Insurance plans, trusted local providers will focus on the delivery of quality care and wellness initiatives for seniors across greater Cincinnati
ST. LOUIS/OMAHA, Neb./CINCINNATI— July 17, 2018 — Mutual of Omaha and Lumeris, the industry leader in value-based care, today announced they will launch new Medicare Advantage (MA) plans to deliver health care and promote wellness to seniors across greater Cincinnati with the help of two local health care systems, TriHealth and St. Elizabeth Healthcare.
“In 2014, TriHealth and St. Elizabeth’s forged an innovative partnership through the creation of Health Solutions Network to get health care right for the Greater Cincinnati and Northern Kentucky communities by working together to provide better care, better health and better value,” said Randall Curnow, MD, MBA, medical director for population health at TriHealth. “And now this collaboration with a trusted company like Mutual of Omaha will enable us to expand our reach in offering innovative Medicare Advantage health care solutions to the senior community, a population that has been particularly affected by the rapid changes in the health care industry.”
TriHealth and St. Elizabeth Healthcare selected Mutual and Lumeris based on Mutual’s leadership in the senior market and Lumeris’ extensive experience helping providers to develop, operationalize and execute on value-based strategies for Medicare Advantage plans.
“When evaluating an MA plan, we quickly realized that Mutual of Omaha and Lumeris have deep industry expertise, and also have clinical and financial priorities closely aligned with ours – and that alignment is critical to success in any value-based effort,” said Lori Ritchey-Baldwin, chief financial officer of St. Elizabeth Healthcare.
Under the terms of the agreement, Mutual and Lumeris will market the plan, manage day-to-day operations and support the optimization of the health systems’ high-quality clinically integrated network, Healthcare Solutions Network. This proven value-based care model for Medicare Advantage emphasizes collaborative relationships between patients, providers and payers.
“The strategic alliance between Mutual of Omaha and Lumeris is based on both organizations’ commitment to its customers and to delivering top quality care for seniors. TriHealth and St. Elizabeth are two systems that share this vision and are dedicated to making a difference in patients’ lives,” said Amber Rinehart, senior vice president of senior health solutions at Mutual. “As Mutual and Lumeris were considering the best markets to launch our initial MA plans, Cincinnati soon became one of our top choices because of the opportunity to serve a growing number of Medicare-age patients and partner with likeminded health care organizations in the region.”
According to Jeff Carroll, executive director of health plans at Lumeris, “TriHealth and St. Elizabeth are two outstanding provider organizations that have demonstrated a commitment to the delivery of value-based care aligned with Lumeris’ Triple Aim Plus One: better health outcomes, lower costs, and improved patient outcomes, plus physician satisfaction. We are excited to work with both systems to advance health and wellness in the Cincinnati region – and we are confident that our collaboration will successfully transform the delivery of care for seniors.”
TriHealth and St. Elizabeth Healthcare are founding members of the clinically integrated Healthcare Solutions Network, which began operations in 2015. TriHealth is a unified health system based in Cincinnati that was formed in 1995 to bring together physicians, Bethesda and Good Samaritan Hospitals and the community. Today the system is comprised of five hospitals: Bethesda North, Good Samaritan, Bethesda Butler, McCullough-Hyde Memorial Hospital and TriHealth Evendale. St. Elizabeth Healthcare operates six facilities throughout Northern Kentucky and more than 115 primary care and specialty office locations in Kentucky, Indiana and Ohio. St. Elizabeth serves more than 315,000 patients annually, 10,000 of whom seek treatment for cancer.
Lumeris serves as a long-term operating partner for organizations that are committed to the transition from volume-to value-based care and delivering extraordinary clinical and financial outcomes. We guide health systems and providers through seamless transitions from volume to value, enabling them to deliver improved and more affordable care across populations—with better outcomes. And, we work collaboratively with payers to align contracts and engage physicians in programs that drive high-quality, cost-effective care with satisfied consumers—and engaged physicians.
An industry recognized leader, Lumeris won the 2018 Best in KLAS award for value-based care managed services for helping clients deliver improved clinical and financial outcomes. This was the third year it received this distinguished award. For the past seven years, Essence Healthcare, Lumeris’ inaugural client with more than 65,000 members in Missouri and Illinois, has received 4.5 to 5 Stars from the Centers for Medicare and Medicaid Services. Lumeris is committed to delivering these same results with its multi-payer/multi-population clients to meet their goals and missions.
ABOUT MUTUAL OF OMAHA
Founded in 1909, Mutual of Omaha is a Fortune 500 organization offering a variety of insurance, banking and financial products for individuals, businesses and groups throughout the United States. In the individual market, Mutual is a leader in the Medicare Supplement, life, long-term care, disability and annuity lines. The company also offers a portfolio of employee benefit and retirement solutions. With $8 billion in assets, Mutual of Omaha Bank is a full-service bank providing financial solutions to individuals and businesses across the United States. For more information about Mutual of Omaha, visit www.mutualofomaha.com.
TriHealth is hospitals, physicians and the community working together to help people live better. We provide clinical, educational, preventive and social programs through Bethesda North, Bethesda Butler, TriHealth Evendale, Good Samaritan, McCullough-Hyde and TriHealth Rehabilitation hospitals and more than 130 other locations throughout Greater Cincinnati. This includes an ambulatory network, physician practices, research division, employer-based health services, hospice care, and fitness and health facilities. Learn more at trihealth.com, Facebook.com/TriHealth, @TriHealth on Twitter, Pinterest.com/TriHealth and at YouTube.com/TriHealth.
ABOUT ST. ELIZABETH HEALTHCARE
St. Elizabeth Healthcare operates five facilities throughout Northern Kentucky and more than 115 primary care and specialty office locations in Kentucky, Indiana and Ohio. St. Elizabeth is sponsored by the Diocese of Covington and is a member of the Mayo Clinic Care Network. St. Elizabeth is a mission-based organization committed to improving the health of the communities it serves, providing more than $100 million in uncompensated care and benefit to the community in 2016. For more information, visit www.stelizabeth.com.
Media / Amendola Communications for Lumeris
Lisa Chernikoff, 734-678-5513
Christopher Currington, 314-770-3723
Mutual of Omaha
Jim Nolan, 402-351-2944
St. Elizabeth Healthcare
Guy Karrick, 859-301-6300
Joe Kelley, 513-569-6703