Infographic: Starting a Medicare Advantage Plan

December 14, 2016 | By
Infographic

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 (…)


Blog: In This Evolving Healthcare Landscape, the Greatest Risk is Not Preparing to Take It

October 31, 2016 | By
Evolving Landscape

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 (…)


Forecast Health Outperforms Competitors on Predictive Accuracy

October 16, 2016 | By

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 (…)


Accountable Care News: How to Get New and Established Primary Care Physicians Aligned on the Delivery of Accountable Care

April 4, 2016 | By

Read the article: How to Get New and Established Primary Care Physicians Aligned on the Delivery of Accountable Care


Population Health News: Thought Leaders’ Corner

March 28, 2016 | By

Read the article: Population Health News: Thought Leaders’ Corner


American Journal of Managed Care Article: Dr Debbie Zimmerman Discusses Accountable Primary Care

January 27, 2016 | By

The healthcare industry continues to have questions about getting primary care physicians aligned on the delivery of accountable care, as well as how to improve primary care as a whole. Dr. Debbie Zimmerman spoke with the American Journal of Managed Care to answer those questions and touch on how Lumeris is helping health systems reach these goals.


Blog: Top 5 Reasons Operating Partners are Critical in the Transformation to Value-Based Care

January 5, 2016 | 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.


Blog: Lumeris/CAPG Expert Panel and Accountable Primary Care Delivery

December 15, 2015 | By

Debbie Zimmerman reflects on the Lumeris & CAPG expert panel and the delivery of accountable primary care.


Leavitt Partners White Paper: Assessment of the Hospital Value-Based Purchasing Program

November 17, 2015 | By

The HVBP program is an important effort by CMS to provide tangible incentives to hospitals to improve the quality of care that they are delivering. Current results show uneven performance both geographically and by different types of hospitals.


AMJA Report: Attributes Common to Programs That Successfully Treat High-Need, High-Cost Individuals

November 17, 2015 | By

. Using literature review and interviews, AJMC has identified 8 shared attributes of programs, such as accountable care organizations, readmission initiatives, special needs plans, care transition programs, and patient-centered medical homes, that successfully treat high-need, high-cost patients.


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