Category: Thought Leadership

Care Continuity on the Road to Value: One Solution to Three Challenges

June 18, 2021 | By

Healthcare organizations will emerge from the pandemic into a reshaped landscape. Virtual and retail access to care has exploded since the crisis began, and consumers will continue to embrace these new doorways to care. Risk-based contracting is accelerating. And recovering lost volume is an urgent priority for every health system. Which priority will your organization (…)

Now Is the Time to Move to Value

April 28, 2021 | By

We’ve reached another turning point in a year of crisis and innovation. The ranks of those vaccinated and immune against COVID-19 are growing. As a nation, we’re looking forward—and asking, what comes next? The question is especially acute in healthcare as we emerge from the pandemic. Are we, at long last, ready to leave the (…)

Geo: The New Geographic Direct Contracting Model that Might be the Most Important CMS Alternative Payment Model

December 14, 2020 | By and

Non-Binding Letters of Interest due December 21, 2020; Applications are due April 2, 2021 CMMI’s new voluntary Direct Contracting Model: “Geo,” is the most substantive alternative payment program launched to date and likely the bridge for Medicare’s transition from fee-for-service to value-based payments to providers. Geo includes unique latitude to allow providers to differentiate their (…)

Five Steps to Preparing Your Health System Provider Network for Value

November 16, 2020 | By

A comprehensive strategy and sequence are critical to improving performance and preparing for value-based contracts.  

Care Retention Best Practices to Promote Patient-Centered Outcomes

November 16, 2020 | By and

Robert Hart, Director of Product Strategy, Lumeris Anna Libers, Senior Director Product and Solutions, Lumeris   Understanding the patient and provider experience As health system leaders aim to restore financial stability and address the current volume impacts from COVID-19, many have expressed growing interest to participate in value-based models to help mitigate risk. But in (…)

The Future of Alternative Payment Models in Healthcare: A Strategic Perspective

November 3, 2020 | By and

John Fryer, Senior Vice President and Head of Market Paul Keckley, Managing Editor of The Keckley Report and industry expert*   Rising Healthcare Costs and the Shift to Value In healthcare, no topic has drawn more attention among providers, payers and policymakers than health spending. In 2019, total health spending reached a staggering $3.8 trillion. (…)

The Transition to Value is Accelerating

September 29, 2020 | By and

John Fryer, Vice President and Head of Market Paul Keckley, Managing Editor of The Keckley Report and industry expert* As healthcare faces unprecedented challenges in light of COVID-19, it is clear that the industry must prepare for short- and long-term changes as the industry emerges from the pandemic. In particular, the need to move away (…)

4 Takeaways from the Direct Contracting Financial Methodology Release

September 28, 2020 | By

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 (…)

Voices in the Market: How Health Systems Can Come Back with Confidence™

September 15, 2020 | By

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 (…)

7 Steps for Getting the Optimal Value-Based Deal from your Health Plan Partners

July 15, 2020 | By

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 (…)

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