Category: Thought Leadership

White Paper: 40 Years in the Payment Reform Wilderness: DRGs to Nirvana

June 14, 2017 | By

In a perfect world, a well-functioning healthcare delivery system should provide the right care at the right time in the right place, while being accountable for clinical and financial outcomes. But the current method of paying for healthcare is broken. Since the inception of Medicare more than 50 years ago, the system has been designed (…)


White Paper: Reinvent & Reimagine Population Health: Interconnected Care Delivery

June 14, 2017 | By

In this paper, Reinvent & Reimagine Population Health: Interconnected Care Delivery, Lumeris author Kamesh Somanchi discusses the steps required for developing an interconnected platform to support value-based care delivery. While various population health management technology solutions have enabled healthcare organizations to start their transition to value, full transformation requires a comprehensive strategic and operational platform-based (…)


White Paper: Moving to Value with a Population Health Services Organization

June 14, 2017 | By

In their paper entitled, Moving to Value with a Population Health Services Organization, Lumeris authors Jeff Smith and Jay Shah provide an overview of the current healthcare market landscape and explore the economic, political, and social drivers influencing the move toward value-based care. This transformation, which requires a change in both the care delivery and (…)


Point of View: Five Components of a Successful Provider-Driven Population Health Services Organization

March 20, 2017 | By

A New Business Model for Provider Organizations Authors: Greg Scrine, Senior Vice President, Lumeris Advisory Services Ricky Garcia, Vice President, Lumeris Advisory Services   Ever-growing healthcare costs and the recognition that one-third or more of US healthcare spending is unnecessary, wasteful, or inappropriate have resulted in pressure on healthcare organizations to cut costs without harming (…)


What made Essence Healthcare’s 5-Star Rating for 2016 so remarkable?

March 3, 2017 | By

Richard Jones Discusses Essence Healthcare’s 5 Star Rating


White Paper: Building and Operating a Provider-Driven Population Health Services Organization

March 3, 2017 | By

Download the whitepaper The march toward value-based care delivery and financing will continue despite deep industry structural inertia, business self-preservation motives, and the shift in national politics. As we head toward 20 percent of US gross domestic product (GDP) being spent on healthcare, economic forces and federal budget math will demand the long-term transition to (…)


How Lumeris is Different

March 3, 2017 | By

In just a few words, Lumeris CEO Mike Long explains the Lumeris Model.


Blog: Thinking of Starting a Medicare Advantage Plan? 2019 Starts Now

January 18, 2017 | By
Medicare

Provider Sponsored Plans and Medicare Advantage are gaining traction as a critical strategy for profitable, value-based care. However, many underestimate the necessary lead time and effort required to move from consideration to activation. Planning for a 2019 launch needs to begin now starting with a detailed market and organizational feasibility study for standing up a (…)


Blog: A Look into the Transition to Value in the Atlanta Market

January 17, 2017 | By
Atlanta

Atlanta healthcare executives discuss fee-for-value Ross Armstrong Senior Vice President and Head of Market, Lumeris The number of healthcare organizations transitioning from fee-for-service to value-based care is rapidly increasing in the United States. This growth and evolution has changed the healthcare landscape and strategy for years to come. I recently had the opportunity to lead (…)


Infographic: Starting a Medicare Advantage Plan

December 14, 2016 | By
Infographic

If you’re thinking of starting a new Medicare Advantage Prescription Drug (MAPD) plan in 2019, then the time to start planning is now. Applications to CMS for 2019 will be due in February of 2018. In order to be successful in the application process you’ll need to obtain an insurance license from your state’s Department (…)


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