Lumeris Identifies the 22 Competencies Needed to Deliver Accountable Health Care

ST. LOUIS--()--Essence Group Holdings Corporation (EGHC), the parent company of Lumeris, today announced the appointment of W. Michael Long, the former Chairman and Chief Executive Officer of Healtheon/WebMD, as its Chief Executive Officer. As the company’s new executive leader, Long will accelerate Lumeris efforts to power next-generation accountable health care delivery systems such as Accountable Care Organizations (ACOs), star-rated Medicare Advantage plans, virtual integrated health care delivery networks (IDNs) and hospital bundled payment programs.

Lumeris’ accountable care enablement solution is the product of years of experience running next-generation systems that encourage shared responsibility on the part of payers, providers and patients for both the quality and the cost of health care. Through this work, the company has identified the 22 competencies necessary to deliver accountable health care, which are disclosed to the public on its web site.

The Lumeris solution addresses the main success factors of any accountable health care delivery system, including the alignment of interests among health care participants, sharing of detailed and reliable medical and financial information, and effective coordination of patient care. This comprehensive offering includes but is not limited to:

  • Value-based network contracting and management services
  • Unique strategies for provider and patient engagement
  • Clinical decision support delivered at the point of care
  • Innovative medical and disease management programs
  • Value-added claims processing and customer service
  • Sophisticated population health and wellness initiatives
  • Compliance, risk and regulatory management programs
  • Systems interoperability and integration services

The solution also includes the company’s breakthrough population health management software called Maestro. Health plans, hospitals, medical groups and others use this web-based software to find and act on opportunities to improve the quality and lower the cost of health care.

Maestro integrates with various EMR systems, but offers a particularly impressive solution via ClearPractice, a sister company of Lumeris. Like Maestro, ClearPractice is delivered via a powerful cloud-based platform and contains all the clinical and financial tools a health care provider needs in one robust solution. This includes Nimble, one of the industry’s most talked about and sought after iPad applications, giving doctors quick and easy access to critical patient information whether in the office, at the hospital or at home.

Lumeris’ accountable care solution is tested and proven daily within its sister company, Essence Healthcare (EHI), a 4+ star Medicare Advantage plan providing care for more than 40,000 Medicare beneficiaries. EHI applies a unique model in which independent primary care groups take responsibility for the entire care of an Essence member, with constant technical and process assistance from Lumeris. Lumeris enables these 18 health care groups to effectively function as accountable care organizations (ACOs), prompting industry consultants to acknowledge that no one in the country runs more ACOs than Lumeris.

With the appointment of Michael Long as its chief executive, Lumeris’ comprehensive accountable care enablement solution is now available to other health plans, hospitals, health systems, medical groups and self-insured employers seeking to deliver or encourage the delivery of value-oriented medicine.

Learn more about Lumeris’ accountable health care enablement solution by visiting www.lumeris.com or by calling 1.888.LUMERIS (1.888.586.3747)

About Lumeris

Lumeris is the nation’s first full-service enabler of accountable delivery systems such as accountable care organizations (ACOs), star-rated Medicare Advantage plans, virtually integrated delivery networks (IDNs) and bundled payment programs. The company’s powerful software and specialized services help managed care plans, physicians, hospitals and others work together to become more accountable for the care of their patients.

Lumeris and Maestro are trademarks of Lumeris, Inc.

Contacts

Lumeris
Andrew Shea, 314-209-2865
ashea@eghc.com
or
Lois Paul & Partners
Maribel Lopez, 781-782-5719
maribel_lopez@lpp.com

Release Summary

Lumeris’ accountable care enablement solution is the product of years of experience running next-generation systems that encourage shared responsibility on the part of payers, providers and patients.

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Contacts

Lumeris
Andrew Shea, 314-209-2865
ashea@eghc.com
or
Lois Paul & Partners
Maribel Lopez, 781-782-5719
maribel_lopez@lpp.com