Category: Thought Leadership

Direct Contracting: Preparing for Real Risk

January 31, 2020 | By and

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 (…)


Direct Contracting: What should health systems do next?

December 11, 2019 | By

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 (…)


Strategic Opportunity in Direct Contracting

December 4, 2019 | By

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 (…)


Accountable Care News: How to Get New and Established Primary Care Physicians Aligned on the Delivery of Accountable Care

April 4, 2016 | By

Read the article: How to Get New and Established Primary Care Physicians Aligned on the Delivery of Accountable Care


Population Health News: Thought Leaders’ Corner

March 28, 2016 | By

Read the article: Population Health News: Thought Leaders’ Corner


American Journal of Managed Care Article: Dr Debbie Zimmerman Discusses Accountable Primary Care

January 27, 2016 | By

The healthcare industry continues to have questions about getting primary care physicians aligned on the delivery of accountable care, as well as how to improve primary care as a whole. Dr. Debbie Zimmerman spoke with the American Journal of Managed Care to answer those questions and touch on how Lumeris is helping health systems reach these goals.


How to Succeed in Downside Risk Arrangements

September 24, 2019 | By

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 (…)


Blog: Top 5 Reasons Operating Partners are Critical in the Transformation to Value-Based Care

January 5, 2016 | By

KLAS recently released a report naming Lumeris the top-rated value-based care managed services provider in the area of client-reported impact on the Triple Aim. In this blog post, Peter Kinhan discuss the five reasons operating partners are critical for the transformation to value-based care.


Navigating the Waters from Volume to Value: How to Succeed in Value-Based Models

September 23, 2019 | By

How to Develop an Effective Direct-to-Employer Strategy

September 23, 2019 | By

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