If you’re thinking of starting a new Medicare Advantage Prescription Drug (MAPD) plan in 2019, then the time to start planning is now. Applications to CMS for 2019 will be due in February of 2018. In order to be successful in the application process you’ll need to obtain an insurance license from your state’s Department (…)
Though MACRA and regulatory forces are encouraging providers to adopt value-based care delivery, many remain on the sidelines. Many are hesitant to begin this transition to managing risk; others simply ignore it at their own peril. Written By: Dan Juberg When the Centers for Medicare & Medicaid Services (CMS) proposed its new payment framework that (…)
The Society of Actuaries’ (SOA) recently published their study titled “Accuracy of Claims-Based Risk Scoring Models”. It evaluated 11 vendors on their ability to predict costs using Truven Marketscan® commercial claims dataset of 1 million members. The highlights are that Forecast (now Lumeris): Beat the 2nd best vendor at predicting people with the top 1% of costs 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.
Debbie Zimmerman reflects on the Lumeris & CAPG expert panel and the delivery of accountable primary care.