Category: Thought Leadership

How to Design and Implement a Health Equity Plan in ACO REACH: Part 2 of 2

August 1, 2022 | By

Erica Everhart Senior Specialist for APMs, CareJourney Sally Engelman Director, Strategic Partnerships, Lumeris The statements contained in this analysis are solely those of the authors and do not necessarily reflect the views (…)


Leveraging Value-Based Care to Diversify Health System Revenue and Improve Financial Performance

July 28, 2022 | By and

Alicia Finan Business Development Market Lead  Nico Neugebauer Business Development Director   As we enter the third year of the COVID-19 pandemic, health systems across the country continue to face (…)


Thinking of Starting a Medicare Advantage Plan (or Integrating a New Collaborative Plan into Your Senior Portfolio)? 2024 Starts Now.

July 26, 2022 | By and

Dan Juberg Vice President, Head of West Markets  Matt Farnum Vice President, Strategy & New Markets    Collaborative Medicare Advantage payer partnerships and provider-sponsored senior health plans are gaining traction (…)


Strategic Implications of Health Equity in ACO REACH: Part 1 of 2

July 11, 2022 | By

Rick Goddard Vice President, Commercialization & Strategy, Lumeris Aneesh Chopra President, CareJourney The statements contained in this analysis are solely those of the authors and do not necessarily reflect the (…)


CMS Update: Pathways for Specialty Care Coordination and Integration in Population-based Models

June 24, 2022 | By

The Centers for Medicare and Medicaid (CMS) recently released a blog on specialty care and its alignment with total cost of care models. While we have seen the Centers for (…)


Our Accelerated Journey to Improving the Health of our Community

June 22, 2022 | By

Antonio Rios, MD Chief of Population Health, Northeast Georgia Health System   “When you can demonstrate that your diabetic patient population has improved overall, when screening every diabetic patient for (…)


Best Practices in Stakeholder Alignment, Communication & Network Design

June 9, 2022 | By

Joseph Satorius Senior Vice President, ACO Programs & Strategic Operations, Lumeris The statements contained in this analysis are solely those of the authors and do not necessarily reflect the views (…)


Introducing ACO REACH: The Evolution of Direct Contracting

March 11, 2022 | By and

Joseph Satorius Senior Vice President, ACO Programs & Strategic Operations, Lumeris Rick Goddard Vice President, Commercialization & Strategy, Lumeris On February 24, CMS announced the continuation of the Direct Contracting (…)


Provider Networks and Risk: Network Curation via Direct Contracting

December 15, 2021 | By and

For over a decade now, the Centers for Medicare and Medicaid Innovations (CMMI) has advanced their risk-based Medicare programs to delegate more financial accountability to providers. The ability to curate (…)


CMS Innovation Center Strategic Refresh Emphasizes Value-based Payment Models and Health Equity

October 24, 2021 | By and

John Fryer, SVP and Head of Market and Rick Goddard, Sr. Director, Market Strategy Last week the Center for Medicare and Medicaid Innovation (CMMI) introduced their strategic refresh “Putting All Patients at the Center of Care” (…)


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