Category: Thought Leadership

Strategic Survey Q1 2018: Priorities, Consolidation, and Market Share

January 19, 2018 | By

Market disruption. Shifting financial strategies. Regulatory pressures. Amidst all of these challenges, health systems must find ways to survive and thrive in the new world of value-based care. Surveyed executives from leading systems reveal how these market challenges are shaping their strategies—and opportunities—for future success. Download this report to: Identify what investments surveyed health systems (…)


Is Medicare Advantage Part of Your Value-based Care Strategy?

January 8, 2018 | By

How well do you understand Medicare Advantage? See below for a summary of the key trends from our paper, Advantage Medicare Advantage: Delivering Healthcare’s Triple Aim to Seniors. Please provide your information to download the white paper and discover why Medicare Advantage needs to be a critical element of your value-based care strategy.   Complete (…)


Lumeris & The Health Management Academy Q1 2018 Survey

January 8, 2018 | By

As healthcare continues to march toward value-based payment models, providers must develop new capabilities to manage clinical and financial risk effectively. In turn, health system leaders are constantly determining how to best position themselves for the future. In this report, read about organizational restructuring efforts among surveyed health systems: Learn how these moves impact their (…)


Cultivating a Medicare Advantage Mindset

October 2, 2017 | By

Launching a Medicare Advantage (MA) plan offers health systems the potential to strengthen their bottom lines while acquiring the capabilities to manage the healthcare needs of beneficiaries. However, the road to success is fraught with significant financial, operational and regulatory risk. Success requires executing well in several areas and involves many stakeholders both inside and (…)


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 a network to fit the financial parameters of this program make the evaluation of this opportunity different than anything we have seen in the past. (…)


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” to support broader, more equitable, and outcome-based healthcare delivery transformation while streamlining current and future payment models.    Since its inception in 2010 as a (…)


Non-Traditional Strategies for Scaling Hospitals and Providers in the Covid Era and Beyond

October 5, 2021 | By

Sally Engelman Director, Business Development, Lumeris As Covid-19 continues to cast a shadow on the US healthcare ecosystem, many regional hospitals are fighting to cauterize revenue hemorrhage. Meanwhile, the federal government has moved to implement additional barriers for the one of the most common strategies for hospitals to secure incremental revenues and drive cost synergies: (…)


Always-On, Everywhere Healthcare

September 17, 2021 | By

The cornerstone of value-based care: The patient experience Ben Alexander, MD Senior Vice President, Digital Health and Analytics, Lumeris Healthcare pivoted in the pandemic – an industry-wide, lightning-fast about-face to deliver care when people could not leave home to get it. With an unprecedented single focus, hospitals, health systems, and independent physicians made access to (…)


Annual Health System Chief Strategy Officer Roundtable

September 11, 2021 | By

Recently a small group of Chief Strategy Officers from health systems in eight states gathered in Jackson Hole, Wyoming for the second annual CSO Summit moderated by Paul H. Keckley, Ph.D., Managing Editor of The Keckley Report and sponsored by Lumeris. The group discussed the future for U.S. healthcare in the next 2-3 years and (…)


Meaningful Payer: Contracting Building Resilience into the Transition to Population Health Management

July 1, 2021 | By

The pandemic revealed the vulnerability of fee-for-service models to shifts in volume. The crisis also accelerated the entrance of disruptors with quickly evolving new models for primary and other top-of-funnel care. At this moment, traditional volume-based providers are more vulnerable than ever to uncontrollable events and from competition with new points of access to care. (…)


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