A collaborative payer is a true partner, aligning incentives, coordinating operations and engaging providers to deliver higher quality, cost-effective care. Whether your organization is looking to partner with a collaborative payer in your market or become a payer, it is essential to understand what is required for success. Fill out the form to learn how (…)
Health systems and providers are increasingly eager to take on financial risk for patient populations to drive greater participation in the healthcare value chain. But while many providers want to take the plunge, their inexperience with the capabilities required to succeed under risk-based contracts gives them pause. Health systems have a variety of strategies to (…)
When developing value-based care strategies, employer groups—particularly large employers—in your community must be included in your approach. However, employers have not found much relief in working with their plans to manage healthcare costs and are now looking to engage health systems in unique ways. Engagement and dialogue between health systems and employers will lead to (…)
Lumeris and The Health Management Academy (The Academy) are surveying leading health systems to understand strategic factors impacting their move to value. Each quarter, we bring data and insights covering our findings across key areas. Fill in the form to read the strategic survey reports: Managed Medicaid: Identify the challenges and opportunities surveyed health system (…)
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 plan, providers are realizing that much of the difficulty in transformation lies in the “how”. Operationalizing value-based models successfully can be challenging for organizations new (…)
Lumeris and The Health Management Academy (The Academy) are surveying leading health systems to understand strategic factors impacting their move to value. Each quarter, we bring data and insights covering our findings across key areas. Fill in the form to read the strategic survey reports: Defining risk: Determine how health system executives define risk in (…)
Medicare Advantage (MA) is poised to break out as a national leader in the long-predicted shift to value-based care. In this new paper, Preparing for the New Medicare Advantage, written by Nigel Ohrenstein of Lumeris and Jonathan Halvorson of Sachs Policy Group, learn why MA has the potential to be a leading strategy for providers (…)
To successfully transition to value-based care, health systems must engage their physicians in the process. It’s simply not optional. But figuring out the most effective way to engage physicians has remained one of the toughest challenges for organizations. Why? Because physicians drive the bulk of utilization decisions that influence health outcomes, their buy-in is critical (…)
To succeed in value-based care, healthcare organizations must be able to measure performance and analyze outcomes to better inform operations and decision-making. In this brief, understand how healthcare organizations must consider various analytical methods for value-based care: Determine why precise analytical methods are essential for evaluating population health management initiatives Learn the difference between observational (…)
Lumeris and The Health Management Academy (The Academy) are surveying leading health systems to understand strategic factors impacting their move to value. Each quarter, we bring data and insights covering our findings across key areas. The strategic survey reports include: Consolidation: Determine how market consolidation is impacting surveyed health systems Physician Alignment and Evolving Payment (…)