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 (…)
To successfully transition to value-based care, health systems must engage their physicians in the process. It’s simply not optional. But figuring out the most effective way to engage physicians has remained one of the toughest challenges for organizations. Why? Because physicians drive the bulk of utilization decisions that influence health outcomes, their buy-in is critical (…)
What Leading Consultants are Talking About: Takeaways from the Lumeris Value-Based Care Leadership Summit Earlier this month in Dallas, Lumeris had the privilege of hosting 30 of the industry’s top value-based care consulting leaders at our inaugural Value-Based Care Leadership Summit. The event started with a networking dinner and fireside chat with Lumeris CEO Mike (…)