Lumeris provides population health management services to help organizations adapt their business models to improve financial and clinical outcomes through value-based arrangements. It has over 10 years of experience in this area and focuses on enabling Population Health Services Organizations. Lumeris identifies 22 core competencies across areas like consumer engagement, care delivery, operations excellence, and business alignment that are critical for PHSOs to achieve the Triple Aim Plus One of better health outcomes, lower costs, improved experience, and physician satisfaction.
The 10th Annual Utah Health Services Research Conference: Data: What's available and how we are use it is changing. By: Danielle A. Lloyd, MPH - Premier
Health Services Research Conference: March 16, 2015
Patient Centered Research Methods Core, University of Utah, CCTS
On May 23, Conifer Health Solutions hosted a lecture at the ACHE Fellows Seminar in San Antonio, TX. The lecture, “Planning for Success with Clinical Integration,” focused on the steps associated with building a clinically integrated network; the power of strategic alignment with partners in the care community; and sustainable governance and incentive structures for the clinically integrated network.
The transformation towards more integrated and accountable healthcare delivery systems is aligning physicians, outpatient care, hospitals and ultimately payers in unprecedented numbers. Yet creating a successful clinically integrated network can be a daunting and complicated undertaking.
Yale New Haven Health System (YNHHS), a nonprofit academic medical center, is following a seven-phase plan to achieve a regional, clinically integrated network with the ultimate goal of population health management.
Conifer Health President of Value-Based Care, Megan North and Gayle Capozzalo, FACHE Executive Vice President/Chief Strategy Officer, Yale New Haven Health System (YNHHS), co-presented at the the Becker’s Hospital Review 7th Annual Meeting in Chicago. North and Capozzalo shared “A Seven-Step Approach to a Clinically Integrated Network,” to provide insights into each step of the clinical integration road map.
The 10th Annual Utah Health Services Research Conference: Data: What's available and how we are use it is changing. By: Danielle A. Lloyd, MPH - Premier
Health Services Research Conference: March 16, 2015
Patient Centered Research Methods Core, University of Utah, CCTS
On May 23, Conifer Health Solutions hosted a lecture at the ACHE Fellows Seminar in San Antonio, TX. The lecture, “Planning for Success with Clinical Integration,” focused on the steps associated with building a clinically integrated network; the power of strategic alignment with partners in the care community; and sustainable governance and incentive structures for the clinically integrated network.
The transformation towards more integrated and accountable healthcare delivery systems is aligning physicians, outpatient care, hospitals and ultimately payers in unprecedented numbers. Yet creating a successful clinically integrated network can be a daunting and complicated undertaking.
Yale New Haven Health System (YNHHS), a nonprofit academic medical center, is following a seven-phase plan to achieve a regional, clinically integrated network with the ultimate goal of population health management.
Conifer Health President of Value-Based Care, Megan North and Gayle Capozzalo, FACHE Executive Vice President/Chief Strategy Officer, Yale New Haven Health System (YNHHS), co-presented at the the Becker’s Hospital Review 7th Annual Meeting in Chicago. North and Capozzalo shared “A Seven-Step Approach to a Clinically Integrated Network,” to provide insights into each step of the clinical integration road map.
In January 2013, Catholic Health Initiatives began a multi-phase journey to develop a population health management solution across all of its regions. This presentation will describe the strategies the health system pursued for: creating a clinically integrated network as a first step in managing the health of populations and integrating care across the patient experience; aligning hospitals and physician groups to create successful clinical models; creating a data platform to share clinical measures and benchmarks; and ultimately becoming a risk-bearing shared savings ACO. Participants will hear real-world examples of best practices for how to meet FTC regulations, create an effective governance structure to manage performance, and align financial incentives. Learn how one of the nation's largest hospital systems developed a system-wide population health management solution in order to achieve the necessary transformation from fee-for-service to fee-for-value.
Achieving population health management through more coordinated care is becoming essential as healthcare organizations move away from fee-for-service models and begin operating in the new value-based care environment. One path to succeeding in this new environment and achieving more coordinated care is through formation of a clinically integrated network.
