Category: Thought Leadership

Health Systems Must Develop the Right Capabilities

April 18, 2018 | By
Health Systems Must Develop the Right Capabilities

In the move to value-based care, healthcare organizations must develop and acquire new skills in order to succeed in managing populations. In a survey of 22 health systems by Lumeris and The Health Management Academy, participants rated their strengths and challenges with respect to delivering value-based care (infographic below). While over 50% of respondents mentioned (…)


A Medicare Advantage-Focused Strategy Must Be Part of Every Health System’s Long-Term Plan

April 17, 2018 | By
A Medicare Advantage-Focused Strategy Must Be Part of Every Health System’s Long-Term Plan

by Matt Nolan, Vice President, Lumeris This Perspectives series looks at why healthcare organizations must move to value-based models. Part 1 focused on economic forces driving change. In this second segment, we’ll examine why Medicare Advantage is critical for a successful value strategy. While providers uniformly agree that transitioning to value is the right thing (…)


Standing on the Sideline is Not a Strategy: What Side Will You Be on in Healthcare’s Value Equation?

March 27, 2018 | By

In this three-part Perspectives series, we’ll look at the drivers forcing healthcare’s move from volume to value, first focusing on unsustainable economic forces. Then we’ll examine why Medicare Advantage is critical for a successful value strategy. Inertia in healthcare is indeed a powerful force, but adopting a wait-and-see approach is not sufficient. Ready or not, (…)


Health System Executives Confirm Leadership Alignment is Key for Successful Transition to Value-based Care

March 6, 2018 | By

Lumeris-sponsored survey validates importance of physician engagement in move to value. Lumeris, the industry leader in delivering value-based healthcare solutions, sponsored a survey by The Health Management Academy (The Academy) on the state of value-based care among large health systems in the United States. Twenty-two C-level executives took part in the survey, and 73 percent (…)


Moving to Value is a Priority for Health Systems

February 6, 2018 | By

In a survey of 22 health systems by Lumeris and The Health Management Academy, leading executives indicate that value-based arrangements are a strategic priority. Providers are pursuing a variety of programs that align with their strategy to take on financial risk, such as accountable care organizations (ACOs) and provider sponsored plans. However, respondents also share the (…)


Leveraging Social Determinants of Health Data for Value-Based Care Success

January 26, 2018 | By

To achieve quality health outcomes, organizations must deliver excellent patient care. However, patients may suffer poor outcomes – even if they have access to the best care in the world – if providers fail to consider social determinants of health, including factors such as socioeconomic status, education, social network support, access to care, access to (…)


Why Data on Social Determinants of Health is Growing in Importance

January 15, 2018 | By

According to the Centers for Disease Control, social determinants of health have a profound impact on health outcomes – much more, in fact, than the actual delivery of healthcare services. The health of people and communities is heavily influenced by such factors as socioeconomic status, education, social network support, access to care, access to transportation (…)


3 Reasons Why Collaboration is the Right Approach to Medicare Advantage

January 15, 2018 | By

Over the next few years, health systems will need to decide when and how to make the move to value-based care reimbursement models. Value-based care programs, such as many Medicare Advantage plans, can reward providers for the delivery of high-quality, cost-effective care. Despite the potential for improving both patient care and bottom lines, organizations are (…)


Survey: Health Systems Share Their Progress in Moving to Value-Based Care

January 9, 2018 | By

Change remains constant in healthcare today. As the industry continues to undergo transformative change and emphasize improved quality with lower total cost of care, health systems are making the shift from volume to value. While most health systems are still operating in a primarily fee-for-service environment, many are working toward a value-based care model in (…)


Health Systems Continue to Launch MA Plans…But Must Meet CMS’s Demands on Quality

December 19, 2017 | By

Provider-sponsored Medicare Advantage plans provide an excellent opportunity for health systems to manage the premium dollar through a value-based contract. However, for every example of a successful provider-led plan, there are many more cautionary tales of providers struggling operationally to obtain positive outcomes. As seen in this infographic: Not even half of provider-sponsored MA plans (…)


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