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 (…)
CMS recently announced the “Request for Applications” for its new Direct Contracting (DC) program. As currently proposed, the program offers a potentially market share-shifting opportunity that could change how FFS (…)
Read the article: How to Get New and Established Primary Care Physicians Aligned on the Delivery of Accountable Care
Read the article: Population Health News: Thought Leaders’ Corner
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.
For decades, the healthcare industry has struggled with how to best distribute risk and responsibility for financing healthcare costs. Downstream risk arrangements between health plans and providers first emerged in (…)
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.
We’re Sandy Shroyer and Julie Spalding, colleagues at Lumeris. We recently attended Modern Healthcare’s Women in Leadership conference in Chicago and found it to be inspiring, with outstanding speakers, great (…)
I’m protected! I’ve amassed a massive “clinically integrated” group of physicians and provider entities! As one of the central strategic initiatives of nearly every hospital and health system today, physician (…)
When developing value-based care strategies, employer groups—particularly large employers—in your community must be included in your approach. From 2013-2017, employers’ healthcare costs increased on average 3.9% each year versus an (…)