Category: Thought Leadership

Health systems across the country are facing tremendous financial pressures—from maintaining operating margins and profitability, to facing a shifting payer mix and stagnating reimbursement rates. These trends are creating challenges for health systems steeped in fee-for-service (FFS) care delivery. As a result, many systems are taking a hard look at their existing business model to (…)

As healthcare continues to shift to value-based care and the aging senior population continues to rise, the time is now for healthcare executives to rethink their Medicare strategies. Why now? We’re six years into the Medicare Shared Savings Program (MSSP) Accountable Care Organizations (ACOs) experiment, the results have been mixed—and there is more pressure than (…)

Download this paper to understand why: AMCs have unique characteristics that present challenges—and perhaps opportunities—on the road to value-based care. Shaking up the status quo and formulating an aligned strategy across the institution creates new leaders poised to build on an AMC’s advances. AMCs will need to draw in patients for a value-based model to (…)

The Medicare Shared Savings Program (MSSP) is being redesigned into the proposed “Pathways to Success” program, a model that pushes healthcare organizations to take on more risk. What is the timeline and what are the alternatives? This infographic shows current results for MSSP ACOs, performance and future alternatives. One option may be value-based Medicare Advantage, (…)

Lumeris and The Health Management Academy (The Academy) have teamed up to survey leading health systems to understand strategic factors impacting their move to value. Each quarter, we will bring data and insights covering our findings across key areas. The strategic survey reports include: Consolidation and Strategic Partnerships: Understand what health systems are saying about (…)

Executives at leading health systems are making Medicare Advantage (MA) a top priority in the new business of value-based care. Launching a provider-sponsored MA plan represents an opportunity to achieve value-based care success. More importantly, building a plan around a collaborative payer model can accelerate the delivery of improved clinical and financial outcomes. Download this (…)

Lumeris and The Health Management Academy (The Academy) have teamed up to survey leading health systems to understand strategic factors impacting their move to value. Each quarter, we will bring data and insights covering our findings across key areas. The strategic survey reports include: Evolving Payment Model & Health Policy: Identify key trends impacting surveyed (…)

In healthcare today, top performing organizations understand the new role of the consumer—and that in a value-based world, any efforts to improve costs and outcomes must be coupled with efforts to enhance the patient experience. In this new white paper, we’re sharing the “why” behind the shift to Medicare Advantage (MA) – from the perspective (…)

See the key highlights below from the survey of 22 of the top 100 health systems conducted by Lumeris and The Health Management Academy.   Complete the form below to download the report:

How long does a successful transition to value-based care take? Surveyed health systems reveal how health policy and reimbursement models are changing the way they do business. Download this survey report to: Discover where surveyed health system leaders find themselves on the journey to value Understand how health systems are managing ever-changing regulatory requirements Estimate (…)