Nov 5 2018 | Press Release | By

Lumeris Congratulates Essence Healthcare for Earning its 8th Consecutive CMS Quality Rating of 4.5 Stars or Better

CMS awards 4.5 stars to Lumeris’ long-term partner Essence Healthcare in annual Medicare Advantage quality assessment

SLOUIS, MO — Oct. 30, 2018 — Lumeris, the industry leader in value-based care, today announced that its inaugural client, Essence Healthcare, earned its 8th consecutive star rating of 4.5 or higher in the Centers for Medicare and Medicaid Services’ 2019 Medicare Advantage Health Plan Star Ratings. The Star Ratings system measures the quality and performance of Medicare Advantage plans on a 5-point scale to help beneficiaries make more informed decisions when choosing Medicare coverage.

“We are very pleased with CMS’ continued recognition of Essence Healthcare as one of the country’s leading Medicare Advantage plans and for the work we’ve done to improve the benefits, value and quality of care to our members,” said Richard Jones, CEO of Essence Healthcare. “It’s not easy for any organization to deliver high-quality service and outcomes over such a sustained period. Essence Healthcare’s partnership with Lumeris has been integral to our success and allows us to achieve high levels of consumer satisfaction while driving high-quality, cost-effective health outcomes. Together, we are achieving provider’s clinical and financial goals while having a positive impact on our members.”

St. Louis-based Essence Healthcare serves more than 65,000 beneficiaries across Missouri and Illinois and offers a unique, collaborative approach to Medicare Advantage insurance by working with providers in a virtually integrated delivery system. By leveraging transformative technology and innovative physician and consumer engagement services from Lumeris, Essence Healthcare is equipped to deliver high-quality service to its members and provide clinicians with the actionable clinical and financial data they require to proactively manage and coordinate patient care.

“The latest Star Ratings place Essence Healthcare among the best of the 2019 Medicare Advantage plans – and all MA plans for the last eight years – confirming our standing as one of the country’s top leaders,” said Jones. “Our unique collaborative payer and provider approach continues to be a highly successful model positively transforming the delivery of care for seniors by providing high-value health benefits and ensuring that every patient receives the quality care he or she needs and deserves.”

The Star Ratings system allows Medicare beneficiaries, their families and caregivers to compare the quality of available health and drug plans. Plans are rated on a 1- to 5-star scale, with 1 star representing poor performance and 5 stars representing excellent performance.


Lumeris is a value-based care managed services operator for health systems and providers seeking extraordinary clinical and financial outcomes. Recognized nationally by KLAS as 2018 Best in KLAS for Value-Based Care Managed Services, Lumeris aligns providers and payers across populations with technologies, processes, behaviors and information to achieve high-quality, cost-effective care with satisfied consumers — and engaged physicians. It was the third straight year Lumeris received the distinguished Best in KLAS award. For the past eight years, Lumeris with Essence Healthcare, its inaugural client and learning laboratory with more than 65,000 Medicare members in Missouri and Illinois, has received 4.5- to 5-Star Ratings from the CMS and produced the highest consumer and physician satisfaction scores in the industry along with significantly better clinical outcomes and lower costs. For more information, go to




Amendola Communications for Lumeris
Lisa Chernikoff, 734-678-5513

Christopher Currington, 314-770-3723

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