Yale New Haven Health System (YNHHS), a nonprofit academic medical center, is following a seven-phase plan to achieve a regional, clinically integrated network with the ultimate goal of population health management.
On March 16, 2016, President of Value-Based Care, Megan North and Amanda Skinner, Executive Director of Clinical Integration and Population Health for Yale New Haven Health System (YNHHS), co-presented at the 2016 American College of Healthcare Executives’ Annual Congress on Healthcare Leadership (ACHE Congress). North and Skinner shared “A Step-by-Step Approach to A Clinically Integrated Network,” to provide insights into each step of the clinical integration road map.
Christina Severin, President & CEO, Beth Israel Deaconess Care Organization presentation on healthcare technology for the MIT Enterprise Forum Innovation Series Event: Healthcare Innovation After ObamaCare
Partnering for Population Health: Strategies to Promote Collaboration Among t...Conifer Health Solutions
A patient-centered approach to care delivery will bring the best health outcomes for individuals, as well as the community. While it is clear that effective population health management is integral to better health, providers can no longer be the sole proprietors of data and information. Improving a population’s health will depend on strong alliances with community stakeholders that generally have not experienced a strong history of collaboration. In the new healthcare landscape, providers, payers and employers must partner to reduce cost, boost quality and improve the health of their shared populations. These new partnerships may start with a few glitches. However a strategic plan, clear objectives and an engaged, informed patient will smooth the path to improved outcomes.
WayPoint Healthcare Advisors is a deeply experienced solutions provider anchored by strategy and focused on cost, growth, patient experience, and clinical process improvement. We translate strategy into action.
Our experts are hands-on, directly involved in
every step from planning to implementation –
until the transformation is complete.
Since the launch of the Marketplaces and Medicaid expansion, one out of every 20 Americans has been added to the Medicaid roll. More than 51 million Americans receive physical health benefits from a private Medicaid health plan (or 70% of all beneficiaries) and as of Q3 2015, 41 states had some form of private managed Medicaid. Along with the rapid expansion of Medicaid, comes the push for managed care plans to adopt value-based care approaches that tie provider reimbursement to quality measures and better outcomes. This presentation gives physicians crucial details about Medicaid and CHIP Managed Care Proposed Rule CMS 2390-P, and the five factors for value-based payment success in the era of Managed Medicaid.”
Hitting the Sweet Spot with Predictive Analytics (Michael Draugelis)Ashleigh Kades
Speaker Presentation from U.S. News Healthcare of Tomorrow leadership summit, November 2-4, 2016 in Washington, DC. Find out more about this forum at www.usnewshot.com.
La démarche RSE de Sonepar France: un levier de performance structuré en trois axes majeurs :
Accompagner la transition énergétique et démographique
Placer les hommes au coeur du développement de l'entreprise
Contribuer à l'évolution et à la performance de l'écosystème.
In January 2013, Catholic Health Initiatives began a multi-phase journey to develop a population health management solution across all of its regions. This presentation will describe the strategies the health system pursued for: creating a clinically integrated network as a first step in managing the health of populations and integrating care across the patient experience; aligning hospitals and physician groups to create successful clinical models; creating a data platform to share clinical measures and benchmarks; and ultimately becoming a risk-bearing shared savings ACO. Participants will hear real-world examples of best practices for how to meet FTC regulations, create an effective governance structure to manage performance, and align financial incentives. Learn how one of the nation's largest hospital systems developed a system-wide population health management solution in order to achieve the necessary transformation from fee-for-service to fee-for-value.
Achieving population health management through more coordinated care is becoming essential as healthcare organizations move away from fee-for-service models and begin operating in the new value-based care environment. One path to succeeding in this new environment and achieving more coordinated care is through formation of a clinically integrated network.
Yale New Haven Health System (YNHHS), a nonprofit academic medical center, is following a seven-phase plan to achieve a regional, clinically integrated network with the ultimate goal of population health management.
