Lumeris, the market-leading value-based care enablement company, today announced that its participation in the Centers for Medicare & Medicaid Services (CMS) Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) model resulted in gross savings of $89.41 per member per month, a savings rate of 8.1% relative to the CMS cost of care benchmark (26.5% higher than other ACOs).
Notably, Lumeris’ participation in the ACO REACH program delivered $22.1 million in savings to the Medicare Trust Fund for the 2023 performance year. This achievement highlights Lumeris’ ability to improve care for Medicare beneficiaries while delivering significant cost savings to the Medicare program.
Lumeris’ affiliated ACOs contributed to these savings by achieving notable cost-efficiency without compromising care quality, realizing a top-quality score of 99.63%, highlighting the commitment to both cost containment and high-quality care delivery.
“Since joining the ACO REACH model in 2022, Lumeris’ REACH ACOs have achieved $98.8 million in gross savings, including $56.6 million in savings to the Medicare Trust Fund,” said Joe Satorius, senior vice president of value-based offerings and ACO programming, Lumeris. “These results demonstrate the power of value-based care in reducing costs while improving patient outcomes, and we are proud to continue driving savings for the Medicare program.”
Lumeris’ REACH ACOs were bolstered by the capabilities of Lumeris’ AI-driven technology platform designed to optimize population health management and care delivery. By providing real-time data insights, actionable recommendations, predictive analytics, and point-of-care EHR-integrated workflows, Lumeris’ technology platform enabled proactive care management to reduce hospital readmissions and avoidable admissions, which led to both significant savings and improved quality of care.
A technology-enabled accountable care strategy resulted in both significant cost savings and improved quality of care. The Lumeris technology platform’s ability to identify care gaps, predict high-risk patients, and streamline workflows allowed clinicians to focus on delivering personalized, high-quality care while achieving cost efficiency. By implementing these efforts at scale, Lumeris has successfully delivered value-based care that benefits both the Medicare program and its beneficiaries.
Lumeris’ performance has consistently exceeded industry averages, demonstrating its ability to achieve superior savings and outcomes compared to standard ACOs under global risk models. These outcomes reinforce Lumeris’ leadership in leveraging value-based care to drive meaningful improvements in patient health and substantial cost reductions.
“Partnering with Lumeris in the ACO REACH program has allowed us to better manage costs while delivering high-quality care to our patients,” said Dr. Charles Willey, managing partner, Vicinia Health. “By leveraging Lumeris’ technology and support, we’ve been able to intervene earlier preventing major medical misery which saves money for patients, our ACO and the Medicare trust fund.”
In addition to its ACO REACH participation, Lumeris partners with organizations in Medicare Advantage and the Medicare Shared Savings Program (MSSP), collaborating to create a more cost-effective, high-quality healthcare system. This broad network of partners further amplifies Lumeris’ ability to generate savings for the Medicare Trust Fund.
About ACO REACH
The ACO REACH model, developed by CMS, aims to improve care for Medicare beneficiaries while reducing costs through accountable care organizations. The model prioritizes equity and access to care and gives organizations the flexibility and resources to implement value-based care strategies. Participating organizations share financial risk and reward with CMS and are incentivized to deliver high-quality care that improves patient outcomes while controlling costs.
The statements contained in this document are solely those of the authors and do not necessarily reflect the views or policies of CMS. The authors assume responsibility for the accuracy and completeness of the information contained in this document.
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