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    Point of View: Consumer Engagement

    // posted by Lumeris

    As providers assume greater risk from payers, they are requesting accountability from consumers. But, how do providers engage and empower consumers to make educated health choices and become partners in their own health care? In this point of view, Lumeris offers five, interrelated strategies, based on 10 years of value-based care experience, to help guide accountable providers to successfully engage patients for better clinical and financial outcomes.

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    Point of View: Health Plan Operations and Population Health Services

    // posted by Lumeris

    A definitive blueprint for value-based health plan operations and population health services revealed. Using 10 years of health plan, multi-payer and value-based care experience, Lumeris developed a four-part framework to significantly improve value-based health plan operations. The model includes identifying improvement opportunities to address business transformation, structuring the organization and implementing change, offering value-based care services that support office management and population health, and optimizing business processes. This essential guidance supports business and care delivery transformation in pursuit of the Triple Aim Plus One: better health outcomes, lower costs and improved patient plus physician satisfaction.

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    Point of View: Quality Management

    // posted by Lumeris

    Quality Management: Empowering Payers, Health Systems and Providers to Achieve Optimal Health Outcomes.

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    Point of View: Enhancing The Provider/Patient Encounter To Optimize Payer Revenue

    // posted by Lumeris

    To optimize risk-adjusted revenue for payers, and increase the quality of care each patient receives, Lumeris offers the Enhanced Encounter® Solution, built upon its expertise in meeting the goals of Triple Aim Plus One: better health outcomes, lower costs and improved patient –and our plus one – physician satisfaction.

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    Point of View: The Value of Integrating EMR and Claims/Cost Data in the Transition to Population Health Management

    // posted by Lumeris

    The Value of Integrating EMR and Claims/Cost Data in the Transition to Population Health Management

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    White Paper: The Value of Integrating EMR and Claims/Cost Data in the Transition to Population Health Management

    // posted by ADSI

    When EMR data is combined with claims/cost data, a physician gains a complete view of a patient’s medical history. In this white paper, we discuss the importance of combining claims, EMR, admission, lab, and pharmacy data, and how information supported by tools and workflows — helps health systems, payers and providers make value-based decisions and achieve population health management.

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    White Paper: Navigating the Rise of Value-Based Care

    // posted by ADSI

    The transition to accountable care presents hospitals with real and significant financial opportunities, as well as risks. But the risks become manageable when hospital leaders deploy solid strategic planning. Planning that must include an understanding of the unique challenges and opportunities that come with value-based payment arrangements.

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    White Paper: Clinical Data Integration

    // posted by ADSI

    Clinical integration is a vital component to transforming the U.S. health care system. The challenges are complex, but emerging payment models are helping fulfill technology’s promise to improve information-sharing among payers and providers. An important step in increasing collaboration, lowering costs, improving quality, and boosting patient and physician satisfaction.

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    White Paper: Business Process Partnering for Value-Based Care Delivery

    // posted by ADSI

    To establish and execute high performance business process partnering, 22 core competencies must be accounted for and addressed within the accountable care ecosystem.

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    Point of View: How the Nine C’s® Help Accomplish the Goals of the Triple Aim Plus One

    // posted by Lumeris

    Lumeris developed the Nine C’s℠ to ensure a powerful, proven framework for delivering the Triple Aim Plus One: quality, cost, plus patient and physician satisfaction. The Nine C’s offer providers a roadmap for making a successful transition from a volume-based to a value-based model.

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    Point of View: The Collaborative Payer Model

    // posted by Lumeris

    The Collaborative Payer Model achieves proven results against the Triple Aim Plus One: better health outcomes, lower costs, and improved patient, as well as physician, satisfaction. And it offers valuable lessons for today’s government-sponsored and private-sector accountable care organizations.