On March 16, 2016, President of Value-Based Care, Megan North and Amanda Skinner, Executive Director of Clinical Integration and Population Health for Yale New Haven Health System (YNHHS), co-presented at the 2016 American College of Healthcare Executives’ Annual Congress on Healthcare Leadership (ACHE Congress). North and Skinner shared “A Step-by-Step Approach to A Clinically Integrated Network,” to provide insights into each step of the clinical integration road map.
Christina Severin, President & CEO, Beth Israel Deaconess Care Organization presentation on healthcare technology for the MIT Enterprise Forum Innovation Series Event: Healthcare Innovation After ObamaCare
Partnering for Population Health: Strategies to Promote Collaboration Among t...Conifer Health Solutions
A patient-centered approach to care delivery will bring the best health outcomes for individuals, as well as the community. While it is clear that effective population health management is integral to better health, providers can no longer be the sole proprietors of data and information. Improving a population’s health will depend on strong alliances with community stakeholders that generally have not experienced a strong history of collaboration. In the new healthcare landscape, providers, payers and employers must partner to reduce cost, boost quality and improve the health of their shared populations. These new partnerships may start with a few glitches. However a strategic plan, clear objectives and an engaged, informed patient will smooth the path to improved outcomes.
WayPoint Healthcare Advisors is a deeply experienced solutions provider anchored by strategy and focused on cost, growth, patient experience, and clinical process improvement. We translate strategy into action.
Our experts are hands-on, directly involved in
every step from planning to implementation –
until the transformation is complete.
Since the launch of the Marketplaces and Medicaid expansion, one out of every 20 Americans has been added to the Medicaid roll. More than 51 million Americans receive physical health benefits from a private Medicaid health plan (or 70% of all beneficiaries) and as of Q3 2015, 41 states had some form of private managed Medicaid. Along with the rapid expansion of Medicaid, comes the push for managed care plans to adopt value-based care approaches that tie provider reimbursement to quality measures and better outcomes. This presentation gives physicians crucial details about Medicaid and CHIP Managed Care Proposed Rule CMS 2390-P, and the five factors for value-based payment success in the era of Managed Medicaid.”
Hitting the Sweet Spot with Predictive Analytics (Michael Draugelis)Ashleigh Kades
Speaker Presentation from U.S. News Healthcare of Tomorrow leadership summit, November 2-4, 2016 in Washington, DC. Find out more about this forum at www.usnewshot.com.
La démarche RSE de Sonepar France: un levier de performance structuré en trois axes majeurs :
Accompagner la transition énergétique et démographique
Placer les hommes au coeur du développement de l'entreprise
Contribuer à l'évolution et à la performance de l'écosystème.
The 2013 Temasek Review, titled “Beyond Investing”, was launched on 4 July 2013.
Structure
- The Temasek Charter
- Performance Overview
- From Our Chairman
- Portfolio Overview
- Group Financial Summary
- Financing Framework
- Shaping Our Portfolio
- Shaping Our Institution
- Expanding Horizons
- Commitment to Community
- Major Investments
- Contact Information
- Temasek Portfolio at Inception
Visit www.temasekreview.com.sg for latest Temasek Review.
Follow @Temasek on Twitter at www.twitter.com/Temasek.
The 2008 Temasek Review, titled “Risks & Opportunities”, was launched in July 2008.
Structure
- Institutional Overview
- Year in Summary
- Portfolio Highlights
- To My Fellow Stakeholders
- Group Financial Summary
- Investments
- Shaping the Institution
- Engaging the World
- Extending Pathways
- Major Portfolio Investments
- Our Reach
Visit www.temasekreview.com.sg for latest Temasek Review.
Follow @Temasek on Twitter at www.twitter.com/Temasek.
A MS PowerPoint presentation that contains an idea about what Indian banking structure looks like and what role ICICI has played in the development of market infrastructure. It also contains Grievance Redressal system and controversies in which ICICI bank's name was highlighted
The Guide to Objectives and Key Results (OKRs)BetterWorks
Objectives and Key Results is the goal setting framework used at companies like Google, LinkedIn, and Intel. John Doerr, partner at KPCB, passed on Objectives and Key Results to Google helping them grow from 50 to 50,000 people. This is the complete guide to OKRs, containing everything you need to know (even exclusive slides and examples from Doerr himself.)
