Category: Thought Leadership

Let’s have lunch! Lee Green is not your typical health insurance agent. Formerly the chief sales and marketing officer at a provider-sponsored plan, Lee took early retirement to start a new career doing the work he had overseen for years. After a two-year stint as a benefits consultant, he struck out on his own, focusing (…)

Increasingly gloomy credit rating forecasts threaten to cast a cloud over the not-for-profit health system sector[1].  Traditional business models are under serious pressure and as value-based care and payment accelerates into an unavoidable but crucial strategy, these are the questions progressive Board Members are asking themselves: 1.    What resources are dedicated to managing risk today (…)

Health systems across the country are accelerating their move toward value-based care. Whether they are looking to manage value-based contracts with payers in the market or launch their own health plan, providers are realizing that much of the difficulty in transformation lies in the “how”. Operationalizing value-based models successfully can be challenging for organizations new (…)

As healthcare accelerates toward value-based models, health systems must find ways to remain relevant in the new era. New strategies, business models and care delivery innovations continue to change the healthcare landscape. To find out more about what leading health systems are saying about trends in the market, click here to read surveys from the (…)

by Josh Neal, Vice President, Strategic Partnerships and Philip Ikoku, Director, Strategic Partnerships The New Year is shaping up to be one of new beginnings for many of the nation’s accountable care organizations (ACOs). In case you missed it, CMS issued a final rule on December 21, 2018, that, once enacted, will redefine the current Medicare (…)

by Matt Nolan, Vice President, Lumeris This Perspectives series looks at why provider sponsored health plans (PSHPs) fail. This post, Part 1,  discusses the market dynamics that are forcing organizations to stand up their own plans and the major strategic misstep many PSHPs make when bringing a plan to market.  Last year, Lumeris published a (…)

Lumeris and The Health Management Academy (The Academy) are surveying leading health systems to understand strategic factors impacting their move to value. Each quarter, we bring data and insights covering our findings across key areas. The strategic survey reports include: Consolidation: Determine how market consolidation is impacting surveyed health systems; Physician Alignment and Evolving Payment (…)

Effective provider engagement in value-based care is an ongoing operation that requires a comprehensive approach and proven methodologies. In the first post we illustrated the different activities to implement for a provider group early in their risk journey. In the second installment, we focused on how creating the right infrastructure enables growth and expansion in (…)

We continue to examine the success factors for supporting providers during their transition to value-based care. In the first segment we looked at providers just starting on their journey and the phased approach of activities that helped them achieve improved clinical and financial outcomes. In this next entry, we focus on how providers, with the (…)

One of the biggest challenges for health systems transitioning to value-based care contracts is figuring out how to engage physicians in the process. Physician buy-in is critical for value-based care success, especially since physicians drive the bulk of utilization decisions that influence health outcomes. The move from traditional fee-for-service payment models to a value-based world (…)