Download the whitepaper The march toward value-based care delivery and financing will continue despite deep industry structural inertia, business self-preservation motives, and the shift in national politics. As we head (…)
In just a few words, Lumeris CEO Mike Long explains the Lumeris Model.
Provider Sponsored Plans and Medicare Advantage are gaining traction as a critical strategy for profitable, value-based care. However, many underestimate the necessary lead time and effort required to move from (…)
Atlanta healthcare executives discuss fee-for-value Ross Armstrong Senior Vice President and Head of Market, Lumeris The number of healthcare organizations transitioning from fee-for-service to value-based care is rapidly increasing in (…)
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 (…)
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 (…)
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
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