Population Health Management: Enabling Accountable Care in Collaborative Prov...Salus One Ed
This document provides the reader information about population health management (PMH), how it relates to incentive payments for healthcare providers and their health insurance partners (commercial and government). See details about required transformation of care delivery methods, typical accountable care payment models, how to achieve incentives, partnerships between state government (public health) and community shared services needs and necessary technology and data to achieve it.
A Clinically Integrated Network (CIN) is a selective partnership of physicians collaborating with
hospital(s) and other providers to deliver evidence-based care, improve quality and efficiency,
manage populations and demonstrate value to the market. Once these objectives are met, the network may contract on behalf of participants
Clinical Integration: The Foundation for Accountable Care - Presentation delivered by Keynote Speaker Marvin O’Quinn, Senior Executive Vice President and Chief Operating Officer, Dignity Health at the National Healthcare CXO Summit held in Las Vegas Oct 19-21, 2014.
Transforming Clinical Practice InitiativeCitiusTech
The Transforming Clinical Practice Initiative (TCPI) is designed to help small practices and clinicians achieve large-scale health transformation. The initiative is designed to support more than 140,000 clinician practices over four years duration in sharing, adapting and further developing their comprehensive quality improvement strategies. The TCPI is one part of a unique strategy advanced by the Affordable Care Act to strengthen the quality of patient care and manage health care expenditures, ultimately saving the taxpayer from substantial costs. This document describes the initiative in detail with the type of participants, eligibility and reporting requirements of the participants. Understanding the implementation of this initiative not only helps clinicians, but opens up a huge market for Healthcare IT companies offering the products and services like EHR implementation, Integration, EHR/ Data Migration, Implementation of HIE etc.
ACOs and CINs — Where Did They Start, How Have They Evolved, and Where Are Th...Health Catalyst
As the types and structures of Accountable Care Organizations (ACOs) and Clinically Integrated Networks (CINs) continue to evolve, organizations moving into value-based care face an ever-changing landscape. Alternative payment model arrangements have driven provider organizations to hone in on specific tactics to meet their contractual and strategic objectives.
Please join Health Catalyst Senior Vice President Dr. Amy Flaster and Population Health Management Consultant Jonas Varnum as they discuss the evolution of the ACO and CIN models, what new tools ACOs employ today to promote success, and lessons learned from organizations that have succeeded in alternative payment models. They will dive deep into lessons learned in addition to providing a primer on what has always been and continues to be vitally important to success in value based care. Specifics they will cover include:
- Approaches to simplify quality metric reporting
- Enhanced methodology that zeroes in on identifying high-value opportunities to improve patient populations
- Key tips to expand your business with new contracts
Dr. Flaster and Mr. Varnum’s combined experience make them uniquely qualified to guide you in your ACO or CIN journey. Dr. Flaster comes from a clinical background where she worked as Associate Medical Director at Partners HealthCare - one of the largest ACOs in the country. Mr. Varnum is a professional services strategy leader with demonstrated expertise delivering payment model transformation and helping providers and payers to strategically adjust their operations.
Edifecs CJR: don't fumble with your bundle ssEdifecs Inc
Comprehensive Care for Joint Replacement (CJR) opens the door to opportunity for improved joint replacement patient care delivery. With full accountability for both cost and quality for the joint replacement episode, hospitals must share critical data in near real time to align and coordinate the full continuum of post-acute providers. The top complexities Jay Sultan addressed include:
The top complexities Jay Sultan addressed include:
Considerations for entering into contracts with your orthopedic surgeons and other collaborating episode providers
Episode bundle administration and monitoring; gain sharing administration
Real-time data acquisition from collaborating providers
Analytics and reporting, focused care delivery management, and preparation for CMS audits
Whatever burning issues and questions are on your mind
eBook - Tools, Resources, and Expertise for your ACO/Collaborative Care JourneyNextGen Healthcare
Learn how NextGen Healthcare can equip you with the tools, resources, and expertise needed to reach your Accountable Care Organization (ACO), Meaningful Use (MU), and Patient Centered Medical Home (PCMH) goals.
