On Thursday, September 17th, the Center for Medicare & Medicaid Innovation (CMMI) released its highly anticipated series of financial guidelines for the Direct Contracting (DC) program. While many organizations have applied for the implementation period and first performance year of the program, the viability of their participation has hinged on the release of the financial (…)
The COVID-19 pandemic has changed the landscape of healthcare dramatically. The pandemic has highlighted the challenges—and opportunities—across the industry: The fragile state of fee-for-service (FFS) and the limitations of the current financing mechanisms in healthcare The spike in demand for alternative care delivery sites such as virtual care and telehealth—and the need for a more (…)
Craig Enge, Senior Vice President, Lumeris Regardless of the quality of care delivered, contracting can have as much or more impact on the financial success of your health system. The road to value is littered with health systems that performed well, engaged in a value-focused process, yet still categorized their contract as a failure. But (…)
Dan Juberg, Strategic Partnerships, Lumeris The not-for-profit health system sector was already battling a business model under significant pressure. And then along came 2020. Between COVID-19, ballooning unemployment, and a sharper focus on inequity, 2020 has reinforced healthcare’s ever-present quagmire: a system where society expects an efficient and streamlined industry, but with the most robust (…)
John Fryer, Vice President, Lumeris The Healthcare Dollar Challenge During COVID-19 As healthcare organizations move beyond crisis response and begin plotting their recovery path, the need for health systems to transform has jumped to the forefront of the national dialogue. COVID-19 highlighted the best and worst parts of our unique delivery system and will forever (…)
John Fryer, Vice President, Market Strategy & Growth The COVID-19 pandemic is disrupting the current healthcare industry in unprecedented ways. How can health systems prepare for the future, developing strategies for the short, medium and long-term? The excerpt below highlights several key areas where healthcare will likely need to change as the industry adjusts to (…)
A pathway for health systems to restore revenue and long-term sustainability Nigel Ohrenstein, SVP Eastern Region You don’t need to be a healthcare expert to know that many health systems in the US are facing a revenue challenge of historic proportions. With the gradual restart of elective procedures and influx of government funding, systems will (…)
by Sam Wollner, Market Lead, Lumeris Faced with an overwhelming influx of COVID-19 patients to their hospitals, or bracing for it, health systems around the country are forced to make extremely difficult clinical and financial decisions. ICUs and emergency departments in some areas are near or beyond capacity. Elective and non-urgent procedures are halted, and (…)
by Ross Armstrong, Senior Vice President and Head of Market, Lumeris “Not all smart people work for you.” Bill Joy, Co-Founder of Sun Microsystems Why innovation is needed in healthcare Innovation in healthcare continues to grow, not only because of the multitude of bright and curious minds serving the industry, but because of the (…)
Lumeris is pleased to feature Paul Keckley, Managing Editor of the Keckley Report and industry expert, provide his thoughts on where the industry is on moving to value. You can read his insights here as well as listen to him on our Tuning Healthcare podcast. Summit: February 26-27, 2020 Big Sky, Montana The Big Sky (…)