Category: Thought Leadership

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 (…)

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 (…)

Authors: Nigel Ohrenstein, Senior Vice President and Head of Market, Lumeris Jordanna Davis, President, Rockingstone Group The Center for Medicare & Medicaid Innovation (CMMI) recently announced its latest value-based initiative, Direct Contracting (DC), a program designed to help providers shift toward delivering high quality, cost-effective care. Building on learnings from prior programs, Direct Contracting opens (…)

Is your organization considering applying for CMS’ Direct Contracting Program? As currently proposed, this new model offers significant financial, regulatory and operational advantages over previous CMS programs. The time is here to begin a robust transition to risk-bearing models, and Direct Contracting could be an important part of your system’s strategy. Read this new paper (…)

CMS recently announced the “Request for Applications” for its new Direct Contracting (DC) program. As currently proposed, the program offers a potentially market share-shifting opportunity that could change how FFS Medicare is delivered. While this is not a mandatory program, this is a key time to consider competitor actions that could impact your future Medicare (…)

For decades, the healthcare industry has struggled with how to best distribute risk and responsibility for financing healthcare costs. Downstream risk arrangements between health plans and providers first emerged in the 1980s and 1990s when insurance companies and health maintenance organizations began contracting with medical groups and independent physician associations using capitation and other risk-sharing (…)