News Release: Lumeris Enhances Care Management Capabilities in Transformational Accountable Delivery System Platform

ST. LOUIS — March 1, 2013 — Lumeris today announced enhancements to its transformative Accountable Delivery System Platform (ADSP)®, with the expansion of its care management offering to provide the industry’s most robust solution for population health.

“Care management is vital to success under cost and quality management initiatives, including Medicare Shared Savings Programs (MSSPs) and NCQA- and payer-defined patient-centered medical homes (PCMHs),” said Debbie Zimmerman, M.D., Chief Medical Officer at Lumeris. “The expanded Lumeris solution helps care managers easily and efficiently identify, assess and manage patients in the context of accountability and care coordination, and in partnership with accountable primary care providers.”

Lumeris’ care management solution is available on the ADSP, a secure, cloud-based platform that allows health care organizations to disseminate clinical intelligence and patient care plans to providers, care managers and other decision makers across the enterprise. The ADSP aggregates and analyzes data from across the continuum of care — such as medical claims, EMR encounter data, and lab and pharmacy data — to provide comprehensive health care analytics and a complete view of patient care. The system then sends actionable clinical and financial intelligence to physicians and other stakeholders. This enables timely value-based health care decisions proven to improve quality of care, reduce costs, increase collaboration and coordination, and enhance patient and physician satisfaction.

“Lumeris provides the strategic context necessary to help providers and payers not only improve individual patient outcomes but also bend the cost curve,” said Zimmerman.

With the new enhancements, Lumeris now offers the market’s most comprehensive care management solution for accountable care organizations, helping providers with care coordination for both high-risk and well members. Highlights of the Lumeris care management solution include:

  • General and disease-specific patient assessments
  • Patient care plans
  • Risk scoring to identify candidates for care management activities
  • Workflow and documentation support for disease management programs, complex case management, transitions of care, ER utilization reduction programs, medication management and end-of-life care
  • Admission and discharge alerts

The system incorporates industry-standard guidelines and best practices from the National Committee for Quality Assurance (NCQA) and Case Management Society of America (CMSA), and is easily customizable based on the user’s specific needs and goals.

About Lumeris

Lumeris is an accountable care delivery innovation company offering health systems, payers and providers operations, technology and consulting services. Our transformational solutions help health care organizations design, build, operate, measure and optimize any accountable care model to accomplish the Triple Aim Plus One: improved quality, cost, and patient and physician satisfaction. The depth and breadth of Lumeris’ solutions — combined with its extensive experience in accountable care — make the company an ideal partner for any health care organization seeking the benefits of a better connected, aligned and informed accountable delivery system. For more information, call 1.888.586.3747 or go to