable Primary Care Model: New Hope for Medicare and Primary Care


White Paper: Moving to Value with a Population Health Services Organization

June 14, 2017 | By

In their paper entitled, Moving to Value with a Population Health Services Organization, Lumeris authors Jeff Smith and Jay Shah provide an overview of the current healthcare market landscape and explore the economic, political, and social drivers influencing the move toward value-based care. This transformation, which requires a change in both the care delivery and (…)


ADSI Blog: Has Health Care Industry Transformation Reached its Tipping Point?

January 27, 2013 | By

Quickly out of the gate for 2013, Health Affairs featured the theme of Transforming the Delivery of Health Care in its January edition, Arnold Milstein MD’s Code Red & Blue – Safely Limiting Health Care’s GDP Footprint headlined the New England Journal of Medicine, and CMS announced a new wave of 106 additional ACOs to their program.


Point of View: The Collaborative Payer Model

January 13, 2013 | By

The Collaborative Payer Model achieves proven results against the Triple Aim Plus One: better health outcomes, lower costs, and improved patient, as well as physician, satisfaction. And it offers valuable lessons for today’s government-sponsored and private-sector accountable care organizations.


Point of View: Five Components of a Successful Provider-Driven Population Health Services Organization

March 20, 2017 | By

A New Business Model for Provider Organizations Authors: Greg Scrine, Vice President, Lumeris Advisory Services   Ever-growing healthcare costs and the recognition that one-third or more of US healthcare spending is unnecessary, wasteful, or inappropriate have resulted in pressure on healthcare organizations to cut costs without harming quality. Despite the political changes that are taking (…)


What made Essence Healthcare’s 5-Star Rating for 2016 so remarkable?

March 3, 2017 | By

Richard Jones Discusses Essence Healthcare’s 5 Star Rating


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