Navigating The Primary Care First Model.pdfRichard Smith
The healthcare landscape is undergoing a dynamic transformation, driven by a growing emphasis on value-based care and patient-centered outcomes. At the forefront of this shift is the Primary Care First Model, a voluntary alternative payment model introduced by the Centers for Medicare & Medicaid Services (CMS).
Navigating The Primary Care First Model.pptxRichard Smith
The healthcare landscape is undergoing a dynamic transformation, driven by a growing emphasis on value-based care and patient-centered outcomes. At the forefront of this shift is the Primary Care First Model, a voluntary alternative payment model introduced by the Centers for Medicare & Medicaid Services (CMS).
Healthcare Payers are increasingly looking for advanced solutions to lower overall healthcare cost and provide a better patient experience. A payer that puts the customer at the center requires seamless integration across communication channels and functions, and a holistic view of the enterprise.
Healthcare providers are transitioning to more powerful population health man...Persivia Inc
Healthcare organizations are implementing Population Health Management Platforms with integrated healthcare company's claims, electronic health records, laboratory, social determinants of health (SDoH), and other relevant information. To perform successfully and offer value-based care with superior healthcare outcomes, such platforms also develop cost and system performance criteria based on Medicare and Medicaid data points.
2. To learn more, call 1.888.586.3747 or visit Lumeris.com
Lumeris’ Board of Directors
• Mike Long, Chairman and Chief Executive Officer, Essence Group Holdings Corporation and Lumeris Corporation
• John Burbank, Managing Member and Chief Investment Officer, Passport Capital
• Denis A. Cortese, MD, President and Chief Executive Officer Emeritus, Mayo Clinic Director, Health Care Delivery
and Policy Program, Arizona State University
• L. John Doerr, Partner, Kleiner Perkins Caufield & Byers
• Matt Downs, Managing Director, Sandbox Industries
• Christopher W. Kersey, MD, MBA, Managing Member, Camden Partners
• John H. Rice, MD, Executive Vice President and Chief Medical Officer, Esse Health
Value-Based
Populations
Medicare Advantage
• Roughly 200,000 lives
under mgmt.
Commercial
• Roughly 500,000 lives
under mgmt.
Self-Insured Employee
• Roughly 55,000 lives
under mgmt.
MSSP ACO
• Two successful MSSP
applications
• Roughly 20k lives
Health Systems
Built a PHSO for a $500M
community health system
managing full risk and SS
contracts
Designed and deployed Care
Management and technology
for $800M health system to
support P4Q and SS contracts
Clinically integrating a seven
hospital, 200 site, 2,100
physician health system to
perform on value-based
contracts
Provider Alliances
Built a PHSO for an alliance
with 3 health systems and
over 200 independent
physicians
Delivered PHSO services for
large regional IPA to improve
performance on value-based
contracts
Built a PHSO for 300+
independent PCPs managing
full-risk Medicare Advantage
contracts
Payers
Delivering PHSO services
for multiple health plans
starting Medicare Advantage
offerings
Providing technology and
services to support a large
regional payer’s accountable
provider strategy
Providing EMR integration
and Risk Adjustment services
for large regional payer
Current Client Engagements
GEN.WMLD.01-16.v1
Proven Outcomes
As a result of our outstanding solutions, we have been able to achieve:
• 5 Stars for the 2016 plan year, and 4.5 Stars the previous four years;
• Nearly 70 percent MCR before surplus distribution of physician quality-based compensation;
• 30 percent reduction in costs and 18 percent reduction in readmission rate compared to FFS Medicare;
• Largest, in-region market share for four years; and
• Over 80 percent of providers consistently rate that they are satisfied with their collaborative payer partner.